She confabulates. From knowing that about her to thinking that nothing she says or does makes sense, only one small step.

Tonight, I stopped by the dining room on the second floor, just when dinner was being served. I was busy chatting with a group of residents when I saw one of the caregivers rush to Denise. “What are you doing? Please sit down, you are going to fall!” Denise would not budge. She was intent on standing halfway between her wheelchair and the edge of the table. I offered to help. Maybe I could convince her to sit down? First, she wanted me to get her a Kleenex. When I returned, I noticed her looking straight ahead. I looked in the same direction, and saw Miko, another resident with snot dripping all the way down to his chest. No one had bothered cleaning him up, but Denise had noticed and she wanted to help. I took the Kleenex, asked Miko if I could wipe his face. He nodded yes. “Now, that’s better.” Denise was pleased, and ready to sit down.

Always look at the world from the person’s eyes. You may be surprised what you may find.