Are Dementia Residents Aware of their Condition?

 In Blog, Dementia Care

Dementia is a complex neurological disorder that affects millions of people worldwide. As we age, the risk of developing dementia increases, making it a prevalent concern in many nursing homes. One question that frequently arises is whether individuals with dementia are aware of their condition. In this article we will explore the different levels of awareness that dementia residents may have and shed light on this important topic.

The Awareness Spectrum

Dementia is a progressive disease and its impact on cognitive functions can be profound. Understanding the level of awareness in dementia residents requires recognition that it exists on a spectrum, with awareness varying from person to person throughout the different stages of the disease.

Early Stages

In the early stages of dementia, individuals may exhibit a degree of awareness and notice changes in their cognitive abilities. They may become aware of memory lapses, difficulties with tasks they once performed effortlessly or struggles with organising their thoughts. At this stage, some dementia residents actively seek medical assistance and express concern about their symptoms. Their awareness may prompt them to seek early intervention, which can help with the management of the condition.


As dementia progresses, individuals tend to experience a decline in their ability to understand or recognise their condition. They may become less aware of their memory loss or other cognitive difficulties. This reduced awareness can be challenging for caregivers and loved ones who are trying to provide support and ensure the well-being of dementia residents.


Cognitive impairment can cause people with Alzheimer’s, dementia, stoke and other types of brain damage in the brain to believe that there is nothing wrong. This can be caused by a condition called anosognosia. It means ‘to not know a disease’ and is not the same as being in denial. It’s a condition that causes an individual to be unaware of their mental health condition and how it affects them. Someone who has been diagnosed with dementia, but has anosognosia, doesn’t know or believe that they have dementia. With Anosognosia, the dementia has caused damage in their brain that makes it impossible for that person to be aware of what’s happening to them.

Anosognosia symptoms may be very different from person to person, change over time and might even change within a day. The resident might sometimes understand what’s happening and other times firmly believe that they are completely fine. The unawareness of cognitive impairment can be related to memory, general thinking skills, emotions or physical abilities. The resident may have trouble with language, like finding words, but they’re likely to explain these situations with excuses about forgetfulness or being tired. The individual may get angry and defensive if someone reminds them about their cognitive impairment because, in their mind, they’re absolutely convinced that there’s no problem.

Fluctuations in Awareness

It’s important to note that awareness in dementia residents can fluctuate. Individuals may have moments of clarity where they exhibit a heightened sense of awareness and understanding. These moments can be fleeting but they provide glimpses into their true capabilities and allow for meaningful connections.

The Role of Carers and Support Systems

Caring for dementia residents requires a compassionate and individualised approach. It is crucial for healthcare professionals, carers and family members to understand the level of awareness in each resident and adapt their approach accordingly. Here are some key strategies for supporting dementia residents:

  • Empathy and understanding: Creating a supportive environment based on empathy and understanding can help foster trust and emotional well-being in dementia residents.
  • Clear communication: Using simple, clear and repetitive communication techniques can facilitate understanding and reduce confusion.
  • Validation and reassurance: Validating the emotions and experiences of dementia residents can help alleviate their distress and provide reassurance.
  • Person-centred care: Focussing on individual needs, preferences and abilities allows for personalised care plans that promote dignity and independence.
  • Supportive environment: Creating a safe and familiar environment with cues and routines can enhance the sense of security for dementia residents.

The question of whether dementia residents are aware of their condition is a complex one. While awareness may be present in the early stages, it often diminishes as the disease progresses. Anosognosia, or a lack of awareness can further complicate matters. Understanding the varying levels of awareness and adopting person-centred care approaches are crucial for providing optimal support to dementia residents. By creating an environment that promotes empathy, clear communication and validation, we can enhance the well-being and quality of life for those living with dementia in nursing homes.

Lidder Care takes great pride in delivering high-quality care for the elderly, respecting dignity and equality of choices to encourage independence in a safe environment. Both of our care homes in Nottinghamshire focus on person-centred care, with experienced, friendly staff that always put residents first. Have a question about dementia care? Get in touch today.