Daily Dementia Dose: Lack of Awareness, Denial and Anosognosia

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Last week, I saw a patient and he had a hip replacement. He kept on dislocating it.

We instructed him, no bending at more than 90 degrees, no twisting, no crossing.

He doesn’t have a diagnosis of dementia. In my personal opinion, he’s probably on the early stages of denial.

The word Anosognosia, means lack of awareness.

They don’t know. They don’t know how to follow precautions, they don’t know how to follow basic instructions. They will deny that it’s their fault when it’s actually their fault.

That’s the early stages of dementia.

They deny stuff.

That’s the first two stages, denial and anger.

He was so mad at me that day that it’s not his fault that he is dislocating his hip.

If you have a family member that’s like that, they are always in denial, they are always angry at you, that’s what you call anosognosia or lack of awareness.

If that’s the case, early diagnosis is key, you have to get out and have your loved ones diagnosed.

Identify what is the root cause of the problem and in doing so you will prevent it from getting worse.

Get the Caregiver’s Freedom Journal here.

Enroll in our new course – MisUnderstanding Dementia here.


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About the author 

Dr Michael Chua PT, DPT

Dr Michael Chua is a physical therapist practising in Home Health, Skilled Nursing Facilities and Acute Care Hospital. His clinical interest involves pain management, geriatrics and dementia management. He enjoys treating patients and bringing out the best in them using positive treatment approaches, his dynamic work setting in a rural area provides an opportunity to treat a wide range from geriatrics to orthopaedics.

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