I know that I would be terribly upset if someone told me my perception of the world was wrong.........what makes anyone think Alzheimer's/dementia patients are any different? I really wish the people who write the textbooks and teach nursing courses would think about that, and put themselves in the place of these poor folks......even now, with all the knowledge there is about dementia, some are still preaching "reorientation", with the usual result being increased agitation and other "undesirable" behaviors.
Reminds me of a resident who lived in the first LTC I worked in after graduating from nursing school. The staff called him Olie; he'd been a doctor in China between world wars, and while diabetes had stolen his sight, Alzheimer's had taken most of his dignity and his inhibitions, and at times he could be meaner than a barracuda with a toothache! He'd kick, hit, bite, pinch, or twist anything he could get hold of when such a mood struck him, and at the very least he regularly refused treatments and pranced around the halls naked.
Luckily, I found out what worked with him: I would address him as Doctor
so-and-so, and we would proceed to have a "professional consultation" as he put it.......yes, as the nurse I was in the subservient role, but once he had questioned me about what I was giving him or asking him to do, he usually would give me a set of "orders" to carry out, and then he'd take the meds, or go back and put his clothes back on, or stop fighting with the staff. Sometimes he'd yell at me or send me out of the room, but overall he was mostly cooperative when he was treated with the respect he still felt his status as an MD warranted.