ABSTRACT
A person with dementia has needs which are more typical of people in general than specific to those with dementia, needs that have been present since the formative times of our human development. People with dementia are the least likely to receive healthcare unless their condition becomes acute. Insecurity arises not only from a subjective state of separation, but also because the world of dementia may in itself be truly fearful. To be engaged in occupation, whether it is passive or active is a fundamental human requirement. It is critical to health and psychological well-being. Social ties have even been found to exert a protective effect against psychological distress. Egocentric needs refer to psychological imperatives such as self-respect, self-determination and control, and a sense of possession. Working with older adults with dementia who demonstrate their sexual need may be prejudiced by the misconception of sexuality in later life.
