[Verse 1] Kitwood named the personhood that dwells within each mind, A self that dementia obscures but cannot undermine, Malignant social psychology chips the selfhood away, Infantilizing, ignoring — let person-centered hold its sway, We treacle not their dignity with haste or careless tone, We meet the human being there, not symptoms carved in bone [Chorus] DICE it, ABC it, name the unmet need, Cohen-Mansfield showed us — agitation's a creed, Person-centered, CST, reminiscence, CBT, The acronym cathedral: learn the architecture free, Capacity is context, it shifts from task to task, And truth wears different vestments — know which robe to ask [Verse 2] In early stages, therapy adapts its careful hand, Adjusted CBT explores the grief of losing planned-for land, Life story work and support groups hold the shrinking self in place, Cognitive rehabilitation — goal by goal, at measured pace, Depression lurks, anxiety unfurls like parchment scrolled, Reminiscence stitches meaning from the fabric of the old [Chorus] DICE it, ABC it, name the unmet need, Cohen-Mansfield showed us — agitation's a creed, Person-centered, CST, reminiscence, CBT, The acronym cathedral: learn the architecture free, Capacity is context, it shifts from task to task, And truth wears different vestments — know which robe to ask [Verse 3] Validation honors their reality with measured, steady grace, Reality orientation may clash or find its place, Repeated questions echo like a tolling chapel bell, Confabulation fills the voids — the brain constructs a spell, A fiblet is not falsehood if it soothes without betrayal, The ethics weigh like mercury — each conversation's scale [Bridge] Sundowning, wandering, apathy's vast lacuna — A lacuna: hollow emptiness where motivation was — Sexual disinhibition, sleep disturbed too soon, the Refusals of care are signals, not a futile cause, Music, movement, environment, address the pain untreated, STAR and REACH train caregivers — the burden is depleted, Antipsychotics sparingly — the risks are not completed [Verse 4] Capacity in dementia must be task-specific weighed, Can they drive safely homeward? Are the firearms safely stowed away? Finances and living solo — each domain assessed alone, Advance care planning flowers best while reasoning is sown, Document the wishes while the lucid windows hold, For BPSD needs shepherding before the non-pharmacological is enrolled [Chorus] DICE it, ABC it, name the unmet need, Cohen-Mansfield showed us — agitation's a creed, Person-centered, CST, reminiscence, CBT, The acronym cathedral: learn the architecture free, Capacity is context, it shifts from task to task, And truth wears different vestments — know which robe to ask [Outro] The self persists beneath the fog, the person still remains, Kitwood's torch illuminates what clinical care sustains, Meet the being, not the burden — therein lies the art, Psychological care for dementia — that is where we start
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