I think we need to explore whether it`s the `Ultimate Indignity ` for the person with dementia or from the perspective of the carer.
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I have to say that when it came to my mother's incontinence, I did think it was a dreadful indignity, for her. This was because she had always been a shy and intensely private person pre dementia, and I knew how her former self would been aghast and utterly mortified. The fact that she was no longer aware didn't enter into it. I could not separate the person she had been, from what she had become.