One of the fundamental and critical concepts, (and most difficult for loved ones, caregivers and anyone encountering someone with dementia) is Anosognosia: a lack of self-awareness resulting from brain cell changes commonly found in 80% of people with dementia. It is distinct from denial, which involves consciously rejecting difficult truths. Premier Caregiver Services’ “A Guide to Overcoming Refusal of Care” helps families navigate this challenge.