{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:41:13Z","timestamp":1777653673820,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Gerontology and Geriatric Medicine"],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:p>Patients with dementia, particularly Alzheimer\u2019s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient\u2019s previous habits of only wearing clean clothes. In this case study, we present a 72-year-old woman with moderate Alzheimer\u2019s disease who lives with her daughter, who adamantly refuses to change the clothes she has been wearing for a few days and which are now clearly dirty. We report the interaction, highlight what went wrong in the patient\u2013daughter interaction, and discuss how the catastrophic ending could have been avoided or averted.<\/jats:p>","DOI":"10.1177\/2333721418778419","type":"journal-article","created":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T07:12:03Z","timestamp":1527837123000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Agnosia Interferes With Daily Hygiene in Patients With Dementia"],"prefix":"10.1177","volume":"4","author":[{"given":"R. C.","family":"Hamdy","sequence":"first","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kinser","sequence":"additional","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.E.","family":"Culp","sequence":"additional","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Kendall-Wilson","sequence":"additional","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"},{"name":"Alzheimer\u2019s Tennessee, Inc., Cookeville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Depelteau","sequence":"additional","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Copeland","sequence":"additional","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Whalen","sequence":"additional","affiliation":[{"name":"East Tennessee State University, Johnson City, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,6,1]]},"reference":[{"key":"bibr1-2333721418778419","volume-title":"Memory loss, Alzheimer\u2019s disease and dementia","author":"Budson A. E.","year":"2016","edition":"2"},{"key":"bibr2-2333721418778419","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"bibr3-2333721418778419","doi-asserted-by":"crossref","unstructured":"Lyketsos C. G. (2016). In Rabins P. V., Lyketsos C. G., Steele C. (Eds.), Practical dementia care. Definitions and overview of the book (pp. 1-19). New York, NY: Oxford University Press.","DOI":"10.1093\/med\/9780199376834.003.0001"},{"key":"bibr4-2333721418778419","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-374961-1.10006-5"},{"key":"bibr5-2333721418778419","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.43.11.2412-a"},{"key":"bibr6-2333721418778419","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53221.x"},{"key":"bibr7-2333721418778419","first-page":"629","volume":"24","author":"Reisberg B.","year":"1998","journal-title":"Psychopharmacology Bulletin"},{"key":"bibr8-2333721418778419","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199376834.003.0002"}],"container-title":["Gerontology and Geriatric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333721418778419","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2333721418778419","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333721418778419","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:57:50Z","timestamp":1777445870000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2333721418778419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,1]]},"references-count":8,"alternative-id":["10.1177\/2333721418778419"],"URL":"https:\/\/doi.org\/10.1177\/2333721418778419","relation":{},"ISSN":["2333-7214","2333-7214"],"issn-type":[{"value":"2333-7214","type":"print"},{"value":"2333-7214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,1]]},"article-number":"2333721418778419"}}