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and to “save face”. This excessive management of non-public expression is probably not very common in lengthy-term care institutions. However, people with dementia may express themselves in several ways, through delicate and less delicate gestures and actions, particularly after they have difficulty speaking verbally. The end result may be similar in that they could be categorised as disruptive or as displaying difficult behaviour and thus additional controlled in their freedom of expression. The proven fact that care providers have entry to and management

 

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