“…While for some having dementia brings confusion, shock, sorrow or anxiety (Gillies, 2000;Holst and Hallberg, 2003;Howorth and Saper, 2003;MacQuarrie, 2005;Ostwald et al, 2002;Werezak and Stewart, 2002), others experience strong feelings of discontent like annoyance, anger, distress or frustration Beattie et al, 2004;Cotrell and Schulz, 1993;Gillies, 2000;Gilmour et al, 2003;Harris and Sterin, 1999;Holst and Hallberg, 2003;Howorth and Saper, 2003;MacQuarrie, 2005;Ostwald et al, 2002;Sabat et al, 1999). In a few available studies Dröes et al, 2006;Friedell, 2002;Katsuno, 2005;Smith et al, 2005) people with dementia express that general well-being, cognitive functioning and being able to take part in activities, along with friendships, feelings of belonging or attachment, are important aspects of their quality of life. Many express uncertainty about what the decline involves, how to evaluate changes, and what the future holds: "I wonder if this is moving the thing forward a stage or whether it is one of those one-off things."…”