The pain and suffering this man
went through just about brings you to tears. I don't blame him for his anger.
When I am in the room with a patient who
doesn't seem to be participating in the discussion, either from decreased level of consciousness or from dementia, I will remind myself to direct some comments to the patient. I will greet the patient as I enter the room.
I try to remember that the patient may be hearing and assimilating all or much of what I am saying. Telling someone that the patient "will never" do something is basically stupid, as we don't know for certain. There are two many tales about apparently hopeless cases that awaken and walk.