work: The Father

title: Disorientation in Own Flat

test_role: caregiver

[User] He seems so lost and is asking who I am. He doesn't recognize me in his own home.

detected_behaviors: confusion misidentification

detected_emotion: sadness

ground_truth_answer: It is incredibly painful when a parent doesn't recognize you. This is a common symptom of dementia called misidentification. It's important to stay calm and not take it personally. Gently reintroduce yourself, for example: 'I'm Anne, your daughter. I can see this is confusing right now.' Sometimes stepping out of the room for a moment and re-entering can help reset the situation.


title: Patient Anxiety About Being Left Alone

test_role: patient

[User] Please don't leave me by myself. I get scared when I'm alone in the house.

detected_emotion: fear

ground_truth_answer: It sounds like you're feeling scared right now, and that's completely understandable. I hear you. You are not alone; I am here with you. Let's sit together for a while. What would make you feel a little more comfortable?


work: Still Alice

title: Forgetting Words During Lecture

[User] I was giving a talk and suddenly couldn't find the word I was looking for. It was so embarrassing.

ground_truth_answer: That sounds incredibly frustrating and stressful. It's a phenomenon called aphasia, and it's a common early symptom. Forgetting a word like 'lexicon' in the middle of a lecture, as Alice did, can be jarring. You handled it with grace by using humor. Remember to be kind to yourself; this is a symptom of the disease, not a personal failing.


title: Patient Frustration with Simple Tasks (Apraxia)

[User] I can't remember how to make coffee anymore. The machine is so confusing.

detected_emotion: anger

ground_truth_answer: It is so frustrating when a familiar task suddenly becomes complicated. This is a symptom called apraxia. It's not your fault at all. How about we tackle it together? I can walk you through the steps, and we can enjoy a cup of coffee when we're done.


work: Away from Her

title: New Attachment in Care Home

[User] My wife has become very attached to another man in the nursing home and doesn't have time for me anymore.

ground_truth_answer: This is a surprisingly common and emotionally complex situation. The new attachment, like Fiona's bond with Aubrey, often fills a need for companionship and routine in their new environment. The nurse Kristy explained it as a 'phase.' It's important not to view it as a personal rejection. Try to support their new friendship while still finding gentle ways to connect with your wife, perhaps by participating in activities they both enjoy.


title: Jealousy & triangulation (gentle reframing)

[User] She’s taken with another man at the home.

ground_truth_answer: It's understandable to feel hurt and confused by this. In a care home setting, residents sometimes form close bonds, like Fiona did with Aubrey, as a way to find comfort and stability. This new relationship isn't a betrayal of you; it's a coping mechanism for her. It can be helpful to try and see it as a phase that provides her with companionship, and gently continue your visits to maintain your own connection.


work: Alive Inside

title: Withdrawn and Unresponsive

[User] Henry just sits with his head down all day and barely responds to anything.

detected_behaviors: withdrawal apathy

ground_truth_answer: It's very difficult to see someone so withdrawn. This state is common in advanced dementia. One powerful, non-pharmacological approach is personalized music therapy. As seen with Henry, hearing his favorite gospel and Cab Calloway music helped him 'awaken.' He lifted his head, sang, and began to reminisce. Creating a playlist of music from their youth can be a wonderful way to reconnect and bring moments of joy.


title: Aftercare & safety (practical guardrails)

[User] Headphones keep going missing.

detected_emotion: calm

ground_truth_answer: That's a common issue. To help keep track of the headphones and music player, you could try a few things. Label them clearly with his name. Consider getting brightly colored headphones that are easier to spot. You could also attach them to a lanyard or clip them to his clothing. Creating a designated, obvious spot for them, like a hook by his favorite chair, can also help build a routine.


title: Patient Asks General Knowledge - Art

[User] Who painted the Mona Lisa?

ground_truth_answer: The Mona Lisa was painted by the Italian artist Leonardo da Vinci.


title: Patient Asks General Knowledge - History

[User] What year did World War II end?

ground_truth_answer: World War II ended in 1945.


work: Complaints of a Dutiful Daughter

title: Caregiver Asks for a Summary

[User] Can you give me a summary of the main events from the last three days?

expected_route: summarization

ground_truth_answer: Certainly. Here is a summary of the last three days based on your notes: On Monday, your father had a calm morning but experienced a period of agitation in the evening, related to sundowning. On Tuesday, he enjoyed a visit from his granddaughter and listened to music, which improved his mood. Yesterday, he had a doctor's appointment in the morning and slept for most of the afternoon.


title: Caregiver Asks for Summary of a Symptom

[User] Summarize all the journal entries related to my husband's word-finding difficulties.

ground_truth_answer: Here is a summary of entries related to word-finding: The issue was first noted three months ago during a lecture (aphasia). Two months ago, he struggled to name common kitchen items. Last month, there are several notes about him being unable to finish sentences. This past week, you noted two instances where he struggled to recall the names of close friends.


title: Patient Asks About Their Age

[User] How old am I, according to my last conversation with Debbie?

ground_truth_answer: In a conversation with Debbie, you came to realize that you are 84 years old.


title: Patient Asks About Partner's Passing

[User] I know my husband passed away. When did the journal say it happened?

ground_truth_answer: The journal notes that Danish died about five years ago.


title: Patient Asks to Connect Husband to a Location

[User] Did my husband Danish live with us in Flushing where Debbie was born?

ground_truth_answer: The journal notes that your daughter Debbie was born on 169th Street in Flushing, and that you all lived there. It also mentions you lived with your husband Danish for almost 50 years, so it seems very likely he lived there with you.


title: Patient Asks About Timeline of Relationship

[User] Considering Danish passed away 5 years ago, how long had we been living together before that?

ground_truth_answer: That's a thoughtful question. The journal mentions that you lived with Danish for almost 50 years and that he passed away about five years ago, which suggests you had a long and meaningful life together.