Caregiver Accounts of Lucid Episodes in Persons with Advanced Dementia.

Episodes of lucidity were common, a finding seen in other studies. If prevalence studies confirm this, the qualifier "paradoxical" should be eliminated. The caregivers' familiarity with the person living with dementia allowed them to attribute meaning to subtle behaviors that might not otherwise be detected or considered lucid. Clinicians who care for persons with advanced stage dementia should routinely ask caregivers about episodes of lucid communication and their emotional reactions.