It is difficult caring for people in the last stages of dementia when all sense of the person’s identity appears lost. But God’s grace is present even in this situation if only it is sought, and being in the presence of sufferers can reveal a window to a more profound truth. Autumn evenings cast faint shadows across the landscape of our soul. Nature is preoccupied with fall and endings. There are hints of death, of our own death, all around. We wonder how we will die. Recent reports tell of the increasing numbers who fear death by dementia. Since one in four people in their final decades is affected by it, it is called the epidemic of the twenty-first century. There is no one cause and no known cure. As dementia advances, there is an urgent need for “person work”