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I managed a secure dementia unit for two years early in my nursing career. The unit was designed for patients with advanced disease and severe behavioral symptoms. We also had patients with rare conditions such as Pick’s Disease, a rare frontotemporal dementia, and early onset dementia. One patient was only 27-years old and already had developed advanced dementia. It was so difficult for families. We held monthly support groups with educational topics to help family members understand Alzheimer’s Disease and other dementias, cope with loss, and manage behavioral and health aspects of the disease.