Shirley is "spicy," as her care coordinator gently puts it. When we first met her, Shirley was also "verbally expressive." "Feisty." And above all: "challenging." It wasn’t just Shirley herself: it was her situation. At Tender Rose, we know dementia is as unique as the people living with it. There’s a spectrum to the disease, but while some situations are more difficult than others, the complexity of Shirley’s was off the charts medically, legally, and emotionally.