América: Discussion Guide Discussion Prompt: Understanding Dementia
Discussion Prompt: Understanding Dementia

Rodrigo and Diego argue about whether América is “conscious,” with Rodrigo saying she is not while Diego argues that “she lives her reality.” What does América do or say that supports or contradicts the brothers’ differing assessments of her level of awareness?
In the park, Bruno insists that América try to stand on her own, despite her resistance. How might a caregiver know what is and isn’t in someone’s best interest? What say should someone with dementia have in their care?
Bruno tells his brothers that police in the park demanded that he do what his grandmother asked. He tried to explain to them that “she asks for a lot of things.” Diego responds to his story by saying, “Nobody’s going to understand that.” Why wouldn’t people understand? What could be done in your community to increase the likelihood that people would understand?
When should people in América’s condition be given the autonomy to choose or reject treatment (like whether or not to take medication)? Under what circumstances is it appropriate to take decision-making power away from them?
At one point América asks about the presence of the camera. What are the ethics of filming someone with dementia? What degree of consent can a person with dementia give?