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The National Institute On Aging that is part of the NIH gives this definition of dementia, "Dementia is the loss of cognitive functioning—thinking, remembering, and reasoning—and behavioral abilities to such an extent that it interferes with a person's daily life and activities."  The severity of symptoms of dementia increases over time.  So, people with the more severe cases would not be able to use devices like Alexa.  They need help with activities of daily living, such as dressing & bathing.  Earlier in its course, Alexa can be used and can help them get information and hear music possibly easier than trying to do the same functions with a computer.  Some experts recommend using mental exercises to maintain and improve mental functioning, so Alexa can be another tool to help in that regard.  Finally, caregivers can set up reminders so that Alexa can remind their loved ones with mental decline to perform certain activities on a routine basis.

I hope this answered your question.