The daughter-in-laws have observed that she keeps forgetting the names of close relatives and is unable to carry out her daily chores. Mrs Hari has also been blaming her daughters-in-law for stealing her bangles and sarees, which has caused rifts within the household. Last year, the whole family went on a pilgrimage and made offerings to the gods to help heal Mrs Hari. The family feels that it may be a result of their past sins and due to such stigma attached, this may affect the family’s social standing in the community. The daughters-in-law continue to provide basic care by occasionally helping her with daily activities such as bathing, dressing etc. Mr Hari keeps an eye on her throughout the day. He often gets agitated with his wife’s behavior and tends to lock her in her room to prevent her from wandering. Mrs Hari’s symptoms began to worsen. She does not recognize her husband or family and is reclusive often not coming out of her room. When her grandchild comes to visit from the city, he mentions that they should seek a physician. The family cannot take Mrs Hari to the nearest town for an evaluation due to distance and the indirect costs (costs due to loss of wages) involved. They are compelled to manage on their own. The two daughters-in-law each spend 5-6 hours per day to provide constant care for Mrs Hari until her death.