Hendrik Trescher presents the living conditions of people with dementia in care homes. Among other topics, he addresses totality and the preservation of dignity in care, the approach to death, and dementia as a hospitalization effect. He draws parallels between his findings and structures that have been dismantled in the field of special education for people with intellectual disabilities for decades. Finally, he discusses the various humiliation structures he has identified based on practice-oriented concepts in nursing science. He notes that practical nursing science sometimes already anticipates significant structural humiliations in theory. The author advocates for a professional pedagogization of the field and the application of special education paradigms in practical elder care.