I worked in a dementia unit in LTC, (and everywhere else, it’s what you do as a night nurse) and it can be chaotic, mostly in the evening (Sundowner’s Syndrome). Dementia units are generally a calm environment, it needs to be so residents don’t get agitated. Speaking as a nurse, especially in LTC because you take care of the same people for extended periods of time, you become detached, not uncaring, just careful about getting emotionally close to the residents. People die expectedly and unexpectedly, I learned how to navigate it very carefully. I don’t have a clue how her family ran their home, so I don’t know if she was around the residents on the regular, I would think she was, being that she lived there. Now imagine being a child and living in this environment and having people remember you one day and not the next, having people die. As a child, I imagine she became attached to her favorites and wondering why they were here one day and are gone the next. That’s heavy! Death is a hard thing for children to comprehend. Over time, she probably learned how to become more detached and death wasn’t as much of a shock. Again, not stephending here, but I’m sure it affected her. It affected me and I was an adult when I was figuring how to deal with all this. She never really seems that upset when people leave, this could explain why. I’m sure she wasn’t hands on, actually taking care of residents, she probably provided them with company and entertainment, I could see her singing to them, old people make great audiences. So yea, Lalande is probably very similar. I don’t think she’s uncaring, just detached. Hope this helps answer your question.