This week at my site went well. The groupleader ran an exercise group. The highlight was when we got the balloons out. Most all the clients got involved, batting the balloons around. We really got them moving. The staff really seemed to enjoy themselves also. After the exercise wound down, I took an opportunity to work on a puzzle with one of the clients. At first, he exhibited a great deal of enthusiasm; however, as time went on, his interest waned. Cognitive impairment is not a simple thing to understand. At first, I thought this client was some kind of puzzle genius. Then I realized that he was not able to complete the puzzle. In fact, he was not that interested in completing it. He was completing something different from the picture on the box. We did work together to complete the puzzle, but I am not sure how satisfied he was.