Group interventions for adults with age-related dementia often utilize olfactory stimulation. The olfactory component is used in reality orientation, reminiscence therapy, and evolving activities and treatments. Contrary to its use, numerous neurological studies show cell death in the olfactory bulb and perception studies indicate that adults with Alzheimer’s disease and related dementia perform poorly on tests of smell detection and identification. Therefore, current approaches that use olfactory stimulation for adults with dementia must be reexamined to determine their value in both group and individual activity therapy. © 2002 Taylor and Francis Group, LLC.