Since dementia is a progressive terminal clinical syndrome with no cure, the life of persons with dementia (PwD) can be adversely affected. Due to limited access to healthcare and lack of awareness in Pakistan, a majority of older adults do not get screened for dementia. The objective of the current study was to examine the problems and the Quality of Life (QoL) of underprivileged older adults with undiagnosed mild dementia in the Pakistani context. Using purposive sampling and case study design, 3 participants with apparent symptoms (verified by 8 researchers) of dementia from a low-income group in Lahore, Pakistan were observed and interviewed. Thematic analysis revealed sense of loss and alienation as one of the dominant themes. Implications are discussed.