Mechanisms are provided for mitigating the effects of long term cognitive conditions on patient interactions by providing artificial intelligence mechanisms to assist with such interactions. The mechanisms perform a machine learning operation to learn, for a particular patient, associations between patient indicators and concepts that the patient is attempting to communicate or concepts representing actions that the patient would like to perform within a patient environment. The mechanisms receive, from a monitoring device in a patient environment, a patient input representing an attempt by the patient to communicate a concept or interact with the patient environment. The mechanisms perform a cognitive translation of one or more patient indicators in the patient input to one or more corresponding concepts based on results of the machine learning operation. The mechanisms then generate a translation output specifying the one or more corresponding concepts.