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Caregivers are dissuaded from using deception in dementia care in Swedish policies. However, guidelines in other countries have a more positive approach to deceptive practices when these are used in the best interest of patients. Research also shows that lies and deception are widely used in dementia care. Based on interviews with caregivers and ethnographic visits to nursing homes in Sweden, this paper examines the use of technology in deceptive practices in the care of people with dementia. Three technological devices are in focus: the online patient journal, the security camera, and the robotic animal. The journal allows for a smooth transition of knowledge between caregivers, enabling a person-centered care. However, the patient is often unaware of this circulation of knowledge by which the patient becomes known to everyone without necessarily knowing anyone. The camera makes it possible for caregivers to watch over patients without having to enter their rooms, which means that they do not have to disturb them with unnecessary and inconvenient visits. Paradoxically, the technology thus breaches the patients’ integrity in order to secure it. Last, the robotic animal works particularly well when it is perceived to be a real animal; yet, both policies and previous research caution against using a robot to create an illusion of a living being. The paper argues that to handle these dilemmas, the devices need to be understood in context: deception is not built into healthcare technology but is instead generated in the relationship between caregiver, patient, and technological device.