Dementia and Challenging Behavior

Aggressive behavior
1. Intervention
  1. reacting to aggressive behavior
    1. at the time
      1. try to understand reason behind their challenging behavior
      2. carer needs to be stress free before dealing with the situation
      3. provide alone time for residents until they ready to talk
      4. focus on their feelings & provide reassurance
    2. after the incident
      1. challenging behavior are sign of loss of cognitive function not intention by the person with dementia
      2. stay calm, reassure them, show kind behavior
  2. prevent and manage
    1. problem solving approach
      1. find out the problems through picking up ideas from their behavior.
        basic needs, like, dislike, personality
        about family and past history
        job, family members
    2. practical method
      1. communication
      2. music
        favourite song
      3. social interaction and activities
      4. remembrances
        memorable momment
      5. exercise
        physical exercise
        relaxation activities such as massage, aroma therapy
        animal assisted therapy
      6. dementia friendly environment
        brightness
        temeratture
        posters, signs, painting, colours
  3. carer responses to challenging behavior
2. Reasons
  1. Psychological
    1. not being able to do everyday task independently
    2. memory problem
    3. feel intrusion in their personal space
    4. mental health problem like depression
    5. misunderstanding carer's intention while giving personal care
  2. Social
    1. feel not included or value
    2. feel embarrassed to talk about condition
    3. lack of exercise, social interaction & activities
    4. carers' different approach for different task may confuse them or they feel threatened
  3. Biological
    1. physical discomfort
      1. urinary tract infection (UTI)
      2. pain, illness or sitting on same position too long
      3. side effect of medication
      4. poor eyesight, hearing and judgement and self-control due to loss of cognitive function.
    2. environmental factors
      1. Surrounded by crowd & unfamiliar people in their own home
      2. temperature too cold or too hot
      3. too bright or too dark
Repetative questioning
1. causes
  1. memory loss
    1. The person’s short-term memory is impaired and they have no recollection of having already said or asked something.
  2. fear and confusion
    1. A person with dementia is often unsure of what’s happening, where they are, or what time or day it is. Those are pretty unsettling feelings.
  3. safety & assurance
    1. They may be asking because they’re feeling stressed or anxious and need reassurance or to have a physical need met.
2. intervention
  1. find out the problem
    1. provide the answer
    2. reassure them feel safe
    3. distract them or change the topic
    4. keep engaged with activities
      Annotations:
      - - exercise - music - dance - drawing - game - things person with dementia like to do.
  2. schedule a break
    1. share experience with collegue
      Annotations:
      - sharing experiences with other carer help to get more ideas about the how to handle this kind of action.
    2. talk with GP or other support facilities
  3. memory aid
    1. create bright & colorful note
      1. Arts
      2. to do list
    2. use digital clock
    3. calender

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Dementia and Challenging Behavior

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	Created by Neetu Thapa over 5 years ago