Understanding and Responding to Challenging Behaviours in Dementia Care

Memory, reasoning, and behaviour are all impacted by dementia, a condition that progresses over time. Dementia patients may exhibit problematic behaviours as the disease worsens. For those caring for people with dementia, it is crucial to comprehend these behaviours and how to respond correctly.
What Kinds of Behaviors Are Difficult in Dementia Care?
The term “challenging behaviours” refers to actions or signs of discomfort that go beyond what is reasonable given the person’s circumstances at the time. Physical violence, verbal abuse, or agitation like yelling or shouting may be examples of these.
Patients with dementia may display a wide range of unpleasant habits that make them tough to deal with from both the carer and family member perspectives. Typical examples include:
- Wandering off without telling anyone where they are going
- Repetitive motions like tapping feet fingers legs etc.
- Delusions – seeing things that are not there
- Refusing meals/not eating regularly
- Depression or anxiety Paranoia and suspiciousness
Understanding the Causes of Difficult Behaviors in Care for Dementia
In dementia care, there are a number of variables that could play a role in problematic behaviours. These consist of:
- Physical discomfort: Dementia patients can struggle to express physical pain or suffering, which can make them agitated and frustrated.
- Environmental factors: People with dementia may get overwhelmed by a busy or noisy environment, which can cause confusion and worry.
- Communication difficulties: As dementia worsens, communication gets increasingly challenging. Patients cannot fully explain their demands, which makes it easy for carers and patients to misunderstand one another. Aggression or withdrawal are two common behavioural issues brought on by this lack of comprehension.
- Drug side effects: Some drugs used to treat dementia symptoms increase restlessness, agitation, and other negative emotions, which over time leads to more behavioural problems.
- Emotional triggers – upsetting situations like relocating from one location, room, or household may result in emotional anguish that shows up as difficult behaviours.
Managing Difficult Behaviors in Dementia Care
Caregivers of people with dementia have to respond correctly when confronted with problematic behaviours. Here are a few advices:
- Determine the trigger: Look for possible causes of the behavior, such as physical pain or a stressful atmosphere. Understanding this can aid in addressing the underlying issue rather than focusing on preventing specific behavioural occurrences.
- Remain composed but firm during every interaction: It’s important for carers to maintain patience while dealing with an agitated person who has dementia since their agitation could soon escalate into aggressiveness if they detect any hurry on your part.
- Distract them by diverting their focus with simple questions about their favourite subjects (e.g., “Did you watch your favourite movie today?”). You can also direct their attention to activities like listening to music or doing the laundry together.
- To help someone feel less worried and overwhelmed, use verbal prompts—calming words or phrases that remind them of the present moment, their surroundings, or loved ones.
- Try gentle physical contact, such as holding hands. Because people with dementia frequently have a great need for physical contact even if they are not fully aware of it, this can be quite relaxing for them.
- Examine the patient’s prescriptions; discuss any that may be contributing to increasing behavioural difficulties with the patient’s doctor so that appropriate modifications may be made.
- Ensure that fundamental needs are addressed, such as enough sleep, nourishment, and water levels. Some dementia patients have trouble keeping track of time, which can interfere with everyday activities and cause discomfort or agitation, among other things.
- Seek expert assistance – If you’re having trouble managing these difficult behaviours in dementia care, think about speaking with a professional carer who specialises in this field. Their expertise will provide light on several approaches that other people have used to successfully deal with similar problems.
Conclusion
Understanding problematic behaviours in dementia care and knowing how to handle them effectively are vital when one deals with situations that are getting more complicated as a result of their loved one’s declining cognitive abilities brought on by ongoing dementia progressions. For both family members and caretakers, it may be an extremely frustrating and emotionally taxing experience.
Understanding the underlying causes of these behavioural difficulties—such as pain, discomfort, environmental variables, or drug side effects—allows one to deal with the real problems at hand rather than just isolated episodes. When responding, patience is crucial. Maintaining your composure while coming up with creative methods to divert their attention will pay off in the long run.
Most importantly, make sure that basic needs are always met. Also, communicate frequently with medical professionals who can help improve treatments. Sometimes, it takes time and trial-and-error before progress can be seen, but knowing that you’re not alone on this journey may give you the much-needed comfort you need during the most trying times.
Finally, it’s critical to keep in mind that people with dementia may not have the ability to control their behaviour as a result of changes in brain function. We must show them love and patience as their carers or family members while giving them the best care we can under trying conditions.
In the end, a healthier relationship with our loved ones who have dementia depends on our ability to recognise challenging behaviours and respond to them correctly. It may take us on a trip where we gain new abilities for handling these circumstances more skillfully while also preparing us emotionally so that we can confront difficult situations with confidence and hope.
Leave a Reply