Basically, when facing challenging behavior, non-medicinal approaches should be considered and tried first. Home care for late stage dementia, information and practical suggestions, a six part series with Dr. Soumya Hegde. A suitable daily routine makes the day easier and less stressing for someone with dementia. The person may be in pain or discomfort from constipation or an infection. • Hyderabad, others (AP, Telengana) Please evaluate before use. Always stay calm and do not confront or challenge the individual and this could make them feel more distressed, Communicate clearly – speak slowly and repeat yourself if you feel the need to do so, Listening skills are crucial to identifying what the problem is at hand, Stay positive in the situation, the individual will feel negativity and get more frustrated otherwise. Other good sources for ideas are dementia care books and manuals. They can even harm some patients. This book explains many behavioral symptoms and how to cope with them. Keep yourself and the person safe. The broad components in the approach discussed here are: Changed behavior is a “behavior of concern” only if it can harm the person with dementia or others. While various techniques can be used, calming an upset person is usually difficult. Available as Kindle ebook. Free on Kindle Unlimited. Read more about caring for someone with dementia. Side-effects are common and can be severe. Shared experiences give ideas of possible reasons for strange behavior, and also possible solutions. Steps taken to reduce or stop a specific behavior are a targetted approach. In the middle to later stages of most types of dementia, a person may start to behave differently. Medications for behavioral symptoms: To be considered if non-drug approaches fail after being applied consistently. Seeing caregiver emotions like frustration and anger can also affect persons with dementia. Here you look at a particular behavior of concern. • Mumbai (Maharashtra) The aim of this article is to outline behaviours that can be proactively identified, with strategies developed to enhance the lives of those living with Dementia. The 36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease, Other Dementias, and Memory Loss by Nancy L Mace, Peter V Rabins. Have you just been diagnosed with dementia? This module covers disinhibition in dementia, which presents as those behaviours associated with a reduced capacity to edit immediate impulsive responses. Anti-psychotics should be used only if required. For example, if the person thinks he has lost something, acknowledge how annoying and hurtful that is, and help the person talk about it. Satisfy any physical or emotional needs. • Guwahati, Imphal, Aizawl (N-E states) You try to understand what causes it. Company Number 6659453, Physical aggression - pushing, pulling or punching, Verbal aggression – shouting, swearing or screaming, Inappropriate sexual behaviour – exposure, touching. Although changes in behaviour can be difficult to deal with, it can help to work out if there are any triggers. They discuss the side-effects and trade-offs involved. The tension around COVID, frequent changes in relevant guidelines, and changed home environment has increased stress levels in families. Dementia can have a very big effect on the person affected. Recording Behaviour Keeping a record of challenging behaviour can help us to identify its function. Look at each behaviour as a separate challenge. Previous: Helping with Activities of Daily Living Next: Special tips for challenging behaviors: wandering, incontinence, repetitions, sundowning, View our English and Hindi videos on the Dementia Care Notes Youtube channel, Collected resources for the convenience of families: Next review due: 3 January 2021, What to do if you've just been diagnosed with dementia. If you tell them to stop, the person may not understand why and may get angry. They can be a result of frustration with not being understood or with their environment, which they no longer find familiar but confusing. Some persons recover faster from their agitation if they hear soothing background music. Ask your GP for an assessment to rule out or treat any underlying cause. • Bangalore, Mysore, others (Karnataka) Remember the goods – try to help the individual recall something good from their past such as the music they listened to when they were younger or memorable historic events, Use ABC charts to try to identify possible triggers for any behaviours that challenge, Try alternative therapies such as aromatherapy, music, dance, doll therapy etc, Try to assess if the person with dementia is in any pain, as this may be the cause of some behaviours that challenge due to the inability to express this.

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