6 Ways to Respond to Aggression in Dementia
Aggressive behaviors may be verbal and consist of shouting or name-calling, or they can be physical, such as hitting or pushing. These behaviors can occur suddenly, with no apparent reason, or can result from a frustrating situation. Whatever the case, it’s important to try to understand what is causing your loved one to become angry or upset.
Here are 6 ways that can help you better respond to aggression:
- Try to identify the immediate cause. Think about what happened right before the reaction that triggered the unwanted behavior.
- Focus on feelings, not facts. Rather than focusing on specific details, consider the person’s emotions. Look for the feelings behind the words.
- Don’t get upset. Be positive and reassuring. Speak slowly in a soft tone of voice.
- Limit distractions. Examine the person’s surroundings, and adapt them to avoid other similar situations.
- Try a relaxing activity. Use music, massage or exercise to help sooth the person.
- Shift the focus to another activity. The immediate situation or activity may have unintentionally caused the aggressive response. Try something different.
It can hurt – physically and emotionally
It’s upsetting when someone you love lashes-out at you or actually causes you harm. It hurts physically and emotionally. Although these tips are designed to give you some suggestions, we appreciate and understand just how hard it is to see someone you care about become so angry that they take it out on you.
Keep in mind that the person before you is the same person you fell in love with. They are angry, lost, confused and scared. They are frustrated and likely to be unable to express themselves.
Whenever there is a change in behavior, it’s important to follow-up with your loved ones physician as soon as possible.
For more information on how to manage difficult behaviors in the Alzheimer’s or dementia patient, reach out to the Alzheimer’s Care Resource Center. Their 24 hour Caregiver Help Line can be reached at 855-476-75600, or visit their website at www.alzheimerscareresourcecenter.org
Helpful Hints for Interacting with People with Memory Loss
It is important to understand the different types of memory storage because a person with severe or progressive memory loss may have one kind of memory loss and not another. For example, people with brain damage on their left side (the left hemisphere holds verbal or word memory) may not be able to remember a shopping list. Or they may not be able to remember the words in a conversation. However, they may be able to use their visual skills (the right hemisphere stores nonverbal memories). For example, they may remember the faces of people they meet at the store.
A person with a great deal of damage on the right side of the brain may not be able to remember and follow directions to a friend’s house but may be able to remember conversations.
1. Organize – Keep items that are alike in the same place. For example, keep all keys on one ring.
2. The Same Place – Make a list of items that tend to get lost and decide where to keep them. Once you decide where you are going to put items, keep them in the same place. Keep shoes by the side door or in the bed-room closet. Wear your eyeglasses or keep them on your bureau top. If you can afford a second pair of eyeglasses, keep one pair for home use and the other pair in your purse or jacket for outside activities.
3. The Same Time – Do a particular activity at the same time each day. For example, awaken and get out of bed the same time each morning. Brush or clean your teeth at the same times each day. Take your medicine at the same time each day. Try to set aside a particular day each week for special tasks, like shopping for food on Thursdays.
4. Remove Clutter – Give or throwaway odds and ends, extra end tables, many knickknacks, piles of old newspapers, broken tools, worn out shoes, pencil stubs, and anything unusable or not in current use. If you have not used it or worn it within the past year, get rid of it. Have a garage sale!
5. Concrete Cues – If somebody has problems with word memory, use concrete cues, such as visual helps, on a regular basis. A visual help, such as a picture of dishes on the door of a kitchen cabinet, may help the person remember where to find a dish. It may take time for the caregiver to make these changes, such as applying picture labels, but more time and effort will be saved over the long run.
6. Other visual helps include showing or pointing. For example, point to the object or the destination, such as going to the front room window and pointing outdoors to the newspaper or mailbox. Another way of cuing is to accompany the person with memory loss to the actual place and point out landmarks to remember along the way.
7. Show Them and Have Them Practice – People with declarative or fact memory problems may have good procedural (how to) memory. Instead of telling a person with memory loss what to do, show them how to do something and have them practice. For example, after they practice unrolling the garden hose, watering the plants, and rewinding the garden hose a few times, they may remember how to water the garden. Keeping busy helps a person with dementia to feel useful and it provides exercise. During these activities, the caregiver has time for other responsibilities.
Hellful Hints for People with Severe or Progressive Memory
Even though there are no medical treatments for curing severe memory impairments, changing the way things are done at home can help. People with memory problems do best when they have a lot of hints or reminders to help them figure things out. Saying you are “making sandwiches for lunch time” tells them what meal is coming next. Also, telling time in terms of purpose-such as lunch time, bath time, or bedtime-may have more meaning than using numbers, such as one o’clock.
People with severe memory disorders do not function as well when there are many changes and surprises. Often they get upset when there are changes in their usual routine. Caregivers should under-stand this and see that the routine changes as little as possible from day to day.
1. Reminders Help – Talk frequently about important information, such as the next thing to be done or events that are coming up. It is best to talk casually about these things in the natural flow of conversation. Try not to make the person feel foolish as if they cannot remember. Reminding them in any way of their poor memory will probably upset them.
2. Keep Clocks and Calendars Handy – Leaving the curtains open during the day will help them keep track of the day-night cycle of time. At the end of each day, cross the day off the calendar so that in the morning, the new day is clear.
3. Use Old Photographs and Songs – People with severe memory problems usually remember events that happened long ago. Family heirlooms, old photos or old songs from their teen years may be comforting to them and should be kept handy. Sometimes these mementos remind them of fun times and friends. These memories can calm down a restless or angry person. The person becomes caught up in the happy mood of the memento and stays that way for a while. When an old photo or song creates sadness or anger, distract the person immediately with a new activity-go to a different room, get a drink of juice, or go for a walk (indoors or outdoors).
4. Limit Choices – The fewest number of items should be kept available; extras should be put away or stored. For example, a kitchen drawer should hold a few spoons and forks. The extra utensils should be stored and unavailable. In the clothes closet there could be two pairs of shoes, two shirts, and a pair of pants. Extra clothes should be kept in a separate, locked closet.
5. Choices could be limited to one item. As much as possible, the caregiver should honor the preferences of the person with the memory disorder. The person has the right to choose. It helps to use “Do you want” questions.
“Do yo want to wear the black shoes?”
“Do you want to wear the brown shoes?”
6. Night Lights – People with severe memory problems often have trouble at night. A night light may help them know where they are if they wake up to use the bathroom. A night light may also keep them from tripping over the edges of furniture and falling.
7. Changes in Sense Systems – People with severe memory problems have trouble when their sense systems change they cannot see, hear, taste, smell, or feel as well as before. When not tuned in to the sights, smells, sounds, etc. around them, people become information-deprived and may suffer in physical or emotional health. Caregivers should make sure that people who need eyeglasses or hearing aids use them. Extra flavoring or seasoning may help food taste better. Taking time to feel the chair may help them to sit safely. Appropriate touching and hugs can satisfy skin hunger, the need all people have for contact or touch from another individual.
8. Show Them How – As discussed before, a person with memory prob-lems may have a strong procedural (how to) memory even when the declarative (fact) memory is very weak. Instead of telling a person with memory loss what to do, show them how to do something and have them practice. Many people with severe memory problems cannot remember the facts of where and when something happened (declarative memory), such as where and when they bought a shirt. At the same time, they may remember how to put on the shirt (procedural memory). Thus, people with progressive memory disorders such as Alzheimer’s disease may be able to learn new skills by practicing in small steps how something is done. It may take them a few weeks to learn a new skill that someone else may be able to pick up in a few minutes. The sense of pride, of feeling capable, a bit self-sufficient and independent, is worth the effort.
9. Routine Versus Change – Specific routines should be set as often as possible. The same activities done the same way every day, such as dressing before breakfast or watering plants before lunch, are easier for people with memory loss to understand and follow. If there is a change in plans, such as a visit to the doctor or a vacation, it is important to tell and repeat the information before the event. A positive, pleasant style of approach with a smile should help. During such changes other parts of the daily routine, such as mealtimes or taking a walk, should stay at the same time to provide some stability.
source: Helping People with Progressive Memory Disorders: A Guide For You And Your Family, 2nd ed.
Alzheimer’s Blog – for Caregivers
Alzheimer’s Care at Home blog by ElderCare at Home is an Alzheimer’s blog for caregivers that covers a wide variety of Alzheimer’s topics to help support Alzheimer’s caregivers. Voted one of the best Alzheimer’s blogs, Alzheimer’s Care at Home provides information that helps Alzheimer’s caregivers with some of the challenges that face caring for someone with dementia.
Alzheimer’s Caregiving Blog
Alzheimer’s caregiving blog is one of the places that caregivers turn when struggling to find answers or ways to cope with keeping their loved one at home. Blog topics in the Alzheimer’s caregiving blog include things such as how to manage difficult behaviors; how to communicate with someone that has Alzheimer’s disease; verbal and non-verbal communication; how to manage repetitiveness and wandering; as well as other blog topics most important to caregivers.
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Alzheimer’s Care Boynton Beach
Alzheimer’s Care Boynton Beach in home care and senior care services can be arranged by calling ElderCare at Home Boynton Beach. Alzheimer’s care Boynton Beach services by ElderCare at Home provide caregivers of persons with Alzheimer’s disease or dementia the ability to receive high quality, affordable in home Alzheimer’s care.
Alzheimer’s In Home Care Services Boynton Beach
Alzheimer’s in home care services Boynton Beach include assistance with personal care, medication management, respite care, hourly care, live-in care, safety, meal preparation, light housekeeping and Alzheimer’s care senior care services.
In Home Assisted Living Boynton Beach
In home assisted living Boynton Beach Alzheimer’s care provide affordable alternatives to assisted living in Boynton Beach and can delay nursing home placement.
Alzheimer’s Care Boynton Beach call 877-960-0245
Alzheimer’s Care and ElderCare at Home – West Palm Beach, Boca Raton, Palm Beach Gardens, Boynton Beach, Delray Beach, North Palm Beach, Jupiter and
Alzheimer’s Care Boca Raton – Help for Alzheimer’s Families
Finding Alzheimer’s Care in Boca Raton and help for Alzheimer’s families is available through a local 501(c)(3) not-for-profit organization that serves as the first point of contact for Alzheimer’s caregivers. The Alzheimer’s Care Resource Center provides caregivers and families of those diagnosed with dementia, Alzheimer’s disease or other memory disorder, with help including Alzheimer’s resources and Alzheimer’s information.
Alzheimer’s Care Services and Programs in Boca Raton Community
The Alzheimer’s Care Resource Center serves the entire Alzheimer’s community in Boca Raton by providing Alzheimer’s care services and programs that include:
- Caregiver Support Groups
- Geriatric Care Management Services Boca Raton
- Geriatric Assessments
- Geriatric Care Plans
- Long-term care planning
- Alzheimer’s care community referrals – private duty home care, in home care and senior care services in Boca Raton and legal and financial assistance
- Counseling and coaching services
- Alzheimer’s training and education
To learn more about Alzheimer’s Care Boca Raton – Help for Alzheimer’s Families, call 855-476-7600
Dementia Help in West Palm Beach
When it comes time to find dementia help in West Palm Beach, it’s important for caregivers of those diagnosed with dementia to know where to turn.
For dementia caregivers seeking help in the West Palm Beach area, the Alzheimer’s Care Resource Center, a local not-for-profit organization, serves as their first point of contact. Their geriatric care managers specialize in dementia and helping caregivers get the dementia help they need.
Helping caregivers manage the difficult task of caring for someone with Alzheimer’s disease, dementia or other neurocognitive disorder means making sure that caregivers can access the best dementia in home care services and other community based services for dementia patients.
Dementia caregiving isn’t easy and caregivers most often ask the geriatric care managers to help them find help with:
Respite Care for Dementia Caregivers
Dementia help includes arranging respite care for dementia caregivers. Respite care enables family caregivers to take some time for themselves, knowing that the person with dementia is receiving excellent care and supervision.
Help with Personal Care – Bathing, Grooming and Hygiene
When dementia caregivers need help with their loved ones personal care needs, they want to make sure that the care receiver is treated with dignity and respect at all times. It’s also so important that the dementia patient be encouraged to perform as many self-care tasks as they can, on their own. A well trained in home care worker or private duty nurses aide or CNA/HHA that is trained in helping care for dementia patients is critical.
Help Managing Medication for Dementia Patients
Managing medications for dementia patients does not only include safe medication compliance, but also includes helping to manage behavioral issues, such as the dementia patients refusal to take the medications.
Help with Daily Living for Dementia Patients
Caregivers seeking dementia help at home also need help with day-to-day daily living responsibilities. Doing the laundry, preparing a nutritious meal, running errands, cognitive stimulation and activities for the dementia patient, and performing other light housekeeping tasks all help to reduce stress on dementia caregivers.
Dementia Help in West Palm Beach 24 Hours Per Day
Getting dementia help means knowing you can get help 24 hours per day. 7 days per week. 365 days per year. The Alzheimer’s Care Resource Center has a 24 hour Dementia Caregiver Line that is a life-line for caregivers and families of those with Alzheimer’s disease and dementia in West Palm Beach, Palm Beach Gardens, Boca Raton and throughout South Florida.
The Benefits of Dementia Help
Some of the benefits of dementia help for dementia caregivers and dementia care receivers include:
- Reduced dementia caregiver stress
- Reduced patient hospitalizations
- Reduced feelings of depression in caregiver and care receiver
- Delay of long-term care placement
- Improved quality of life for caregiver and care receiver.
For Dementia Help in West Palm Beach call 855-476-7600
24 hours per day. 7 days per week. 365 days per year.
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