Problem Behaviors (02:16)
Caregivers can help identity issues and intervene promptly. Terms used to describe problem behaviors associated with dementia include agitation, disruptive behaviors, dysfunctional behaviors, and behavior disturbance. Delirium develops in the presence of an infection and can be reversed.
Physical Stressors (02:18)
These types of issues include brain changes, acute medical problems, adverse reactions to medications, sensory stimulation problems. When individuals are confused they are more likely to act out and exhibit problem behaviors.
Emotional Stressors (03:56)
Physical changes of depression include decreased energy, appetite changes, altered sleep habits, aches and pains that do not respond to treatment, and difficulty voiding. Inform doctors if there is a sudden change in behavior. Those afflicted with Alzheimer's disease often demonstrate anxiety by fidgeting, pacing, not being able to sit still, and repetitive questions.
Frustration and Anger (02:34)
Sometimes medicines are helpful to treat outbursts. Stay calm, encourage tasks that build self-esteem, direct the focus everywhere, and do not argue. Often those afflicted with Alzheimer's disease will accuse others of stealing.
Environmental Stressors (01:22)
Use signs with words and illustrations to help patients understand. Patients with dementia respond better and feel more secure with aides they are familiar with.
Psychosocial Stressors (03:08)
Psychosocial stressors include paranoia, denial, agitation, aggression, wandering, Sundowner's syndrome, altered perception, delusion, and catastrophic reactions. Mitigate disruptive behavior by keeping your voice calm, check for physical discomfort, redirection, reduce noise level, diversion, and keep slow and easy movements.
Wandering and Sundowner's Syndrome (01:36)
Manage wandering by looking for the reason behind the agitation, restructure the environment, use simple language, and ensure the resident feels safe and secure. Experts believe Sundowner's Syndrome is caused by fatigue, over-stimulation during the day, and feeling confused about the environment.
Hallucinations, Delusions, and Catastrophic Behaviors (02:11)
Hallucinations can be visual, auditory, tactile, or gustatory. Watch out for sudden changes in moods, crying, anger, agitation, aggression, paranoia, and refusal to cooperate. Mitigate catastrophic reactions by remaining calm, responding to a patient's feelings, reassure the person, remove yourself and take a deep breath, and return when the resident begins to calm.
When to Intervene (01:41)
Learn tips and techniques to use when patient's display disruptive behaviors. Present a calm, confident appearance, remove sharp objects, redirect the resident's attention, and avoid trying to reason with the patient.
The 5 R's include restrict, reassess, reconsider, redirect, and reassure patients. Allow behaviors that are comforting to a resident as long as it is not harmful or disturbing to anyone else.
Resolving Problem Behaviors (04:54)
Steps include analyzing the behavior, identify behavioral strategies, implement a behavioral intervention, and evaluate and modify the plan as required. Accentuate the positive, modify the environment, use therapeutic touch, provide praise, and offer choices. Patients afflicted with frontal lobe or vascular dementia will create a more aggressive reaction than those diagnosed with Alzheimer's disease. Monitor non-verbal cues for signs of physical and emotional discomfort.
Credits: Dementia Behavior Management (00:09)
Credits: Dementia Behavior Management
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