Challenging behaviour in dementia
[2023-08-30 19:58:25]
As dementia progresses, many people take potentially challenging actions. This includes anxiety and aggression
Attackiveness may appear not only in physical behavior but also in other ways, including word attacks. These behaviors are painful for both people and carers.
It is important to remember that if people with dementia become aggressive they are not "bad" and should not be blamed. Their behavior may be a direct consequence of their brain changes, or may be caused by general health problems such as pain caused by infection. These behaviors can also reflect problems associated with care that people receive and their general environment and social interactions. In this case, behavior is most common as an attempt to convey unmet needs, not as a direct symptom of dementia. If a person is aggressive, they should first be evaluated by their GP in order to determine any potential cause. Medical professionals may consider prescribing certain medications, usually antipsychotics, to improve someone's behavior. However, these drugs have serious side effects, which greatly affect the quality of life of people. Therefore, when deciding how best to help active people, it is important to first consider other options that do not include drug therapy.
Please consider whether there are specific triggers or conditions that cause this person to become aggressive. You can solve this problem by keeping a diary. For example, does that person become aggressive when performing certain time periods and tasks? Aggressiveness often indicates human emotions, such as frustration that can not be done or can not be understood. This person may be bored with this situation, afraid, even humiliation may be felt.
There are many simple non-pharmacological treatments that may be useful if the possible root cause is resolved and that person is still actively acting. These include life story work and memory therapy, social interaction, aromatherapy, talk therapy, animal therapy, music and dance therapy and massage
They did not help this person, their symptoms were terrible or painful, and medication may be needed as a last resort. Medication treatment should be checked on a regular basis (after 6 weeks and / or 12 weeks). If antipsychotics are used, except for extreme cases, their use is monitored by medical professionals (such as general practitioners) and should be discontinued after 12 weeks.
If you prescribe medicine, have you ever talked with people with dementia about risks, side effects and benefits? When will treatment be reviewed?
What is the evidence of traditional methods for managing difficult behavior of dementia? Some people think that environmental regulations are safety measures. Safety measures are to control individuals within a specific room or unit by means such as locking doors, and usually to monitor the use of space. This restriction emphasizes the institutional nature of the medical environment and the patient's service experience and current best practices are aimed at minimizing their use. Mechanical constraints such as bed rails and belts are still in daily use for residents of nursing homes that manage cognitive impairment 3. As with environmental protection, nurses prove this from the necessity of patient safety, the prevention of hip fractures and the management of destructive behavior.
Difficult actions include cognition, including screaming, screaming, biting, throwing things, repeating speech, destroying personal property and others, excitement and general anger, physical attacks on others It is a comprehensive term in the context of disease. And I wake up others in the evening. Briefly, this term refers to the behavior of patients considered to be at risk of themselves, companion patients, and staff, or if these patients do not coexist with other patients for a long time It is considered antisocial in an environment that does not exist.