Strategies for Managing Dementia-Related Behavioral Changes

Jun 12, 2023
James Hines
Strategies for Managing Dementia-Related Behavioral Changes

Understanding Dementia-Related Behavioral Changes

As dementia progresses, it's common for individuals with the condition to experience behavioral changes. These changes can be challenging for both the person with dementia and their caregivers. In this article, I'll discuss six strategies for managing these behavioral changes and how to implement them in your daily routine. By understanding the causes and triggers of these behaviors, we can develop effective approaches to manage them and improve the quality of life for everyone involved.

Creating a Supportive Environment

One of the most effective ways to manage dementia-related behavioral changes is to create a supportive and calming environment. This can help reduce agitation and anxiety, which are common triggers for challenging behaviors. Start by ensuring that the person's living space is clutter-free, well-lit, and safe. Additionally, consider using soothing colors and familiar objects to create a sense of comfort and familiarity.

Reducing noise levels and limiting exposure to overstimulating situations can also help prevent agitation. If possible, establish daily routines and schedules to provide structure and predictability. By creating a supportive environment, you can help minimize the impact of behavioral changes on the person with dementia and their caregivers.

Identifying and Addressing Unmet Needs

Many behavioral changes in dementia are rooted in unmet needs. It's essential to take the time to identify and address these needs to help manage these behaviors effectively. Common unmet needs include hunger, thirst, pain, and the need for social interaction or stimulation.

By observing the person with dementia closely and looking for patterns in their behaviors, you can often identify the underlying cause. Once you've identified the need, take steps to address it. For example, if the person seems agitated during mealtimes, ensure they are receiving adequate nutrition and hydration. If they're experiencing pain, consult with a healthcare professional to determine the best course of action.

Effective Communication Techniques

As dementia progresses, communication can become more challenging, leading to increased frustration and behavioral changes. It's essential to develop effective communication techniques to help manage these behaviors. Some strategies to consider include speaking slowly and clearly, using simple words and short sentences, and maintaining eye contact.

Additionally, using nonverbal communication, such as gestures and facial expressions, can help convey your message more effectively. Be patient and give the person with dementia ample time to process and respond to your communication. By using these techniques, you can minimize misunderstandings and help reduce the frequency of behavioral changes.

Engaging in Therapeutic Activities

Engaging in appropriate therapeutic activities can help manage dementia-related behavioral changes by providing stimulation and opportunities for social interaction. Some examples of therapeutic activities include music therapy, art therapy, pet therapy, and reminiscence therapy.

These activities can be tailored to the person's interests and abilities, and can help reduce agitation, anxiety, and other challenging behaviors. When introducing new activities, be patient and provide support and encouragement. If the person becomes agitated or frustrated, it may be necessary to modify the activity or try a different approach.

Using Medication Wisely

In some cases, medication may be necessary to manage dementia-related behavioral changes. However, it's essential to use medication wisely and consider the potential risks and benefits. Always consult with a healthcare professional before starting or changing any medication regimen.

Be aware that some medications can have side effects or interact with other medications the person is taking. It's crucial to monitor the person's response to the medication and communicate any concerns to their healthcare provider. Keep in mind that medication should be used in conjunction with non-pharmacological approaches, such as the strategies discussed in this article.

Seeking Support for Caregivers

Caring for someone with dementia can be emotionally and physically demanding, and it's essential for caregivers to seek support. This can include joining a caregiver support group, seeking respite care, or consulting with a professional counselor.

By taking care of their own well-being, caregivers can be better equipped to manage dementia-related behavioral changes and provide the best possible care for their loved one. Remember, you don't have to face these challenges alone - reach out for help and resources to make the journey more manageable.

In conclusion, managing dementia-related behavioral changes requires patience, understanding, and a proactive approach. By implementing these strategies, caregivers can help improve the quality of life for their loved one with dementia, as well as their own well-being. Remember that each person with dementia is unique, and it may take some trial and error to find the most effective approaches for your situation.

13 Comments

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    Melvin Thoede

    June 13, 2023 AT 10:35
    This is gold. I've been using the routine thing with my dad and it's made a world of difference. Same time for meals, baths, walks - he actually smiles now.

    Also, music therapy? We started playing his old Elvis records and he danced in his wheelchair. I cried. It's not perfect, but it's better.
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    Suzanne Lucas

    June 13, 2023 AT 17:16
    I swear my mom’s aggression started the second we moved her to that ‘calm’ assisted living place. They turned off all the TVs and played nature sounds 24/7. She screamed for an hour straight because she missed the news.

    Who decided silence = calm? I think they just didn’t want to hear her.
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    Ash Damle

    June 13, 2023 AT 19:06
    The unmet needs part is so true. My brother kept pacing and yelling at 3am. We thought it was dementia acting up. Turned out he was thirsty. No one checked his water bottle.

    Simple fix. Now we put a big jug next to his bed. No more midnight chaos. Just water. Sometimes the answer is that easy.
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    Kevin Ouellette

    June 14, 2023 AT 18:12
    I’m so glad someone wrote this. I’ve been trying to do all this but felt like I was failing.

    Pet therapy with our golden retriever? Game changer. He just lays next to my grandma when she gets agitated. She strokes his ears and forgets to be scared.

    You’re not alone. We’re all just doing our best.
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    Tanya Willey

    June 15, 2023 AT 09:08
    They never tell you the truth. This whole ‘supportive environment’ thing? It’s a cover-up. They want to drug you into silence.

    Did you know the FDA approved 12 new antipsychotics for dementia last year? No one talks about that. They’re not helping you-they’re silencing your loved one.
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    Wiley William

    June 15, 2023 AT 14:46
    Yeah right. All this ‘therapeutic activities’ nonsense. My aunt was put in an art class and she threw paint at the wall. Then they called it ‘self-expression’.

    She had a stroke from stress. Now they say it’s ‘progress’. Bullshit. You’re just giving up. Just lock them in a room with meds and be done with it.
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    Richard H. Martin

    June 15, 2023 AT 23:58
    I served in Vietnam. I know real suffering. This? This is weakness. You people coddle your parents like babies. Back in my day, you didn’t play music for your grandpa-you made him work.

    Now we’re letting dementia win? Pathetic. America is falling apart because of this softness.
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    Tim H

    June 16, 2023 AT 06:34
    i just wanna say that the environment thing is lit!! i had my grandma move into my apartment and i got her a big comfy chair and a tv remote with big buttons and now she watches judge judy every day and she’s so calm!!

    also i think you should try putting a cat in the room bc cats are chill and they purr and it’s like magic!!
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    Umesh Sukhwani

    June 16, 2023 AT 13:50
    In India, we have a tradition called 'satsang'-gathering to chant, share stories, and sit in silence. We do this with elders who have dementia. No medication. No therapy. Just presence.

    It is not about fixing. It is about honoring. The mind may fade, but the soul remembers love. This article misses the cultural soul of care.
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    Vishnupriya Srivastava

    June 17, 2023 AT 07:27
    The article is statistically sound but lacks longitudinal data. No mention of caregiver burnout correlation coefficients or longitudinal behavioral tracking metrics. Also, no control group referenced. Methodology is weak.
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    Matt Renner

    June 17, 2023 AT 13:21
    I appreciate the comprehensive approach. However, I would add that neuroplasticity research suggests even late-stage dementia patients can retain procedural memory. Structured, repetitive tasks-like folding towels or sorting buttons-can provide cognitive anchoring. This should be integrated with therapeutic activities.
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    Ramesh Deepan

    June 17, 2023 AT 21:42
    I’ve been doing this for 7 years with my father. The music thing works-but only if it’s *his* music. Not what the facility plays. He hated country, so we played old Bollywood songs. He’d tap his foot. Smiled.

    Don’t force your idea of calm. Find his. That’s the real strategy.
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    Melvin Thoede

    June 18, 2023 AT 06:13
    Umesh just said it better than I ever could. My dad’s favorite song was 'Mere Sapno Ki Rani'-not Elvis. We played it every night. He’d close his eyes and hum. That’s when I knew he was still there. Not in the meds. Not in the routines. In the music.

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