Mid-to-late stage Dementia and Alzheimer’s disease frequently displays challenging conduct issues and behavioral problems.The anger, paranoia, sadness, fear and confusion that people with the disease are experiencing can result in oppositional, aggressive and sometimes violent speech or actions.
Living with the elderly people who are affected by Dementia is challenging. Understanding Dementia is the key.
Dementia is a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning. Dementia is a general term for a decrease in mental capacity sufficiently serious to meddle with day by day life.
Dementia is not a specific disease. It's an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities.
Alzheimer's disease accounts for 60 to 80 percent of cases. Vascular Dementia, which occurs after a stroke, is the second most common Dementia type. But there are many other conditions that can cause symptoms of Dementia, including some that are reversible, such as thyroid problems and vitamin deficiencies.
Dementia is regularly inaccurately alluded to as "senility" or "senile Dementia," which mirrors the earlier far reaching however mistaken conviction that serious mental decline is a normal part of aging.
Memory loss and other symptoms of Dementia
While symptoms of Dementia can vary greatly, at least two of the following core mental functions must be significantly impaired to be considered Dementia:
• Communication and language
• Ability to focus and pay attention
• Reasoning and judgment
• Visual perception
People with Dementia may have difficulty with short-term memory, keeping track of a book, pen or a spectacle, paying bills, planning and cooking meals, remembering appointments or taking a walk out of the house to the neighborhood.
Understanding Behavior Caused by Dementia
At the point when a friend or family member begins experiencing mid-to-late stage Dementia, the resulting changes in behavior can be overwhelming for family members who up until that point have been the person’s primary caregivers.
Dementia causes the sufferer to show flashes of anger, sadness, paranoia, aggression and confusion. Now and again, the individual can even get to be violent.
How you react to your cherished one can have the effect in in their behavior management.
How to Respond to Aggressive Speech or Actions
DO – Rather than responding to your cherished one's forceful discourse or activities, attempt to discover what is bringing on their conduct.
Make sure they are not putting themselves or anyone else in danger and then calmly try to divert their focus to something else.
Speak in a calm and reassuring manner. On the off chance that your cherished one's conduct keeps on exacerbating, then ensure they are unequipped for hurting themselves and leave the room to give them the space they need to calm down.
DON’T – Never take part in a contention with somebody who is in an episode. You ought to additionally abstain from attempting to coercively control them unless it is totally vital for their safety.
How to Respond to Confusion about Place or Time
DO – In the event that your adored one gets to be confused about where he or she is, attempt to give them basic clarifications about where they are. You can follow this up by showing them pictures and other tangible reminders.
On the off chance that your adored one is going overboard to their new helped living surroundings, you can attempt to redirect their consideration by taking them for a walk or taking part in an activity. In some cases, when your loved one asks you what time they will be leaving to go home, you may have to tell them a “therapeutic lie,” such as “we can’t leave until traffic lightens up some,” or “it’s too late to leave tonight, we’ll stay overnight and leave in the morning.” Ultimately, you need to make sense of what to say that will convey solace to your adored one.
DON’T – Abstain from going into long clarifications about where they are and what you're doing. This will just serve to confuse them significantly more.
How to Respond to Poor Judgment
DO – If the adorable elderly person is exhibiting poor judgment, for example, the failure to ensure their bills are being paid, then you can offer to help organize your loved one’s home. This will help you pick up an ideal opportunity to look over their accounts and guarantee that their bills are being paid on time.
DON’T – Maintain a strategic distance from out and out scrutinizing your loved one about their capacity to deal with their records or checkbook. On the off chance that your adored one supposes you are blaming them for poor judgment, then a contention will normally result.
Communication with the affected person could be challenging.
Try following the rules.
• Converse with the individual in a manner of speaking that passes on respect and dignity
• Keep your clarifications short. Utilize clear and adaptable language.
• Maintain eye contact by positioning yourself at the individual’s eye level. Look directly at the person and ensure that you have their attention before you talk. Always start by identifying self and clarify what it is you propose to do.
• Use visual signals at whatever point conceivable.
• Be sensible in expectations
• Observe and endeavor to translate the individual's non-verbal communication.
• Paraphrase and utilize a quiet and consoling manner of speaking.
• Speak slowly and say every word unmistakably. Use strategies to diminish the impacts of hearing impairment.
• Encourage discuss things that they are acquainted with
• Use touch whenever found appropriate.
• Talk to the person as if you are talking to a child.
• Use complicated words or phrases and long sentences.
• Glare at the person you are talking to.
• Begin an assignment without clarifying who you are or what you are going to do.
• Talk to the person without eye contact, for example, while scavenging in a drawer to choose attire. Try and compete with a distracting environment.
• Provoke a disastrous response through unlikely desires or by requesting that the individual accomplishes more than one task at once.
• Disregard your own non- verbal communication.
• Disregard talk that may seem to be rambling.
• Shout or talk too fast.
• Interrupt unless it would not benefit from outside intervention.
• Attempt to touch or invade their personal space if they are showing signs of fear or aggression.
Though difficult to garner the co-operation of the loved people affected with Dementia or Alzheimer, the list of do’s and don’ts should go a long way in providing guidelines for the caregiver.