For example, reducing noise and improving the lighting, keeping familiar, comforting or personal items close to them, such as a favourite jumper or keepsake, keeping their sleeping environment comfortable – for example, making sure it isn’t too hot or cold. M�qMkmxM�w}v���?��b�Qz2�L�r@T�nw��Fǣ���K�O�J$�\� �_S�X�� �}���;)���z�>��>�%��ӌi����{*9T��MS�&Y����1��i����AY!uꞁ%�J���%e�bHʌǰ%0��9Z/�B�iA'䥗�4 hH�M�C�G�\i�Xp��i�������KX|�ug�����c���JAk;E�]�D���yO׆R��&�%Ə_�[JL�(�)OdJ��:b�2��춆� Improve sleep hygiene. Hide items like purses, shoes, or glasses that your loved one would always want if they left the house. And with the coronavirus pandemic and troubled economy, many are in crisis right now. It may be helpful to manage behaviours in steps. (See ‘Physical needs’ in the previous section for more on how this can affect a person’s behaviour.). The playful interaction and gentle touch from a well-trained, docile animal can help soothe your loved one and decrease aggressive behavior. Simple activities can be a way for your loved one to reconnect with their earlier life. Have your loved one wear an ID bracelet or labels in clothing. 3 0 obj First, confusion, over-stimulation, and fatigue during the day may result in restlessness at night. Digital devices using GPS technology can track your loved one’s location. The patient may seek out security and protection at night to alleviate this discomfort. Make your loved one’s favorite food and serve it on dishes that contrast highly with the food colors. Look within one hundred feet of a road, as most wanderers start out on roads and remain close by. For example: When someone’s behaviour changes in a way that causes difficulties for them or you, there are a number of ways to support them. And rather than take problem behaviors personally, do your best to maintain your sense of humor. Try to remain flexible, patient, and relaxed. Consider factors such as privacy, independence, boredom, pain, or fatigue. Our free online resources ensure that everyone can get the help they need when they need it—no matter what health insurance they have, where they live, or what they can afford. For example, give the person a bath and some warm milk before bed. As well as encouraging exercise to make your loved one feel hungrier and thirstier, try these tips: Some medications interfere with appetite. While creating a calm environment can have a large impact on managing the stress that often triggers aggressive behavior, there are also things you can do during an angry outburst. Confusion and the loss of memory can cause Alzheimer’s patients to become suspicious of those around them, sometimes accusing their caretakers of theft, betrayal, or some other improper behavior. Turn off the TV or radio, close the curtains, or move the patient to quieter surroundings. <> They may also become disoriented, pace, or wander when bored, anxious or stressed due to an uncomfortable environment or lack of exercise. Respite care can provide a break to help you relieve stress and restore energy. Agitation, irritability, anxiety, aggression, loss of … (Some people find them helpful, but there is a need for more evidence.). Distract the person to a more pleasurable activity. Provide a comfortable bed, reduce noise and light, and play soothing music to help your loved one get to sleep. Regular walking, dancing, or seated exercises can have a positive effect on many problem behaviors, such as aggression, wandering, and difficulty sleeping. If you have already contributed, thank you. 296645. These tips can help. �����gi��[��d/+�Γ��0k�[kH���y̜���z�i��E̥L��q���+��k�Dd\f�%�Ɍ]/�!�,�>�Gv}k=���y�{cߠ݂E�g�� či�4M�uP7�&(�m�8S��S�M�(��\�1)�6؁ However, while they can help in some situations, they often don’t help with what’s causing the behaviour. Hallucinations can be the result of your loved one’s failing senses. Someone who used to enjoy cooking, for example, may still gain pleasure from the simple task of washing vegetables for dinner. Aggressiveness, hallucinations, wandering, or eating or sleeping difficulties can be upsetting and make your role as caregiver even more difficult. Look at making different changes, such as changing the way you talk to them when you’re providing personal care or helping them do something. If it is disrupting a particular activity such as washing or dressing, ask yourself if this task really needs to be done right now or if you could come back to it later. People with dementia are likely to respond to your behaviour and communication, so if you’re frustrated or angry it may make things worse. �q���O�J��9�@��˿��jz'BU\q���L�B!������5�%T�c^b^�H�5� x�\l`-j��~��"ZJ[��ྦྷ]�D�����J�N�feJ�|�1�B�U.�c�VL�6{��z�D2n�;A� �>�wm�X��l���/�zW.gB*�~�����y!�;ׇ5w�W+�*����35��0�93$p_�ǀ�.��R�� v�Im�'�s�;_��Kt��}Cm����X��2.T)������'��C�� q�\c�4�f7�J��� f��0e cN؆�ΝS؝J[�j�X;�&�=(��%g}�8?K�ç/h2�DU ��)\���fEV�R���(��fI�Y%JZ[�\T���w���Lƍ�OM�� >k^�Ӆ���\�T���/tm��ª� Give yourself and them space to calm down. Brain disease often disrupts the sleep-wake cycle. Here’s our Privacy Policy. Indoor shopping malls are vast walking opportunities protected from the weather. Try not to take it personally. adapting the environment if this is affecting the person (for example if it’s too hot, cold, loud or bright). Sometimes it’s best to leave the person to do what they want (if the environment is safe). Offer the person gentle reassurance, or try stepping away from the situation. If the person seems very fatigued during the day, a short rest in the afternoon can lead to a better night’s sleep. Registered as a company limited by guarantee and registered in England No. <> Their sense of reality may be very different from yours and they are responding to their own needs. Learn more. x��UK��0�9��ۜH+7v�*V�lV�t��C}�P���|'i�>T*��8�Ǟ��ofZ��a���0�ŏ6�R�!�F�4�y@/�@�9u>(R�7�/�>���x7�t K�m��6��u����ol@‡I� That is our mission at HelpGuide. This is called “sundowning.”. Millions of readers rely on HelpGuide for free, evidence-based resources to understand and navigate mental health challenges. /Contents 4 0 R>> embarrassed, ignored, misunderstood, feeling patronised? Lock certain rooms or cabinets to protect their contents, and lock up all valuables. Start to make some changes and see whether or not they have made a difference to the person’s behaviour. Use what you know about the person to think about whether they could be reacting to: Talk to the person with dementia and other people they spend time with to come up with a plan. For example, if they believe they need to go and collect their children from school, don’t tell them they’re wrong. When you connect in this way, you’ll both experience a process that lowers stress and supports well-being. Exercise is one of the best stress-relievers for both the Alzheimer’s patient and you, the caregiver. Taking a short time to really connect with your loved one each day can release hormones that boost their mood and reduce stress. An Alzheimer’s patient may exhibit signs of restlessness when hungry, thirsty, constipated, or in pain. The first step to resolving the troubling behavior is to establish why your patient is stressed or what’s triggering their discomfort. However, there isn’t enough evidence at the moment to know for sure that these therapies work. Think about what you know about the person and their life. Trying to get things back to the way they were before, or expecting too much of the person, can cause more problems. (Alzheimer’s Association). You may need to try different things and find what works. For example, if you know someone used to work night shifts, it might explain why they want to stay awake or go out at night. Offer a simple answer to any accusations, but don’t argue or try to convince them their suspicions are unfounded. If you think the person is bored, support them to find things to do that are engaging and mean something to them. Try giving your loved small spoonfuls and singing funny rhymes.