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Posts Tagged “Alzheimer’s Behaviors”

Causes and Calming Techniques for Alzheimer’s Aggression

Phoenix live-in home health care Among the many challenging behaviors the caregivers of Alzheimer’s patients may experience, those of aggression and agitation may be the most upsetting and scary. Although it can be difficult to cope with, it is often helpful for caregivers to understand that the person with Alzheimer’s is not behaving this way on purpose, and that there are ways to help identify the cause and manage these behaviors.

Aggressive and agitated behaviors may exhibit physically or verbally and can come on suddenly, with no obvious reason. Due to the loss of cognitive function, those with dementia are unable to articulate or adequately identify their discomfort or frustration, and instead attempt to communicate with agitation or aggression. Some likely causes of this behavior may be physical discomfort, poor communication, or environmental factors, but whatever the cause, when caregivers are prepared, they can more easily identify the precipitating events, and work towards managing the behavior.

Possible Causes of Aggression

  • Physical discomfort or pain
  • Thirst or hunger
  • Incontinence or soiled underwear
  • Depression or loneliness
  • Too much noise or confusion
  • Inadequate sleep or rest
  • Sudden change in place or routine
  • New or multiple people in the environment
  • Pressure to complete a task
  • Frustration with not remembering
  • Too many questions or instructions aimed at the patient
  • Medication reaction or interaction

Ways to Respond

When you begin to notice signs your loved one is feeling agitated, like pacing, restlessness, sleeplessness or yelling, here are some ways you can respond to the behavior before it escalates:

  • Try to identify the cause; think back to what occurred right before the agitation. Try to rule out pain as the cause as soon as possible.
  • Focus on feelings, not the patient’s words, when you communicate. Look for the feelings behind the words.
  • Reassure the patient while listening and speaking calmly to address concerns and frustrations.
  • Keep a routine as much as possible, while building periods of activities and quiet time into the day.
  • Keep the house filled with familiar objects, pictures and keepsakes which can help the patient to feel secure.
  • Limit clutter, noise and unfamiliar people.
  • Minimize distractions. Assess the patient’s surroundings and adapt them to avoid similar reactions in the future.
  • Slow down your movements and relax around the patient; do not get upset. Be positive and reassuring.
  • Shift the focus to another activity. Try using music, massage or exercise to help soothe the patient.
  • Take a break. If the patient is in a safe place and you are able to walk away and take a deep breath and a moment for yourself, do it.

Physically Violent Behaviors

When you are a caregiver on the receiving end of an outburst or physically aggressive behavior, your safety as well as that of the patients are top priority. When violent aggression is directed at you, keep a safe distance, putting a large piece of furniture between you and the patient. Continue to remain calm and speak in a soft, slow tone, using reassurance. If it is necessary to protect yourself and the patient from hurting himself or herself, or another person, call 911.

If you do call, be sure and notify responders that the person has dementia which causes him or her to act aggressively.
If you are unable to find the cause of agitation, it is occurring more frequently, or you need more solutions for the behaviors, get help from the senior’s physician or health practitioner. A medical exam to discover the reasons behind the agitation and aggression may be in order. Ask the senior’s health practitioner if he or she recommends a medication to prevent or reduce the behavior.

Take Time for You

Being a caregiver for a patient with Alzheimer’s can be challenging in the best of times, but when your loved one has moments of aggressive behavior, it can be highly stressful. In the aftermath of these moments, do not overlook your own health, and the need to retreat, reflect and decompress. Such self-care time will give you a chance to refuel and continue to provide the important work you do for your loved one.

Nightingale Homecare is always on hand to provide trusted and highly specialized care for those with dementia, allowing family members to take a much-needed break. Our Dementia Connections Care Program offers a unique approach to better managing the unique challenges of Alzheimer’s through certified Alzheimer’s Whisperers® who not only work to make life as comfortable as possible for the person with dementia, but provide training to family members so they can apply the same strategies themselves.

Contact Nightingale Homecare, top providers of professional in home care Paradise Valley, AZ seniors need, any time by calling (602) 504-1555 to schedule a free in-home consultation to learn more, or to request additional resources related to effective care for those with dementia.

Top Phoenix Senior Care Agency Shares Tips to Better Manage Wandering in Alzheimer’s

Top Phoenix home care agency

Providing a comfortable and safe home environment for a loved one with Alzheimer’s or another form of dementia is key to improving the person’s emotional and physical wellbeing. This goal can be challenging, especially for those families who have a loved one who wanders due to dementia. The Phoenix senior care team at Nightingale Homecare understands firsthand how difficult it can be to effectively manage behaviors such as wandering, and is here to help!

An individual with dementia is likely to wander at some point during the disease – as many as three out of every four patients, according to the Alzheimer’s Association. This is an incredibly stressful behavior for loved ones to deal with because of the safety implications associated with wandering.

The first approach to dealing with wandering is to identify the reason behind the wandering.  There may be a number of causes, including:

  • Medication side effects
  • Stress
  • Confusion related to time
  • Restlessness
  • Agitation
  • Inability to recognize familiar people, places and objects
  • Fear arising from the misinterpretation of sights and sounds
  • Desire to fulfill former obligations, such as going to work or looking after a child

There are some things you can do to reduce wandering in your loved one:

  • Encourage movement and exercise. This tends to reduce anxiety, agitation and restlessness and can have a dramatic effect on wandering.
  • Involve your loved one in productive daily activities such as folding laundry or preparing dinner. This can keep your loved one occupied and provide opportunity for meaningful tasks.
  • Remind your loved one he is in the right place and reassure him if he articulates feelings that he may be lost, abandoned, or disoriented. This kind of reassurance from a trusted loved one or caregiver can be invaluable in calming your loved one and preventing wandering behavior.

If you continue to notice wandering behaviors, there are some things you can do to protect your loved one:

  • Enroll your loved one in the Alzheimer’s Association’s Safe Return program.
  • Notify all your neighbors of your loved one’s condition and keep a list of their names and phone numbers.
  • Keep your home safe and secure by installing deadbolt locks on exterior doors and limiting access to potentially dangerous areas of your home.
  • Be mindful that your loved one may not only wander by foot but also by other modes of transportation, so limit access to cars or other transportation.
  • Be sure and keep a list of emergency phone numbers and addresses of the local police and fire departments, hospitals and poison control as well as the Safe Return help line.

Although it may seem overwhelming to proactively address any potential hazards, in the long run, it’s well worth it to know that your loved one with Alzheimer’s or dementia is safe. And you don’t have to figure it all out alone! The staff of Nightingale Homecare is uniquely qualified to provide Alzheimer’s, dementia and memory loss care through our Connections program, using the unique approach taught by Dr. Verna Benner-Carson through her “Alzheimer’s Whisperer®” methods. Alzheimer’s Whisperers enter the client’s world and manage the challenging behaviors associated with dementia in a way that is gentle, creative and highly effective. These skills are not only practiced and known by our trained caregivers, but also taught to the families of our dementia clients by the clinical staff of Nightingale Homecare.

Contact the Phoenix senior care experts, Nightingale Homecare, at (602) 504-1555 for more helpful tips to make life safer and more comfortable for your loved one with dementia, or for professional, compassionate, hands-on assistance with all of his or her care needs.

Top Tips for Managing Common Challenging Alzheimer’s Behaviors

Alzheimers CareAlzheimer’s disease is an ever-evolving condition; just when you’ve figured out how to best manage one symptom or behavioral issue, another springs up to take its place! While it’s certainly challenging, it’s also very rewarding to provide care for a loved one with Alzheimer’s, and the dementia care experts at Nightingale Homecare have some tips to help.

Regardless of what the behavior is – wandering, agitation, sleeping or eating difficulties, just to name a few – the best way to help your loved one is by looking deeper into the situation, below the surface symptom to the underlying reason for it. Take a deep breath, and a few minutes to explore the answers to these questions:

  • What patterns can you piece together? Is the behavior occurring at the same time each day? Does it emerge around a particular activity, such as bathing or bedtime? Could there be a seasonal connection, such as during the winter months when days are shorter?
  • What clues in the environment could be triggering the behavior? Is there heightened noise/activity level? Too many or too few people? A difference in temperature? Could other sensory input, such as bright lights or strong smells, be contributing to the issue?
  • Are there any unmet needs? Is the person hungry, thirsty, or overly tired? Is there any unaddressed pain? Might the person need to use the restroom? Or has he/she been in one position too long and need some exercise?

Once you’ve compiled notes on the “why” behind your loved one’s behavioral issue, and ensured that there aren’t any underlying medical conditions that require attention, there are a number of ways to help the senior while deescalating the behavior – and oftentimes, creativity can be your best friend. Think outside of the box; you know your loved one, and you know what has worked in the past as well as what definitely did NOT work. Keep the following in mind:

  • Remain calm. It can be difficult to avoid getting caught up in the emotional momentum as your loved one’s behaviors accelerate, but it’s vitally important to maintain a sense of peace. The older adult will pick up on your mood and often respond accordingly.
  • Keep a basket of “favorites” on hand. A favorite book or picture album, hobby or interest, beloved music, flowers, even a particular scent, such as a lavender or vanilla candle, can provide a needed distraction.
  • Change locations. Take a walk outside and point out the interesting pattern on a tree, a kitten in the neighbor’s yard, children playing at the park. Even moving into a different room can often make a difference.

Perhaps most importantly, validate your loved one’s feelings. It’s understandable – and ok – to feel whatever he or she is feeling. Sometimes, just knowing we are heard and understood helps tremendously.

Nightingale Homecare’s specially trained Scottsdale Alzheimer’s care team is on hand to provide more tips and assistance with our Connections dementia care program. Certified as Alzheimer’s Whisperers®, we offer a unique approach to gentle, patient assistance in managing even the most difficult aspects of Alzheimer’s care. Contact us at (602)504-1555 to learn more or to schedule a free in-home assessment.