Understanding Challenging Behaviors

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Harvard Medical School

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Understanding Challenging Behaviors

Caregiving
9030
Alzheimer's Disease

Image for ALZHEIMERS

Caregiving Challenges

 

Alzheimer's disease can cause a person to exhibit unusual and unpredictable behaviors that challenge caregivers, including severe mood swings, verbal or physical aggression, combativeness, repetition of words and wandering.

These behavioral changes can lead to frustration and tension, for both people with Alzheimer's and their caregivers.

It is important to remember that the person is not acting this way on purpose, and to analyze probable causes and develop care adjustments.

Common causes of behavior changes
  • Physical discomfort caused by an illness or medications
  • Overstimulation from a loud or overactive environment
  • Inability to recognize familiar places, faces, or things
  • Difficulty completing simple tasks or activities
  • Inability to communicate effectively
Tips for responding to challenging behaviors
  • Stay calm and be understanding
  • Be patient and flexible
  • Don't argue or try to convince the person
  • Acknowledge requests and respond to them
  • Try not to take behaviors personally
  • Accept the behavior as a reality of the disease and try to work through it
Exploring causes and solutions

It is important to identify the cause of the challenging behavior and consider possible solutions.

Identify and examine the behavior
  • What was the undesirable behavior? Is it harmful to the individual or others?
  • What happened before the behavior occurred?
  • Did something trigger the behavior?
Explore potential solutions
  • Is there something the person needs or wants?
  • Can you change the surroundings? Is the area noisy or crowded? Is the room well-lighted?
  • Are you responding in a calm, supportive way?
Try different responses in the future
  • Did your response help?
  • Do you need to explore other potential causes and solutions? If so, what can you do differently?

 

©2004 Alzheimer's Disease and Related Disorders Association, Inc. All rights reserved.

 

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Current as of January 9, 2009

 

Understanding Challenging Behaviors
htmAlzhelp
Alzheimer's disease can cause a person to exhibit unusual and unpredictable behaviors, which can lead to frustration and tension, particularly between persons with Alzheimer's and their caregivers.
35683
National Institute of Health
2009-01-09
t
Alzheimers Association
2011-01-09
24854,
alzheimer's disease,caregivers
24854
Last updated January 09, 2009


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