Aggressive behaviors may be verbal or physical. They can occur suddenly, with no apparent reason, or result from a frustrating situation. While aggression can be hard to cope with, understanding that the person with Alzheimer’s or dementia is not acting this way on purpose can help.
Aggression can be caused by many factors including physical discomfort, environmental factors and poor communication. If the person with Alzheimer’s is aggressive, consider what might be contributing to the change in behavior.
- Is the person able to let you know that he or she is experiencing physical pain? It is not uncommon for persons with Alzheimer’s or other dementias to have urinary tract or other infections. Due to their loss of cognitive function, they are unable to articulate or identify the cause of physical discomfort and, therefore, may express it through physical aggression.
- Is the person tired because of inadequate rest or sleep? Are they hungry or thirsty?
- Are medications causing side effects? Side effects are especially likely to occur when individuals are taking multiple medications for several health conditions
- Some of the best ways to respond to someone who is showing signs of aggression and anger are to first try to identify the immediate cause. Think about what happened right before the reaction that may have triggered the behavior.
- Rule out pain as the cause of the behavior. Pain can trigger aggressive behavior for a person with dementia.
- Focus on feelings, not the facts. Rather than focusing on specific details, consider the person’s emotions. Look for the feelings behind the words or actions.
- Don’t get upset. Be positive and reassuring. Speak slowly in a soft tone.
- Limit distractions. Examine the person’s surroundings and adapt them to avoid similar situations.
- Try a relaxing activity. Use music, massage or exercise to help soothe the person.
- Shift the focus to another activity. The immediate situation or activity may have unintentionally caused the aggressive response. Try something different.
- Take a break. If the person is in a safe environment and you are able, walk away and take a moment for yourself.
- Ensure safety. Make sure you and the person are safe. If the person is unable to calm down, seek assistance from others. Always call 911 in emergency situations. If you do call 911, make sure to tell responders the person has dementia, which causes them to act aggressively.
If you would like more information, please visit our website at www.alzpb.org or call the ACRC at 561-588-4545. Thanks for watching and we will see you next week.