Possible causes and management of problem behaviors in patients with Alzheimer’s disease (dementia)

  I. Patients with rummaging and hiding behaviors.
  Possible causes.
  1. protecting all their belongings.
  2. feeling that something of value should be hidden when a stranger is around.
  3. meaningless behavior, which is only one of the symptoms of the disease.
  4.Bringing satisfaction, pleasure and happiness.
  【Handling method
  Respect him and let him be.
  Four steps to improve the home environment.
  1.Protect valuable things and dangerous objects.
  2.Simplify the environment, easy to find changes and find things.
  3.Create a suitable environment for turning and hiding.
  4.Eliminate the dangerous and disturbing environment.
  Second, the elderly agitated, irritable, hostile, violent attack problems.
  Possible causes.
  1.Lack of ability to judge right and wrong.
  2.Loss of freedom, denial.
  3, easy to misunderstand the behavior of others: produce reasonable and unreasonable fear.
  Treatment】
  1.Simple, regular and rhythmic daily life, arrange gentle and quiet activities.
  2. Put away knives and dangerous objects to reduce the occurrence of injuries.
  3, give the patient more acceptance and tolerance, maintain a gentle and calm dialogue, to divert the patient’s attention.
  Third, the patient has run away from the problem handling methods.
  1, someone to accompany when going out.
  2, arrange routine walks to distract the attention of the elderly.
  3.Provide a safe environment to avoid accidents.
  4.Install door locks or alarms that cannot be easily opened to prevent the elderly from running out.
  5.Bringing hand rings or name tags to the elderly.
  6.Inform others about the situation of the elderly.
  IV. Occurrence of repetitive behaviors.
  Possible causes.
  The patient may not even know what he is doing the behavior itself also reflects his lack of security problems to deal with.
  Treatment methods
  1, find out the reasons behind the occurrence of this behavior problem.
  2, do not scold the elderly, carefully remind him that “this is inappropriate”.
  3.Diversion of the elder’s attention to other activities.
  4.Provide the elderly with “hugs, pats” and other appropriate physical contact to comfort them.
  V. Nocturnal disturbing behavior.
  Possible causes: It may be due to the behavior of the patient’s night sleep interrupted, disorderly wandering around the house, making noise or disturbance.
  【Treatment】
  1. use the bathroom before going to bed to avoid waking up in the middle of the night to use the toilet.
  2.Avoid the patient from sleeping too much during the day and encourage him to do more physical activities during the day.
  3.Install a night light in the corner to increase the patient’s sense of security.
  4.Giving the patient a soft voice to help him fall asleep again.
  5.If the patient is confused between day and night, do not argue with him, but accompany him for a while and then persuade him to fall asleep.
  6.If the above methods are not possible, you can communicate with your doctor and give medication to help.
  Six, delusions and hallucinations.
  Treatment】
  1, when the patient appears delusions or visual hallucinations, do not argue with it or deny its authenticity. We must understand that he has lost self-control, and his anger or blame will not help.
  2. When the patient is troubled by hallucinations, we should identify with his feelings, but at the same time, we should explain to the patient that other people cannot see or hear him. We should make good use of physical contact, such as gently holding the patient’s hand, or using other activities or topics to divert his attention.
  3. When a patient starts to have delusions or hallucinations, he or she should inform the doctor as soon as possible to find out the cause, because it may be necessary to pay attention to the side effects of drugs. Appropriate use of psychiatric medication is also one of the ways to control delusions and hallucinations.