Dementia patients who are mean and aggressive are most likely feeling fear, anger and embarrassment because they have been asked to use skills that they no longer have. When they fail, they may lash out at us.
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.
The person may be having delusions (strongly believing things that aren't true), or hallucinations (seeing things that aren't there). This can be confusing and frightening, so the person with dementia may respond in an aggressive way. The person may be sexually frustrated and become agitated as a result.
Listen to his or her concerns and frustrations. Try to show that you understand if the person is angry or fearful. Allow the person to keep as much control in his or her life as possible. Try to keep a routine, such as bathing, dressing, and eating at the same time each day.
Dementia can affect someone's inhibitions. This means they may stop following the usual social rules about how to behave. Disinhibited behaviours can seem tactless, rude or offensive. These behaviours can place enormous strain on families and carers.
Aggression usually starts in the mid-stage of dementia. This is the time when other behaviours, such as hoarding wandering, and compulsive behaviour are also prone to develop. In most types of dementia, the aggressive symptoms occur when the patient becomes more dependent with daily activities.
Some of the more common triggers for dementia like a change in environment, having personal space invaded, or being emotionally overwhelmed may be easier to handle if you mentally practice your response before you react.
On average it lasts about one to two years.
Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: “This is a memory test. I am going to read a list of words that you will have to remember now and later on. Listen carefully. When I am through, tell me as many words as you can remember.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
Ice cream brings people with dementia to happier, warmer times when the treat was shared with friends and loved ones at special, joyous occa- sions. Ice cream has the power to immediately elicit soothing feelings at the very first taste of a single spoon-full.
Outbursts of anger, agitation, and aggression are one of the biggest challenges that dementia caregivers face. It can be frustrating when a loved one's personality turns hostile. Cognitive decline may cause dementia patients to be more prone to yelling, making rude remarks, and even turning violent.
As many as 90 percent of people who have dementia behave in ways that challenge or worry their caregivers. For example, a person who has dementia may become agitated or aggressive.
In stage 6 of dementia, a person may start forgetting the names of close loved ones and have little memory of recent events.
For example, a sudden deterioration or change may be a sign that an infection has led to delirium. Or it may suggest that someone has had a stroke. A stroke is particularly common in some kinds of vascular dementia and may cause the condition to get worse in a series of 'steps'.
In the earlier stages, memory loss and confusion may be mild. The person with dementia may be aware of — and frustrated by — the changes taking place, such as difficulty recalling recent events, making decisions or processing what was said by others.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
Creutzfeldt-Jakob disease causes a type of dementia that gets worse unusually fast. More common causes of dementia, such as Alzheimer's, dementia with Lewy bodies and frontotemporal dementia, typically progress more slowly.
Late afternoon and early evening can be difficult for some people with Alzheimer's disease. They may experience sundowning—restlessness, agitation, irritability, or confusion that can begin or worsen as daylight begins to fade—often just when tired caregivers need a break.
Often when a person with dementia asks to go home it refers to the sense of 'home' rather than home itself. 'Home' may represent memories of a time or place that was comfortable and secure and where they felt relaxed and happier. It could also be an indefinable place that may not physically exist.
One of the most common causes of death for people with dementia is pneumonia caused by an infection. A person in the later stages of dementia may have symptoms that suggest that they are close to death, but can sometimes live with these symptoms for many months.
Receiving a life-changing dementia diagnosis doesn't strip a person of their humanity or personhood. People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more.