Challenging Behavior in the Dementia Patient

Claire M. Henry, M.Ed.,CDP

Caring Resources, The Dementia Educators.

Rummaging and Hoarding

Approaches to Use Ignore the behavior unless it becomes

problematic. Try a diversional activity. Remove to replace the behavior. Avoid scolding, punishment, or talking down

to the patient.

Rummaging and Hoarding

Use the ABC behavior model to redirect the behavior

Supple the resident with things to hoard and rummage.

Give the resident a shopping bag to hoard items

Track the behavior on the behavior log.

Sundowning

Increased confusion and agitation in the afternoon hours.

Assess for sleep disturbance Encourage an afternoon nap Close drapes and shades in afternoon Encourage quiet activity programming.

Activities of Daily Living Checklist

Assess the environment Assess the person’s mood Assess the steps involved in the task. Assess communication techniques involved Assess your level of stress Prepare in advance for the task. Always remember…if you feel unsafe doing

something, do not do it, and call for help.

Helping the Alzheimer’s Patient to Bathe.

Evaluate which type of bath causes the least anxiety.

Gain trust Assess steps involved in the task. Prepare for the task in advance. While washing, distract the patient with conversation

or singing. Beware of communication techniques. Respect his or her privacy.

Sleep Disturbances

Medical causes Chronic conditions Acute Conditions Psycholoigal conditions Disruptive sleep patterns due to progression

of disease.

Sleep Disturbances

Environmental Noise Level Unable to find his/her room. Recent return from hospital.

Other Causes Going to bed early Too much sleep during day Family visits too late Agitation and restlessness

Suspiciousness

Approaches to use when the resident shows suspicious behavior.

Expose the resident with dementia to fearful situation slowly.

Discuss what frightens him. Don’t argue reality. Report signs and symptoms.

Wanting to Go Home

Approaches to use when the resident wants to go home.

Acknowledge the resident’s feelings. Take the resident for a walk or a drive. Distract the resident with reminiscence. Ask the family members to help. Spend one-to-one with the resident. Put away belongings that are used to “go home”.