22/08/2023
Supportive Intervention: Should the person with dementia display reactive behaviour it is important to look beyond the behaviour. It is important to keep a record of all reactive behaviours to identify behaviour triggers and a pattern in their behaviour, to develop a behaviour profile (background, life story, culture, religion or spirituality, hobbies, interests, routines, family dynamics, sexuality or significant life events). The profile can provide greater insight into the potential causes and solutions for reactive behaviour. Be aware of changes in their understanding, perception, reasoning, communication; environmental and social interactions, medical conditions, medications, and changes to vision and hearing. Intervention guidelines to understand the behaviour are clear communication, keeping a consistent routine, creating a calm noise-free environment, understanding and validating their feelings, providing physical comfort, and engaging them in enjoyable activities. Do not argue or try to reason with the person and seek professional support.
Types of reactive behaviours that require supportive intervention are
- Aggression, agitation and irritability.
- Anxiety.
- Depression and apathy.
- Wandering (walking about or pacing).
- Misconceptions, delusions, hallucinations and paranoia.
- Sexually inappropriate behaviour or losing inhibitions.
- Changes in the sleep cycle.
Anti-psychotic medicines are often prescribed when reactive behaviours are displayed, with limited or no benefits to the person as it may not treat the cause, and carry severe risks and side effects. Medication should only be considered as a last resort.
Family or caregivers cannot change the behaviour of the person living with dementia, but they can change the way to respond to that behaviour. Remember that behaviour does not define the person, but the behaviour is the result of dementia. Patience, empathy, and understanding are crucial when caring for someone with dementia.
ADASA is here to support you. Reach out to us via info@adasa.org.za or call our National Helpline at 0860-102-681.