Caring for someone living with dementia can be deeply rewarding, but it also comes with emotional and practical challenges, especially when it comes to managing changes in behaviour. Behind every outburst or withdrawn moment is a person who needs lots of patience, empathy, and understanding.
In this post, we explore effective, compassionate strategies to help caregivers manage challenging behaviours associated with dementia while promoting the wellbeing of both the client and their family.
Understanding the Root Causes
Challenging behaviours such as aggression, wandering, restlessness, or verbal outbursts often stem from the person’s attempts to communicate unmet needs. These behaviours can be triggered by:
- Physical discomfort (e.g. pain, infection, constipation)
- Environmental stressors (noise, clutter, unfamiliar surroundings)
- Cognitive decline (confusion, frustration, memory loss)
- Emotional distress (fear, loneliness, lack of control)
Rather than focusing solely on the behaviour itself, it’s essential to ask, “What might they be trying to tell me?”
Practical Strategies for In-Home Caregivers
- Stay Calm and Reassuring
Responding with calmness and reassurance can often de-escalate a tense situation. Speak in a gentle tone, maintain eye contact, and validate their emotions:
“I can see you’re upset, let’s sit together for a moment.”
- Establish Routine and Familiarity
A consistent daily routine helps reduce anxiety and confusion. Stick to regular times for meals, medications, personal care, and activities. Familiar objects, photos, and music can also provide comfort and grounding.
- Distraction and Redirection
If someone is fixated on a worry or displaying aggression, gently redirect their attention to another activity or topic. You could offer them a cup of tea, engage them in a familiar task, or talk about a happy memory.
- Reduce Environmental Stress
Make the home environment dementia-friendly by minimising noise, ensuring good lighting, and reducing clutter. Remove potential hazards and ensure pathways are clear to prevent falls and confusion.
- Monitor Health Closely
Many behaviours are rooted in physical discomfort. Regular health check-ups, proper hydration, and monitoring for infections or changes in mobility can help to prevent escalation.
- Communicate Clearly
Use short, simple sentences and allow time for the person to process what’s being said. Non-verbal communication, like facial expressions, gestures, and touch, can also be powerful tools.
- Look After Yourself Too
Caregiver stress is real. If you’re exhausted, it becomes harder to provide the calm support your loved one needs. Take breaks, reach out for help, and if you need to, explore respite care options.
When Professional Help is Needed
Some behaviours may require additional support. At Goldtech Care, our trained dementia care specialists provide in-home support that respects each individual’s dignity and preferences. We work closely with families, GPs, and other professionals to ensure a person-centred approach that adapts as needs evolve.
Dementia doesn’t change the person’s need for love, respect, and meaningful connection. With patience, training, and support, caregivers can help those living with dementia feel safe, understood, and valued every step of the way.
