This chart can be used to monitor and record the frequency of a specific behaviour. Medication, therefore, should be prescribed only after a great deal of thought. WHO was around the resident when the behavior occurred? SPECT scanning shows images that are typical of Alzheimer’s disease, localising where damage is. However, once someone has become incompetent, a court can appoint a guardian, with broadly similar powers to an attorney. Part 3 of this series looks at typical behavioural problems associated with dementia, methods of assessment and types of medication used. By identifying the earliest stages of dementia as they occur, you may be able to seek medical treatment quickly and delay the onset of later stages. The presence of behaviour problems is the main determinant of such moves. endstream endobj 14 0 obj <>>> endobj 15 0 obj <. Inappropriate care, whether in terms of the environment or in terms of the ability of the carers, may compound, or in many cases even cause, the problems. On the degree of stress to the patients, or to the carers? The earlier dementia is diagnosed, the sooner treatment can start. The late stage of Alzheimer's usually requires intensive care. Specifically with residents suffering from dementia, challenging behaviors can be harmful to the residents themselves, their peers and staff members trying to intervene. Consult a licensed medical professional or call 911, if you are in need of immediate assistance. 38 0 obj <>/Filter/FlateDecode/ID[<7233D33EDD9BE341A5490B449DDA2264><2B0022B37243BE4E8C8C6F9B0B7139E7>]/Index[13 45]/Info 12 0 R/Length 113/Prev 55531/Root 14 0 R/Size 58/Type/XRef/W[1 2 1]>>stream This way, they can focus on treating the resident as a whole and hopefully improve their quality of life. Specifically with residents suffering from dementia, challenging behaviors can be harmful to the residents themselves, their peers and staff members trying to intervene. One question that should be asked by a health professional when assessing a person with dementia is: who has the problem - the patient or the carer(s)? There is evidence that in some patients an episode of depression is a prodromal phase of a dementing illness (Katona, 1995). The newer atypical antipsychotic drugs include risperidone, olanzapine and quetiapine, but these, too, are not without problems when used in older people. Physical examination should look for signs of concomitant illness, and include a neurological examination (the presence of focal signs such as asymmetrical weakness or reflexes might be a pointer to dementia of a vascular origin). An essential part of assessment is therefore a physical examination, with supporting tests. WHAT happened within 24 hours of the behavior? This is why the behavior mapping approach to care is about stepping back from that perspective and looking at what actually prompted the residents' actions. Specific questions are introduced to assist caregivers in developing individualized care plans for persons with dementia. To start the process of behavioral mapping, care providers must ask: The bottom line is that when residents demonstrate challenging behaviors, they always have a reason. Those with Alzheimer's may not remember familiar people, places or things in the later stages of the disease. Concern for early onset of dementia should arise with respect to other symptoms. At this stage, individuals may start to become socially withdrawn and show changes in personality and mood. One of the largest, most difficult questions to answer in the long-term care community today is, "How do we support our residents with challenging behaviors?" The chart comes with a clear list of Do’s and Don’ts for the kid in everyday life which in turn helps to develop a concrete sense of right and wrong. An important part of any assessment, therefore, is the involvement of a relative, friend or carer who knows the patient well. A few signs of stage 3 dementia include: Patients often start to experience mild to moderate anxiety as these symptoms increasingly interfere with day to day life. These may include: Is the behavior truly a problem? Burns et al. The MMSE was designed to screen for the presence of cognitive impairment, but it is now often used to measure change, decline, or improvements - where cognitive-enhancing drugs are used. This, of course, can be granted only when the ability to do so is present, and requires a degree of forward planning. Keith Savell Ph.D. of Mariposa Training and Geriatric Healthcare Consultants explained that residents always have a reason behind their behavior. The main sign for stage 5 dementia is the inability to remember major details such as the name of a close family member or a home address. Relating them to but one aspect of dementia is meaningless.