Dementia care: Managing aggression

Submitted by Emma Hamilton on Mon, 15/09/2008 - 3:28pm

People with dementia can sometimes behave aggressively. They may kick, lash out, overreact or be verbally abusive. Coping with aggressive outbursts can be distressing.

Sometimes people with dementia use aggression as a way to communicate. They could be in pain, frustrated or reacting to the physical environment.

Aggression can be linked to fear or bad memories or it may simply be the only way the person feels they can let you know they are unhappy.

Often, the person with dementia is struggling to understand their surroundings. They may misinterpret things, or the people around them, and turn to aggression to defend themselves.

Remember that changed behaviour could be an indication that a person has a physical illness, is in pain or reacting to medication. Always discuss changes in behaviour with a doctor.

Tips for dealing with dementia and aggression

Be alert to the warning signs of aggression, e.g increased agitation
Recognise the triggers to aggressive behaviour, e.g shower time
Try to avoid confrontation. Be calm, use simple sentences and orientate the person to the environment and situation
Distract their attention and recommend a walk or change in activity
Consider any unmet need they are trying to communicate, is a person in pain?
Avoid overloading the person with complex tasks
Validate the person's feelings and give reassurance
Inform all carers and family of successful strategies for dealing with aggression
Remain at a safe distance if a person is physically aggressive and get help

Helpful resources

Ring the National Dementia Helpline on 1800 100 500 to talk to a counsellor.
Visit Alzheimer's Australia for more information about caring for someone with dementia.
Contact The Dementia Behaviour Management Advisory Services (DBMAS) on 1800 699 799. A national telephone line for carers or family concerned about the behaviour of people with dementia.