Responding to Behavioural Changes Archives - DementiaHub.SG

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Care Professional

Apply CAUSEd to Understand Behaviour Changes

The CAUSEd problem-solving tool is designed to encourage caregivers and care professionals to understand the behaviours of persons living with dementia as a form of communication with their social and physical environments. In turn, caregivers and care professionals can identify the possible triggers for the behaviours, and minimize the impact of behaviours by developing and [...] Read More

Caring for a Loved One With Dementia

Apply CAUSEd to Understand Behaviour Changes

The CAUSEd problem-solving tool is designed to encourage caregivers and care professionals to understand the behaviours of persons living with dementia as a form of communication with their social and physical environments. In turn, caregivers and care professionals can identify the possible triggers for the behaviours, and minimize the impact of behaviours by developing and [...] Read More

Caring for a Loved One With Dementia

Dementia Progression & Behaviour Changes

The progression of dementia comes along with changes in your loved one’s: • Abilities in Activities of Daily Living (ADLs) • Behaviours • Cognitive Function • Orientation to People, Places and Time Dementia progression and its corresponding behaviour changes require the appropriate response from caregivers. With the necessary information and resources at hand, you will [...] Read More

Caring for a Loved One With Dementia

Sharing Caregiving Responsibilities: Gathering the Family

A family discussion on sharing caregiving responsibilities can be very helpful when your loved one has been diagnosed with dementia. Some families may think it is taboo to discuss concerns revolving around dementia, but it is important for family members to be clear that the family discussion is about honouring your loved one’s preferences and [...] Read More

Caring for a Loved One With Dementia

Preparing for Doctor’s Visit

Being well-prepared for a doctor's visit will be beneficial to you and your loved one living with dementia. Keep a symptom diary for your loved one A diary helps you keep track of signs and symptoms experienced by your loved one. Record the symptoms or behaviours exhibited – when and how they started and how [...] Read More

Caring for a Loved One With Dementia

Designing a Daily Routine

Persons living with dementia often feel confused and disoriented, especially when their memories begin to blur and their functions start to deteriorate. Your loved one living with dementia may have difficulties in performing his/ her usual tasks as their condition progresses. Designing a daily routine is a good way to provide them with some structure. [...] Read More

Caring for a Loved One With Dementia

Supporting Activities of Daily Living

As the condition of persons living with dementia progresses, their abilities to perform Activities of Daily Living (ADLs) deteriorate as well. ADLs refer to routine activities which most persons have learned to perform from young and usually do on a daily basis without any assistance.1 However, due to dementia, individuals gradually become unable to perform [...] Read More

Care Professional

Dementia Progression & Behaviour Changes

The progression of dementia comes along with changes in persons living with dementia: • Abilities in Activities of Daily Living (ADLs) • Behaviours • Cognitive Function • Orientation to People, Places and Time Dementia progression and its corresponding behaviour changes require the appropriate response from caregivers. With the necessary information and resources at hand, you [...] Read More

Caring for a Loved One With Dementia

Helping Your Loved One Who Lives Alone

Persons living with dementia, especially in the earlier stages of dementia, may choose to live alone to maintain their independence for as long as possible, or to remain in a familiar neighbourhood. As the dementia progresses to moderate and advanced stages, it is likely that alternate living arrangements have to be made. Here are some [...] Read More

Care Professional

Sharing Caregiving Responsibilities: Gathering the Family

A family discussion on sharing caregiving responsibilities can be very helpful when someone in the family has been diagnosed with dementia. Some families may think it is taboo to discuss concerns revolving around dementia, but it is important for family members to be clear that the family discussion is about honouring the preferences and wishes [...] Read More

Caring for a Loved One With Dementia

Taking Public Transportation

Public transportation is a common mode of transport for people in Singapore. This does not change even with the onset of dementia. Having an easily accessible transportation system enables persons living with dementia to stay connected to their friends, families, and community. It also provides access to healthcare service locations, such as the hospital. Challenges [...] Read More

Care Professional

Designing a Daily Routine

Persons living with dementia often feel confused and disoriented, especially when their memories begin to blur and their functions start to deteriorate. They may have difficulties in performing his/ her usual tasks as their condition progresses. Designing a daily routine is a good way to provide them with some structure. Planning activities they enjoy can [...] Read More

Caring for a Loved One With Dementia

Why Do Behavioural Changes Happen?

Dementia is accompanied by behavioural changes, which affect your loved one living with dementia and all of you around him/her. Behavioural changes can be one of the aspects of dementia that are most difficult to address. Persons living with dementia who experience behavioural changes are often described as having a “completely different personality” from their [...] Read More

Care Professional

Supporting Activities of Daily Living

As the condition of persons living with dementia progresses, their abilities to perform Activities of Daily Living (ADLs) deteriorate as well. ADLs refer to routine activities which most persons have learned to perform from young and usually do on a daily basis without any assistance.1 However, due to dementia, individuals gradually become unable to perform [...] Read More

Caring for a Loved One With Dementia

Managing Agitation & Aggression

At some point, your loved one living with dementia may behave aggressively, display an outburst of emotions, or act angrily towards individuals around them. Defining Agitation & Aggression Agitation A set of behaviours that involve a person living with dementia experiencing verbal or motor anxiety.1 Aggression A further level of agitation in which the behaviours [...] Read More

Care Professional

Helping A Person With Dementia Who Lives Alone

Persons living with dementia, especially in the earlier stages of dementia, may choose to live alone to maintain their independence for as long as possible, or to remain in a familiar neighbourhood. As the dementia progresses to moderate and advanced stages, it is likely that alternate living arrangements have to be made. Here are some [...] Read More

Caring for a Loved One With Dementia

Mealtime Behaviours

Persons living with dementia may sometimes refuse to eat. They may become angry, agitated, or challenging to feed during mealtimes. This can happen for a variety of reasons: • Disliking the food • Feeling rushed • Feeling uncomfortable with people or the environment • Feeling frustrated with the difficulties they are having It can be [...] Read More

Care Professional

Taking Public Transportation

Public transportation is a common mode of transport for people in Singapore. This does not change even with the onset of dementia. Having an easily accessible transportation system enables persons living with dementia to stay connected to their friends, families, and community. It also provides access to healthcare service locations, such as the hospital. Challenges [...] Read More

Caring for a Loved One With Dementia

Managing Sundowning

What Is Sundowning? Your loved one living with dementia may display behaviour changes particularly in the evening which include agitation, aggression, confusion and restlessness. This is known as sundowning and often occurs in the moderate to severe stages of dementia. There is now a Night Respite service available for caregivers of persons living with dementia [...] Read More

Care Professional

Why Do Behavioural Changes Happen?

Dementia is accompanied by behavioural changes, which affect persons living with dementia and individuals around them. Behavioural changes can be one of the aspects of dementia that are most difficult to address. Persons living with dementia who experience behavioural changes are often described as having a “completely different personality” from their “old self”. Different behaviour [...] Read More

Caring for a Loved One With Dementia

Managing Wandering Behaviour

Many persons living with dementia feel the urge to walk about and in some cases leave their homes. Though it is sometimes termed as “wandering”, it is rarely ever aimless. Persons living with dementia may simply not remember where they had set out to go, or what they had intended to do. It is all [...] Read More

Care Professional

Managing Agitation & Aggression

At some point, persons living with dementia may behave aggressively, display an outburst of emotions, or act angrily towards individuals around them. Defining Agitation & Aggression Agitation A set of behaviours that involve a person living with dementia experiencing verbal or motor anxiety.1 Aggression A further level of agitation in which the behaviours can be [...] Read More

Caring for a Loved One With Dementia

Additional Resources for Other Behaviour Changes

1. Talking Point | CNA Insider Looking after a loved one living with dementia can be frustrating. In this episode of Talking Point, it provides you with some tips on what to do when you face the following 3 scenarios - when your loved one living with dementia: 1. Refuses to bathe 2. Forgets that [...] Read More

Caring for a Loved One With Dementia

Swallowing Difficulties & Soft Diets

Difficulties With Swallowing In the later stages of dementia, a person living with dementia can develop severe difficulties with swallowing. Changes in parts of the brain that control swallowing may affect and weaken the muscles involved, affecting various parts of the eating process. As a result, the person living with dementia may not maintain sufficient [...] Read More

Care Professional

Mealtime Behaviours

Persons living with dementia may sometimes refuse to eat. They may become angry, agitated, or challenging to feed during mealtimes. This can happen for a variety of reasons: • Disliking the food • Feeling rushed • Feeling uncomfortable with people or the environment • Feeling frustrated with the difficulties they are having It can be [...] Read More

Care Professional

Managing Sundowning

What Is Sundowning? A person living with dementia may display behaviour changes particularly in the evening which include agitation, aggression, confusion and restlessness. This is known as sundowning and often occurs in the moderate to severe stages of dementia. There is now a Night Respite service available for caregivers of persons living with dementia who [...] Read More

Caring for a Loved One With Dementia

Managing Constipation

Constipation is common in persons living with dementia given their reduced awareness, and especially those who are older persons who may be relatively immobile. Poor food, fibre and fluid intake may also cause constipation. Constipation is a source of discomfort, and can worsen confusion and agitation. It also makes passing urine more difficult and can [...] Read More

Care Professional

Managing Wandering Behaviour

Many persons living with dementia feel the urge to walk about and in some cases leave their homes. Though it is sometimes termed as “wandering”, it is rarely ever aimless. Persons living with dementia may simply not remember where they had set out to go, or what they had intended to do. It is all [...] Read More

Caring for a Loved One With Dementia

Managing Urinary Incontinence

Urinary incontinence is a common problem in dementia. As the disease progresses, your loved one may become less aware of their toileting needs and urinate unconsciously. Deterioration may lead to urinary tract infection, an enlarged prostate gland, drinking too much caffeinated beverages, impaired mobility, and constipation. It may be helpful to: • Take them to [...] Read More

Care Professional

Additional Resources for Other Behaviour Changes

1. Behavioural and psycholoigcal symptoms of dementia: Assessment and management In this journal article by Dr Vanessa Mok (2019), a consultant from Changi General Hospital’s department of psychological medicine, she explains the various causes of behaviour changes associated with dementia, such as: • Neurobiology; • Acute medical conditions; • Unmet needs; • Pre-existing personality; • [...] Read More

Care Professional

Swallowing Difficulties & Soft Diets

Difficulties With Swallowing In the later stages of dementia, a person living with dementia can develop severe difficulties with swallowing. Changes in parts of the brain that control swallowing may affect and weaken the muscles involved, affecting various parts of the eating process. As a result, the person living with dementia may not maintain sufficient [...] Read More

Care Professional

Managing Constipation

Constipation is common in persons living with dementia given their reduced awareness, and especially those who are older persons who may be relatively immobile. Poor food, fibre and fluid intake may also cause constipation. Constipation is a source of discomfort, and can worsen confusion and agitation. It also makes passing urine more difficult and can [...] Read More

Care Professional

Managing Urinary Incontinence

Urinary incontinence is a common problem in dementia. As the disease progresses, a person living with dementia may become less aware of their toileting needs and urinate unconsciously. Deterioration may lead to urinary tract infection, an enlarged prostate gland, drinking too much caffeinated beverages, impaired mobility, and constipation. It may be helpful to: • Take [...] Read More
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