Also identified as Senility, Dementia is a brain disease which affects the way an individual thinks gradually or long term. An individual’s daily functioning is affected as it becomes hard to remember details of what one is expected to do or behave. One of the major symptoms that come with dementia is emotional problems, minimal motivation, and hard to communicate. Alzheimer’s disease is one type of dementia, and it’s common. Other kinds include Lewy body dementia, frontotemporal dementia, and vascular dementia. There are chances of an individual experiencing more than one type of dementia, so these people need care. The diagnosis process includes identifying the history of the illness, medical imaging, cognitive testing, and blood work, whose purpose is ruling out other causes which are possible. Screening the whole population to ascertain the disorder is not required as there are ways to prevent dementia. One of them includes minimizing risk factors, e.g. diabetes, smoking, obesity, and high blood pressure (James, 2011).
All that the people who have dementia require is care. Regardless the situation, present care is imperative as these individuals’ thinking is not normal. Thus, in an instance where outbursts are experienced in a facility, the first experimental model to put into action is care partner. This includes engaging the staff and the family in taking care of them, and this will make them feel comfortable. If they feel comfortable, then this outburst will be solved. If not, the next model would be attempting to communicate and resolve the problem to help in understanding the reasons behind the outbursts and fights. Once you know why they do so, you will know how to handle them. If communicating doesn’t help, the last option is restraining to avoid any more harm. (Power, 2010)
Some assumptions behind these fights may include these patients not feeling comfortable in the facility. Another assumption is that the patients might be driven by the disease or neurochemistry, leading to them behaving this way. One intervention I would suggest is that those who do not communicate should be restrained to avoid any further harm. I would also ask some family members to chip in and help, and finally talk to each member individually. One rationale for choosing family intervention is because some of the dementia patients are not comfortable as they don’t know the environment they are, or the people they are with, thus, families will be able to cool them down, and assure them they are okay. Talking to these patients individually will help me understand reasons as to why they behave in such a way. The staff can assist through restraining individuals who need to be controlled, bringing these people one by one to my office so we can talk, and also be on the lookout for anything they see.
James, I. (2011). Understanding behaviour in dementia that challenges. London: Jessica Kingsley Publishers.
Power, G. A. (2010). Dementia Beyond Drugs. Baltimore: HPP/Health Professions Press.