10 Ways to Reduce Agitation and Aggression in People with Alzheimer's

People coping with Alzheimer’s disease can sometimes become agitated or aggressive as the disease progresses. Agitation often means that a person is restless or worried. This may present itself as pacing, sleeplessness, or aggression. Aggression can be both verbal and physical.

Staying organized and keeping a regular home-cleaning routine can be beneficial for those living with Alzheimer's. It is important to remove potential distractions or hazards that may cause confusion or agitation, as well as reduce the number of choices that need to be made throughout the day. Making simple changes such as labeling cupboards, drawers, and medicine cabinets can help to provide greater structure and clarity. Establishing a routine can also help to make sure tasks like washing dishes and making the bed are done on a regular basis so that messes don’t stack up and create unnecessary stress. Furthermore, leaving reminders around the house can provide helpful prompts for those who may have difficulty remembering things from one moment to the next. This Alzheimer's Home Safety Checklist will help you make sure the home is safe and comfortable. 

Most of the time agitation and aggression will happen for a reason. When it happens, try to identify what is triggering the behavior. If you are able to address the underlying cause of the behavior you may be able to reduce or avoid incidents all together. Unfortunately, a person with Alzheimer’s may not be able to communicate their needs well so here are a few things you should look for:

• Pain
• Lack of sleep
• Constipation
• Soiled undergarments
• Sudden change in routine
• New or unfamiliar caregivers
• Too hot or too cold
• Too much noise or too many people in the room
• Being pushed to remember people or events
• Feeling lonely
• Medication side effects

 
Watch for early signs of agitation. If you see the signs, you can deal with the cause before problem behaviors start. Try not to ignore the problem. Doing nothing can cause the issues to escalate.

Here are a few ways you can address agitation or aggressive behavior:
1. Reassure the person by Speaking calmly.
2. Listen to their concerns and frustrations.
3. Try to show that you understand if they are angry or scared.
4. Allow the person to keep as much control in their life as possible.
5. Try to keep a routine by bathing, dressing, and eating at the same time everyday.
6. Try soothing music, reading, or going for a walk.
7. Reduce noise.
8. Reduce the number of people in the room.
9. Try to redirect the person with a favorite snack, object, or activity.
10. Limit the amount of caffeine and sugar.
 
 
Also consider visiting a doctor. He or she can give the person an exam to find any problems that may not be readily apparent. You may also want to ask about depression and find out if medicine is needed to prevent or reduce incidents.
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Coping with agitation and aggression can be exhausting, not just for your loved one but for you as well. It’s essential that you also take care of yourself. You’ll be in a better position to give your loved one the patience and support they need when you’re rested and healthy. If you are feeling overwhelmed ask other family members or friends to step in so you can take a break. You can also explore respite care and other professional support services, including specialized memory care assisted living communities which can help you take time out from your caregiving duties.