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COPING STRATEGIES
EXPLORING THE POSSIBILITIES

It can often be helpful for caregivers to try to understand why a person with dementia is behaving in a particular way. There are many reasons why a difficult behavior may be occurring. Sometimes the behaviour may be related to changes taking place in the brain. In other instances, there may be other factors triggering the behavior. If caregivers can determine what may be causing or triggering the behaviour, it may then be possible to figure out ways to overcome some of the difficulties.

As the disease progresses, different parts of the brain cease to function normally and a number of common problems arise as a direct result of the brain damage. Other factors to consider include

  • possible health problems - side effects of medications, hearing or vision problems, illness, dehydration, constipation, depression, fatigue
  • possible environmental factors - unfamiliar environment, excessive clutter or stimulation, lack of orientation cues, size or distance problems
  • communication problems - inability to understand what is expected, inability to make others understand
  • complexity of the task - task involves too many combined steps, task is unfamiliar, task not modified for increased impairment
Common problems which may arise as a result of the brain damage
  • changed perception of hot and cold and the sensation of water can result in problems with bathing
  • degeneration of gross motor abilities can cause unsteady balance and difficulty walking
  • changes in motor co-ordination skills can make tasks like dressing difficult; shoelaces and buttons offer major challenges
  • hunger sensations from the stomach may no longer be properly recognised by the brain, causing loss of appetite
  • degeneration in jaw muscles may cause difficulties in chewing and swallowing
  • memory loss makes it difficult to complete any long and/or complex task
  • bladder and/or bowel control may be lost
Brain damage and loss of normal inhibitions can also result in a number of difficult behaviours including

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