Alzheimer’s and dementia patients suffer from a debilitating condition that robs them of their intellectual capacity as well as the ability to accomplish everyday tasks. Imagine the frustration these patients must feel and then assume that their caregivers must feel the same amount of frustration, if not more. Not only must they deal with the mental decline of the their patients, but also the behavioral problems that come with the disease.

It is important to remember, however, that some behavioral problems in patients are manageable without having to seek medication or institutionalization. This can be done by identifying behavioral triggers in patients with Alzheimer’s disease or dementia and then resolving problems through words and actions.

In some cases, identifying the source of irritation can be easy. Patients are sensitive to environmental changes, whether strong physical changes or even subtle ones. For example, a new primary caregiver or unfamiliar visitors stopping by would be large physical changes to the environment. Subtle changes might be erratic scheduling or even distracting patterns on plates and tablecloths. After identifying this specific trigger, a way to deal with the problem would be to eliminate loud distractions and maintain daily routines as much as possible. Maybe cutting down on the number of unfamiliar visitors, or providing more rest periods in between heavy activities would help reduce the stress.

Use conflict resolution when the patient is agitated or aggressive. Instead of battling the patient, let them know you are on their side. Statements of understanding and reassurance when delivered calmly can help settle the conflict. If a caregiver matches the temperament of the angry patient the situation will probably escalate. A patient with severe dementia or Alzheimer’s disease likely cannot reflect on his aggressive behavior and so is not able to control himself. Thus, chastising the patient for bad behavior will not help the situation. Be careful not to initiate physical contact during conflicts. This is known to be a negative behavioral trigger. Touching should be associated with relaxing or enjoyable activities only.

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