25/08/2016
A very common reason for aggression in older people is dementia, in particular with those who have Alzheimer's disease. In America statistics show that over 50% of people older than 85 years of age have this debilitating disease. The cognitive impairment of this disease often means that the sufferer will lash out in aggression. Another reason for aggressive behaviour is depression. It is important to identify the underlying cause of this problem and this knowledge is essential in knowing how to treat aggressive behaviour.
When dealing with a person who displays aggressive mannerisms some points should be taken into account. The person should be as comfortable as possible in non threatening areas. They should never be given tasks that are beyond their ability as feelings of worthlessness, combined with a declining ability to do things will lead to frustration. This in turn will lead to panic and aggression. It is important to always have an alternative solution to a problem, in effect a Plan B. For example if the person becomes aggressive when you are trying to bath them, remember that you can always have a wash with a flannel and try a bath the next day
The most important thing to remember is that the elderly person still feels valued and has his or her own opinion. Sometimes they will make unreasonable or even impossible requests, particularly with people who have dementia. Try to never say 'no', as this will always aggravate the situation. Instead work on a ploy of distraction. Offer to make a cup of tea first. More than likely the patient will forget his strange or impossible request by the time he has had his tea.
If possible, exercise is always a good way to remove stress and calm a situation. It is also good to keep the person mentally astute. This may be achieved either by out door activities such as a walk in a park or along a riverbank, or indoors with activities such as light exercises. As with every elderly person, make sure the area is secure and safe and sharp objects are removed or out of reach.
Try not to take any form of aggression towards yourself as personal. It is far more common than you think. Usually the person is feeling threatened or scared and reacts in a way to protect themselves. Food and medication might also be refused. In the case of food being refused, it would be better to wait for the person to calm down and offer it later. In the case of medication being refused, it is always better to contact the doctor. Sometimes the doctor will agree to the tablet being disguised in a piece of fruit such as banana or even crushed and mixed with pudding.
You should also be aware that sometimes aggression may be due to urinary tract infection, This is very common in elderly people who typically do not drink enough water. If the person becomes aggressive or irritated suddenly, this could be the reason. It is very important if symptoms are sudden, that you contact the doctor and a medical assessment is carried to ensure this is not the case.
