The Care recipient (cr) often says he she isn’t in the mood to do something the caregiver (cg) asks him her to do such as dress shower etc

Try: Stay calm try not to take it personally be patient don’t take offense don’t argue attempt to switch focus to a new activity

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Communication, Emotional Psychological, Maintenance

Information: n/a

References: Adapted from denise clark 2010 dealing with mood and behavior changes in elderly alzheimer alzheimer’s patients available at www agingcare com

Keywords: Angry mad bathing dressing frustrated refuses to do something

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has wandered off and the caregiver (cg) doesn’t know where to start looking for him or her

Try: Check dangerous areas near the home such as bodies of water open stairwells dense wooded areas tunnels bus stops high balconies and heavily traveled roads look within a one-mile radius of where the cr was before they wandered off look within one hundred feet of a road most wanderers start out on roads and stay close by look carefully in bushes and ditches the cr may have fallen or gotten stuck search in the direction of the cr’s dominant hand people usually travel first in their dominant direction look in places that are familiar to the cr likeplaces the cr used to live or work or favorite spots like a nearby park or ball field often wanderers have a particular destination in mind if the cg suspects that the cr used a car or public transportation to leave think of likely places to search that are farther away if the cr tends to wander off at a particular time of day or day of the week try to distract the cr with an activity try to replace the pattern of wandering off with a regular exercise routine

Materials: n/a

Categories: Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Maintenance, Medical Physical, Mobility, Mobile, Some Supervision, Maximum Supervision, Somewhat Aware, Unaware

Information: n/a

References: Adapted from doug russell suzanne barston and monika white 2007 alzheimer’s behavior management managing common symptoms and problems available at

Keywords: Lost wanders wanders off wandering

*This information is listed as a Tip and is not explicitly medically licensed

The Care recipient (cr) often gets out of bed and paces during the night

Try: Don’t restrain the cr in bed try using a hospital bed that has guard rails use 2 cgs one for the day and one for night so that both cgs get the rest they need

Materials: Hospital bed with guard rails additional caregiver (cg)

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Maintenance, Medical Physical

Information: n/a

References: Adapted from doug russell suzanne barston and monika white 2007 alzheimer’s behavior management managing common symptoms and problems available at

Keywords: Paces insomnia trouble sleeping gets out of bed wanders wandering

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) gets mad and frustrated

Try: Try to anticipate the cr’s needs before the he or she acts out this may prevent the cr from becoming mad or frustrated try to determine what may be causing the cr to be mad and frustrated and then try to come up with an intervention to deal with it for example the cr may be frustrated because you locked the door so that he or she couldn’t wander off try to go for a walk outside of the house or in the yard to calm the cr down

Materials: n/a

Categories: Behavior Challenging, Cognitive Intellectual, Communication, Emotional Psychological, Maintenance, Medical Physical

Information: n/a

References: Adapted from the alzhe imer scotland – action on dementia national office 1991 understanding and dealing with challenging behaviour available at

Keywords: Aggressive aggressive behavior challenging behavior mad angry upset frustrated

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) often gets mad or frustrated when dressing or asked to get dressed

Try: The cr may be getting upset because it is difficult for him her to make a clear decision try limiting the number of clothing choices to just a few remove clothing from the closet so that there are only a few outfits to choose from remove excessive amounts of clothing in drawers to just a few socks underwear shirts ties etc limit lipstick and other makeup choices limit jewelry choices

Materials: n/a

Categories: Behavior Challenging, Cognitive Intellectual, Communication, Emotional Psychological, Personal

Information: n/a

References: Adapted from denise clark 2010 dealing with mood and behavior changes in elderly alzheimer alzheimer’s patients available at www agingcare com

Keywords: Angry mad dressing getting dressed frustrated refuses to do something

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is often argumentative

Try: Do not react to the arguments by arguing back this creates a negative atmosphere and will just cause the arguments to escalate try not to take any of the arguments with the cr personally this will affect your mood and will be reflected back to the cr this will just add to the distress and confusion your reaction should always be reassuring if some type of blame needs to be taken take the blame yourself this will usually diffuse an argumentative cr the arguments could be caused by several factors frustration about the loss of control and inability to take part in the activities enjoyed in the past depression physical challenges the cr is facing the inability to verbalize pain to the caregiver (cg) the inability to cope with all of the life changes that have occurred try to find out what triggers these arguments do they occur at a specific time of day during a specific event or when the cr is around certain people keep a journal as to when these arguments occur and this will help you find the trigger once the cause is identified you can work towards finding a workable solution you may need to try several different interventions before you find one that is effective

Materials: n/a

Categories: Behavior Challenging

Information: n/a

References: Adapted from the helping you care website www helpingyoucare com

Keywords: Argument argumentative conflict triggers physical challenges depression reaction

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) doesn’t have public transportation and is having trouble getting groceries as needed

Try: Some grocery stores offer home deliviery service for a fee make some phone calls to detemine if this is a possibility for the cr

Materials: n/a

Categories: Behavior Challenging, Caregiver Needs&Support, Cognitive Intellectual, Emotional Psychological, Maintenance, Medical Physical, Needs Some Assistance, Needs Much Assistance, Immobile, Some Supervision, Maximum Supervision, So-So Vision, Poor Vision, Somewhat Aware, Unaware

Information: n/a

References: n/a

Keywords: Adapted from tonia boterf 2011 35 adaptations and accommodations for aging parents ezinearticles com

*This information is listed as a Tip and is not explicitly medically licensed

The Care recipient (cr) often spills candy chips etc

Try: Keep peanuts m&ms etc in a easy sealed container that flips open to prevent spills of bags

Materials: Easy sealed container that flips open

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Medical Physical, Mobile, Needs Some Assistance, Needs Much Assistance, Immobile, Independence, Some Supervision, Maximum Supervision, Vision, So-So Vision, Poor Vision

Information: n/a

References: Adapted from tonia boterf 2011 35 adaptations and accommodations for aging parents ezinearticles com

Keywords: n/a

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) forgets to feed his her pet

Try: Consider using a large dry food self-feeder the pet won’t go hungry if regular food is delayed do this with water too

Materials: Self-feeder for food self-feeder for water

Categories: Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Medical Physical, Some Supervision, Maximum Supervision, Somewhat Aware, Unaware, So-So S T Memory, Poor S T Memory

Information: n/a

References: Adapted from tonia boterf 2011 35 adaptations and accommodations for aging parents ezinearticles com

Keywords: n/a

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has difficulty maintaining attention

Try: Keep the communication as simple as possible if the cr has difficulty maintaining attention long or complex instructions or sentences don’t work talk slowly with clear language and simple words another possibility is to try to hold the cr cr’s attention during conversation try to show interest and maintain eye contact make sure to have the cr cr’s attention before speaking and use the cr cr’s name to when communicating remember always remain patient and calm with the cr especially if he or she suddenly loses focus or becomes distracted

Materials: n/a

Categories: Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Fully Aware, Somewhat Aware

Information: n/a

References: n/a

Keywords: n/a

*This information is listed as a Tip and is not explicitly medically licensed