caregiver (cg) gets increasingly frustrated at care recipient’s cr’s continually repeating the same stories over and over

Try: While it is very stressful to hear the same stories or questions over and over cg could look on it as the only conversation that the cr can produce and engage in it is better for the cr to use language in this manner than to be told that they are saying the same thing over and over and possibly quit talking altogether communication is a skill that is still remaining for the cr and therefore could be looked on as an activity to keep that skill active

Materials: n/a

Categories: Behavior Challenging, Communication

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) gets confused and agitated when grandchildren come but looks forward to their visits

Try: Even though children’s or grandchildren’s visits provide enjoyable moments for the cr it could also be confusing for the cr additional people in a room could add to the noise and distraction especially if the cr is trying to carry on a conversation with a grandchild and several other grandchildren are playing or talking in another part of the room this is especially true of the cr is hearing impaired in some way also the added movement of several people in a room at one time can be too much activity for the cr to try to watch and keep track of at one time try to have just one or two children at a time visit – this will also be beneficial to the grandchild because they will have that one-on-one feeling about their time with the cr

Materials: n/a

Categories: Behavior Challenging, Emotional Psychological, Social, 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

Care recipient (cr) wants to wear the same clothes over and over

Try: Cg needs to try to discover if there is a reason behind this action sometimes the cr cannot distinguish between dirty clothing and clean clothing if the cr takes off their clothing at bedtime and is used to either placing the worn outfit at the end of the bed or across a chair it could be that when they wake up in the morning they just see clothing and this triggers the reaction that they need to put the clothing on the solution could be to take the dirty clothing off of the bed or chair after the cr goes to sleep and lay out a clean outfit directly where the dirty outfit was bed or chair when the cr wakes up and sees the clothes they will then put the clean outfit on

Materials: n/a

Categories: Behavior Challenging, Personal, 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

Care recipient (cr) resists going to medical appointments or to adult day care

Try: caregiver (cg) should try setting the stage or the tone pay close attention to the way you approach the cr about the upcoming trip don’t give the cr an ultimatum about going the cr is likely to resist just as a defense reaction to the ultimatum use an overly polite and respectful tone when asking the cr to get ready to go the tone of voice you use could disarm and neutralize resistance make sure enough preparation time is scheduled beforehand to get ready to go – don’t hurry things along because time is short this just agitates the cr and adds to your stress and consequently could affect your mood or tone of voice make the trip or appointment a situation where the cr would be helping you by going you could say that you are anxious about their health and keeping the doctor’s appointment would bring you peace of mind going to the adult day care could be helping you by allowing you to keep appointments of your own

Materials: n/a

Categories: Behavior Challenging, Medical Physical, Personal

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) repeatedly relates stories from their past

Try: caregiver (cg) should try to practice tolerance if possible this could be viewed as a skill that the cr still has – the long term memory to recall past stories recalling and relating these long ago memories could mean that the cr is reliving some of their richest and most memorable moments and this brings them a great deal of comfort the ability to listen and enjoy these stories will boost the self-esteem of the cr

Materials: n/a

Categories: Behavior Challenging, Emotional Psychological, Social

Information: n/a

References: n/a

Keywords: n/a

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

caregiver (cg) needs advice on dealing with repetition by the Care recipient (cr)

Try: If the repetition involves calling out a name over and over – the cr may just need the comfort of knowing that person is near sometimes the cr may not realize who is answering they just need someone to say i’m right here just the words will be something familiar and comfortable for the cr if the repetition involves some type of repeated physical action such as the wringing of hands plucking at their clothes or tapping their fingers against a tabletop; this may just reflect a need to be busy try to fit an activity to match the repetition such as sorting objects folding towels or washcloths or taking objects out of one container and placing them in another

Materials: n/a

Categories: Behavior Challenging, 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

Care recipient (cr) displays difficult behavior

Try: #difficult behavior may result from unmet emotional needs the cr may behave in a difficult way to gain recognition affection or independence #don’t criticize the cr’s feelings or actions find something positive to say even though you may be frustrated or angry with the cr’s behavior #listen to the cr with compassion and try to disarm any anger #remember you don’t have to agree or disagree – just listen with a sympathetic ear #put yourself in the cr’s shoes the cr may resent not being as independent as before and may feel as if he or she is being treated like a child #validate the cr’s frustration with gentle questions about the situation such as what bothers you about taking a bath #try offering choices that restore the cr’s sense of control would you like to take your bath after breakfast or would you like to take it tonight #offer the cr attention affection and independence freely and show through example that the cr can have these things without resorting to difficult behavior

Materials: n/a

Categories: Behavior Challenging, Communication, Emotional Psychological, Mobility, Needs Some Assistance, Independence, Some Supervision

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) gets visibly confused and agitated during family celebrations holidays

Try: Cr is probably trying too hard to remember and interact with family members that they do not see often the noise level and distractions of too many people and too many things to look at are a definite contrast to the cr’s daily routine and thus creates confusion and agitation don’t eliminate holiday celebrations – they have meaning and value not only for the cr but for all of the family members also simplify and save the important aspects of the holidays don’t try to cook an elaborate meal for a large family; have just an holiday open house where family members can come and go at various times cutting down on the number of people at any given time and instead of an entire meal have snacks or desserts available as a self-serve option if winter holidays are too difficult and confusing because of the weather issues – try having a christmas in july celebration or several mini-celebrations throughout the year this will make the celebration not just one event to look forward to and be exhausted from but will be expanded into several enjoyable activities to anticipate and motivate both the cg and cr

Materials: n/a

Categories: Behavior Challenging, Emotional Psychological, Social, 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

Care recipient (cr) makes repeated requests that cannot be honored or granted for various reasons either not physically or financially possible and gets upset frustrated and sometimes lashes out either verbally or physically toward caregiver (cg)

Try: Try to refrain from using the actual word no when dealing with impossible requests find alternate words or suggestions try saying what a great idea i’ll have to see if we can work that into our schedule sometime or i really wish we could do that but we’ll need to wait for the weather to be better or we don’t really have enough time right now but we’ll plan to do that in the next week or two don’t point out that it is neither physically or financially impossible to grant the request make the request seem like a real possibility at a future time or place

Materials: n/a

Categories: Behavior Challenging, Communication, 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

caregiver (cg) has negative feelings towards Care recipient (cr) because of difficult behavior and gets frustrated and angry

Try: Cg needs to understand and deal with negative feelings before the anger and resentment is turned toward the cr cg needs to give themselves permission to have these feelings step away from the situation and try to identify the different feelings – anger frustration anxiety or depression try to isolate what particular situation or event brings out these feelings write it down – this will give cg time to distance themselves from the situation try to find out different ways to deal with the situation the next time it arises that will cause less stress to the cg this may take several experiments to find out what works talk it out with a friend – don’t let the anger or frustration build up let it out and let it go

Materials: n/a

Categories: Behavior Challenging, Caregiver Needs&Support, Emotional Psychological

Information: n/a

References: n/a

Keywords: n/a

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