The Side Effects Of Stress And Distress In Dementia

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Non–aggressive physical agitation symptoms may present as general restlessness, wandering or pacing, inappropriate dressing or undressing, hiding things, resisting care etc. Such behaviours may occur for a number of reasons such as pain, physical illness, depression, disorientation, separation from family or other unmet needs. Such behaviour can also be a result of acute frustration over reduced capacity to perform simple tasks such as getting dressed, misinterpreting what someone has said or misinterpreting environmental cues. Withdrawal and apathy could also be a non-aggressive behavioural response to the same context (New South Wales Ministry of Health, 2013).Apathy manifests as indifference, lack of motivation, reduced persistence, lowered …show more content…
In some cases of stress and distress in dementia, antipsychotics can be the right treatment option when the people with dementia are at risk to themselves or their caregivers or other residents of the care home. However, they are linked to serious side effects, particularly when used for longer than 12 weeks. The side-effects of antipsychotics can be very harmful and can rob individuals of their quality of life. Side effects include excessive sedation, dizziness and unsteadiness, which can lead to increasing falls and injuries, parkinsonian features of tremors and rigidity, body restlessness, reduced well-being, social withdrawal and accelerated cognitive decline (Burke et al, 2015). The side effects are specially associated with serious adverse events in patients with metabolic diseases (Pietro et al, 2014).The regulatory body Medicines and Healthcare Products Regulatory Agency (MHRA) advices use of Risperidone for 6 weeks only if a person with dementia develops behavioural …show more content…
Rogers proposed that a person-centred approach which is based on acceptance, caring, empathy, sensitivity, and active listening, promotes optimal human growth (Brownie et al, 2013). Tom Kitwood applied the Rogerian model to care for older adults with dementia to emphasize the person approach over the medical/behavioural expert approach of care generally shown towards people with diminished cognitive capacity (Kitwood, 1997).Person centred care is about ensuring that the person (with dementia) is the main focus of attention and not the dementia. It is a term used when describing good dementia care and also best practice in advocacy. It recognizes a person 's individuality, their personal history and personality. It seeks to understand the world from the individual 's

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