Like other behavioral symptoms of Alzheimer’s disease, individuals with the disease often become irritable when a basic need is not met, or due to changes in daily routines (i.e., bathing time) or the environment (i.e., excess stimuli).
Depending upon the progression of the illness, people with the disease may no longer be able to verbalize needs—and displaying irritability is the only way to let caregivers know that something is wrong. Or at times, they are so frustrated at their inability to remember, think clearly or communicate that they act it out through behaviors like irritability.
Tips:
- Consult a physician if there has been a sudden or marked change in mood or behavior, including irritability, since several treatable medical conditions, such as urinary tract infections, can abruptly worsen the symptoms of Alzheimer’s disease. Look for patterns, and write them down to discuss with the healthcare professional.
- Check to see if your loved one’s basic needs have been met. Ask yourself: Is my loved one hungry or thirsty? Does my loved one need to use the bathroom or have an adult incontinence product changed? Is the environment too hot or too cold, too noisy? Is my loved one bored?
- Try to maintain a daily routine with set times for waking and going to sleep, activities of daily living (bathing, eating, dressing, toileting), and recreational activities, since people with dementia require external structure to maximize their functioning and reduce negative feelings and behaviors.
- Do not argue or rationalize with the person, if someone’s cognitive decline has progressed beyond the ability to reason.
- Provide reassurance by, for example, a gentle touch.
- Speak clearly, slowly, and in a calm and friendly tone.
- Redirect to positive activities, such as soothing music or a favorite snack.
- Control how you, as a caregiver, react. Try to put yourself in the person’s place; if you recognize the source of frustration or boredom that is triggering irritability, it’s easier to manage your own emotions.
- Remain calm and patient. Try walking away from the situation, taking a few deep breaths and returning once you are able to cool down. Or recall fond memories from the past to increase your ability to be understanding in difficult situations.
Click here to read about causes of behavioral symptoms.
Click here to read about additional strategies to manage behavioral symptoms.
For more information, connect with the Alzheimer’s Foundation of America’s licensed social workers. Click here or call 866.AFA.8484. Real People. Real Care.
