Case Study on a Client with Verbal Aggression Brought on by Dementia

I noticed that Mrs. Lewis who was quiet when we entered her room upon seeing me approach her bed started to groan loudly and turn her head from side to side (this made me feel worried as it was obvious to me that she didn’t like me). The patient was also licking her lips and coughing up mucus and she appeared to me as if she were choking. My mentor informed me that this was normal for Mrs. Lewis but it added to my anxiety as I had not seen a patient in Mrs. Lewis’ condition before and it alarmed me.

A lot of aggression is created by anxiety, regularly in light of the fact that individuals feel powerless and out of control. Aggression here and there results from frustration. To overcome defusing aggression as a barrier of communication, health and social care expert ought to stay calm and breath typically at all times, this will demonstrate that they are not going to become aggressive. Another methodologies is, health and social care expert ought to utilize listening skills to demonstrate that they are using so as to consider the other individual important non-verbal aptitudes to convey regard. In particular, as a care worker they ought to dependably attempt to meet the other individual's self-regard needs, this is by attempting to make

The research illustrates the sociological imagination by understanding how to examine causes that predict signs of aggression in patients with dementia. The study of a group of patients with dementia by reviewing factors that signal aggression and develop a plan of action to prevent aggression and without the use of medications. Those suffering from dementia can exhibit aggressive behavior and pose challenges for caregivers. The study consisted of a hundred seventy one Veterans sixty years of age or older with a newly diagnosis of dementia. Those participating had not displayed any aggression following the diagnosis and the caregivers would take part in the study. The longitudinal study time frame was twenty four months and the data was

Val who is going through a messy divorce and bankruptcy seems to be carrying a lot of emotional stress and frustration which is clearly seen in her constant mood swings and quick temper. Since Jess is a vulnerable 30 year old man with learning difficulties, he seeks support from Val to help him with his basic needs on a day to day basis. However Val seemed to be out of control when Jess started crying and therefore tried to re-gain control over the situation by acting out with

In health and social care settings, aggression could often be the result of fear, frustration or stress; consequently resulting in barriers to effective communication. Therefore care practitioners should device strategies to overcome this barrier by dealing with aggressive behaviour appropriately. For example:

The female placed the vehicle in gear and moved the vehicle forward and parked. The female exited her vehicle and proceeded to walk back toward the male and Stamets. Stamets instructed her to stay up with her vehicle while he spoke to the male. While the female stood outside of the vehicle she displayed exaggerated reflexes bouncing her legs and body, and continuously moved around pacing back and forth from her vehicle towards Stamets. She was irritable, anxious, and talkative, appeared to be talking to herself.

Within four weeks of fieldwork, occupational therapy students got to know most of the residents at Ruth’s House (dementia unit). The residents have various medical conditions that limit their physical and mental capabilities. Anita, one of the residents in the facility exhibited a range of physical, cognitive, and behavioral symptoms. Based on direct observation, Anita demonstrated fluctuating alertness periods. With no evident trigger, Anita had multiple acute episodes of confusion, irritability, and agitation. In a several group sessions, she was restless and was very difficult to redirect. She kept standing up despite being told to take a seat so she does not fall. She was verbally disorganized. In addition, during the 2-week fieldwork,

The patient claimed that she had mild depression before her visit. She said that she felt like her job was unfulfilling and that she was disappointed that she did not have a partner. Once she came and sat down with Dr. Santos, she would talk for about ten minutes and then interrupt herself by apologizing saying that the doctor was ‘bored or had better things to do than listen to her’. She told her that was not the case and to keep going. She interrupted herself again three times during her session. Dr. Santos payed an appropriate amount of attention to Mallory. She was careful with her body language, eye contact, and made sure to make Mallory feel that she was interested in what she was

Frank calls his daughter on his cell phone stating that his wife gets upset when she sees phone numbers from his children on the landline caller ID. Frank is an 81-year-old widower who remarried 12 years ago. In the sixth year of marriage, Frank needed open-heart and bypass surgery, was diagnosed with spinal stenosis, peripheral neuropathy, and has pain that is difficult to manage. During this time, Frank’s personality changed insidiously from a lively conversationalist with many interests, to a somewhat solemn recluse with limited direct contact with his children and friends. Was this due to his change in health or due to the change in the dynamic of his marriage from husband and wife to elder patient and caregiver? Frank’s daughter is extremely upset by this phone call. Frank makes excuses for his wife’s behaviour, such as, “She is cranky because she doesn’t eat breakfast” or “I’m such a burden.” The daughter realizes that immediate action needs to be taken before the situation gets worse.

The need to engage in repetitive behavior to calm the client was evident when she described how she

Betty Jo reluctantly made the decision to move to an assisted living community, due to high pressure from her healthcare providers and family. She is an 85 years old and a widow of 3 years from her beloved husband of over 50 years. Her husband made sure his financial affairs were in order before his death, and thus managed to provide financial comfort and security for Betty Jo. She has two children, both live out of state. Her daughter Karen, has two adolescent children, and visits her mother once a month. Her son, Adam, is a recovering alcoholic who has trouble keeping a job and frequently seeks financial assistance from his mother, yet rarely visits her at Sunrise Pines. Betty Jo often has to sit down for a minute, due to “dizzy” spells and becomes fatigued at a greater frequency than she did before her husband passed away. Her decision to move came after falling twice in her home, upon having hip replacement surgery. She had trouble keeping her physical therapy appointments, and managing her pain medication. Prior to her move, Betty Jo was active in her church and in the Red Hat Society. Now that she is living in Sunrise Pines, she has become more withdrawn and rarely eats her meals in the main dining area. When she does participate in social activities, she acts out and becomes hostile with her fellow residents. The community director received word that she is refusing to take her antidepressant and blood pressure medication. The director reached out to the local

She reports that she often has mood swings and bouts of anger at times because of her birth control implant. Jane reports that when she gets upset she reacts by slamming doors, screaming, and/or arguing with her husband John. Jane’s husband and her mother do not feel there is a concern regarding Jane’s recent suicide attempt, mood swings, and bouts of anger. They feel as though she just had a melt down and will be fine in the future.

Jane is a victim of a nervous disorder of the brain called hysteria. She is aware that she suffers from a series of mental and physical disturbances. She says that she has a " temporary nervous depression: -- a slight hysterical tendency- what is one to do?"(2).

For the majority of the session, the clients’ posture remained the same; both sat upright with both feet on the floor. At one point in the session, Sue asks the wife, Leslie, how she felt about a particular situation in which her husband, Scott, was angry and Leslie responded that his anger at times made her feel unsafe. Upon hearing this revelation, Scott inhaled deeply indicating some level of discomfort. Scott could also be seen crossing his arms during periods of conversation about his anger turning him into a “monster”. Leslie could be seen crossing her arms and staring at the floor while discussing the same subject matter.

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.