Understanding Behavioral Changes: How to Approach Shifts in Focus, Mood, and Actions

As individuals age, especially those with cognitive or physical challenges, it’s not uncommon for caregivers to witness various changes in their loved ones' behaviors and abilities. These shifts can range from subtle changes in attention to more noticeable signs of distress or agitation. Understanding these behavioral changes is crucial for providing compassionate, respectful care. Here's a look at some of the common changes you may observe and how to approach them.

1. Changes in Ability to Focus (Attention or Concentration)

It's natural for focus and concentration to fluctuate as people age, but significant changes can indicate underlying health concerns. If a person is unable to maintain attention during conversations, struggle with following instructions, or often forget where they left items, it may signal that they need support. Offering gentle reminders, breaking tasks into smaller steps, and reducing distractions can help them stay focused without feeling overwhelmed.

2. Changes in Level of Alertness

Fluctuating alertness can be concerning. A person may seem overly sleepy during the day or unusually restless at night. This could be a result of health issues, medication side effects, or disrupted sleep patterns. It's important to ensure they are in a comfortable, safe environment, adjust their routines to include relaxation time, and consult a healthcare provider if necessary.

3. Emotional or Physical Agitation

At times, a person may exhibit signs of agitation, such as restlessness, fidgeting, or even anger. This can be due to a range of factors, including discomfort, frustration, or a feeling of loss of control. Providing a calm and reassuring presence, identifying the cause of the agitation, and offering comfort through touch or words of encouragement can help alleviate this distress.

4. Changes in Mood

Mood swings, ranging from periods of sadness to moments of heightened happiness, can be signs of underlying emotional challenges. While these changes are sometimes linked to depression or anxiety, they can also reflect a person’s response to their evolving physical or mental state. Being patient and attentive, while validating their feelings, can go a long way in maintaining a positive relationship.

5. Hallucinations

Hallucinations, whether visual, auditory, or tactile, can be unsettling. A person may see things that aren’t there or hear voices. It’s important to approach them calmly without reinforcing the hallucinations. Instead, reassure them with comfort and try to redirect their attention to something real or familiar. If hallucinations persist, it’s essential to consult with a doctor to rule out medical conditions or adjust any medications that may be contributing to the experience.

6. Delusions

Delusions are false beliefs, such as thinking someone is stealing from them or that they are in danger. Like hallucinations, delusions can be distressing for the person experiencing them. It’s vital to stay calm and avoid confronting the delusion directly. Offering reassurance and redirecting to a familiar activity or memory can help alleviate anxiety. In some cases, professional guidance may be necessary to manage these feelings.

7. Suspicion of Others

Suspicion can occur when a person feels that others are acting in ways that threaten their security or well-being. This might involve thinking that caregivers, family members, or friends have ill intentions. Maintaining a gentle, non-confrontational demeanor and ensuring they feel safe and cared for can reduce their sense of suspicion.

8. Withdrawal from Others

Social withdrawal can occur as a person begins to feel isolated or disconnected from their environment. This may be due to a lack of energy, communication barriers, or fear of being misunderstood. Encourage social interactions at their own pace, be patient, and show empathy for their need for space, all while ensuring they know they are supported and loved.

9. Groaning or Calling Out

Sometimes a person may groan or call out, especially if they are in pain, frustrated, or confused. It’s important to rule out physical discomfort and provide reassurance. Offering a calming presence, addressing any immediate needs, and ensuring they’re comfortable can reduce these outbursts. If the groaning continues, a medical evaluation may be necessary to determine the cause.

10. Making Faces (e.g., Grimacing)

Facial expressions such as grimacing may indicate discomfort, frustration, or confusion. It’s crucial to consider the context—are they in pain? Are they feeling anxious? Responding with kindness and care, offering physical or emotional comfort, can help alleviate distress.

11. Striking Out or Other Signs of Distress

Aggressive behaviors, such as striking out, can happen when a person feels threatened, confused, or frustrated. These behaviors are not always intentional and should be met with compassion, not punishment. Provide a safe, calm environment and avoid physical confrontation. Speak gently, and offer reassurance that they are not in danger.

12. Wandering

Wandering, especially during the night, can be a sign of disorientation or a need for physical activity. To manage wandering, ensure that the environment is safe and secure. You might also consider providing familiar objects or comforting routines to help the person feel grounded and prevent further confusion.

13. Pacing

Pacing can be a physical manifestation of restlessness or anxiety. While it can be exhausting to keep up with a person pacing, it may provide them with a sense of comfort or help release built-up tension. Encourage relaxation through calming activities and ensure they have a safe area to walk around.

14. Rocking

Rocking can be a soothing behavior for some individuals who are feeling anxious, upset, or overwhelmed. While it may be a way for them to self-soothe, it’s important to ensure they are not engaging in this behavior due to pain or discomfort. Providing a safe space, with reassurance and gentle support, can help them feel more at ease.

In Conclusion

Behavioral changes, whether mild or severe, can be challenging for both the individual experiencing them and their caregivers. Patience, empathy, and understanding are key in responding to these shifts. When in doubt, always consult a healthcare provider to address any underlying issues and ensure the person’s well-being.

Providing compassionate care is about recognizing and addressing these behavioral changes with respect and dignity. Remember, you are not alone in this journey—there are support systems and resources available to help guide you through these changes with confidence and love.

At Geriatric Care Solutions, we are committed to offering tailored in-home care that addresses these challenges effectively. If you suspect that your loved one is struggling with judgment-related issues, don’t hesitate to reach out for support. Contact us at 1-888-896-8275 or email ask@gcsolution.com for a consultation.