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The comprehensive assessments undertaken thus far will give you a greater insight into the reality of the person with behaviours of concern. From this perspective you will be able to identify their current physiological and emotional needs, and match interventions accordingly. Monitoring and evaluating the impact of an intervention is anintegral part of the process.

Physiological & emotional needs

Physiological needs affect emotional states, and will frequently present as behaviours of concern.

Assess and address the physical needs with the guidelines in the assessment section.If behaviours persist, the emotional needs of the person with dementia will need to be addressed with psychosocial strategies to improve the wellbeing of the person.

 

emotions-table

Emotions drive all behaviour and all behaviours have an underpinning emotional state. If you can identify the underpinning emotional state that corresponds to the specific behaviour, you can target care interventions to meet the emotional needs accordingly.

 

Important considerations

  • Choose approaches that best meet identified unmet physiological and emotional needs
  • Monitoring and evaluating the impact of an intervention is an integral part of the process
  • Pharmacological and psychosocial interventions may be used independently or in combination
  • Strategies that take the person with dementia’s personal life history into account will have the greatest chance of success
  • Management strategies can only partially compensate for the progressive brain changes in dementia. Set realistic expectations
  • Interventions should focus on maximising well-being and minimising ill-being.

 

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