Understanding Resistance to Care

Resistance to care is a common challenge in dementia care. Individuals with dementia may exhibit resistance for various reasons, and understanding these reasons is crucial for providing effective and compassionate care. Here are some common causes of resistance to care in dementia:

1. Loss of Autonomy: Dementia often results in a gradual loss of independence and autonomy. When individuals feel that their control over their own lives is diminishing, they may resist care as a way of asserting some form of control.
2. Communication Difficulties: People with dementia may experience difficulties in expressing themselves or understanding others. Miscommunication can lead to frustration and resistance to care.
3. Sensory Impairments: Individuals with dementia may have sensory impairments, such as vision or hearing loss. Unfamiliar or uncomfortable sensations during care activities can trigger resistance.
4. Fear and Anxiety: The unfamiliar environment of care facilities, the presence of strangers, or the perception of threat can cause fear and anxiety, leading to resistance.
5. Physical Discomfort: Pain or physical discomfort, whether related to the underlying medical condition or other issues (e.g., arthritis), can make individuals resistant to certain care activities.
6. Unawareness of Need for Care: Lack of insight into one’s condition iscommon in dementia. The person may not recognize the need for assistance, leading to resistance.
7. Routine Disruption: Changes in routine can be unsettling for individuals with dementia. Care activities that disrupt established routines may be met with resistance.
8. Lack of Understanding: Individuals with dementia may not understand the purpose of certain care tasks. Explaining procedures in a clear and simple manner can sometimes help alleviate resistance.
9. Environmental Factors: The physical environment can contribute to resistance. Loud noises, bright lights, or uncomfortable room temperatures may create stress and resistance to care.

Strategies to address resistance to care in dementia include:

1. Approach with Empathy: Show understanding and empathy towards the individual’s feelings and perspectives.
2. Establish Routine: Establishing a consistent routine can provide a sense of predictability and comfort.
3. Use Positive Reinforcement: Reinforce positive behavior and provide praise to encourage cooperation.
4. Simplify Communication: Use clear, simple language and non-verbal cues to enhance communication.
5. Respect Autonomy: Allow the person to maintain a sense of control and independence whenever possible.
6. Modify the Environment: Ensure the physical environment is comfortable and minimizes potential stressors.
7. Provide Choices: Offer choices when possible to give the individual a sense of control over their care.
8. Address Pain and Discomfort: Regularly assess and address any physical discomfort or pain the person may be experiencing.

Remember, each individual with dementia is unique, and a personalized approach is essential. Consulting with dementia professionals, like those at Town Square Sandy Springs, can provide further guidance in managing resistance to care. Book a care consultation with us today!