Common Causes of Aggressive Behavior in People with Dementia

Aging Life Network pic
Aging Life Network
Image: aginglifenetwork.com

A Certified Financial Planner, Nancy Oriola serves as chief executive officer of Aging Life Network, a network of professionals that helps seniors and their families navigate the health care system to get the assistance they need. Through this network, Nancy Oriola provides resources to address healthcare issues and concerns, including behavioral changes resulting from dementia.

Aggressive behaviors such as verbal threats and abuse, damaging property, and physical violence are likely to occur in people with dementia. Sometimes, aggression can happen due to neurological changes or environmental factors that act as triggers. Health issues including physical pain, illness, impaired vision or hearing, side effects of medication, sleep deprivation, and fatigue, also can result in aggressive behavior.

A sense of fear or failure may precipitate a feeling of agitation for those unable to manage normal tasks. People with dementia also can resort to aggressive behavior as a defense mechanism when they fail to recognize people or understand what is going on around them.

Difference between Dementia and Mild Cognitive Impairment

Mild Cognitive Impairment pic
Mild Cognitive Impairment
Image: alz.org

Nancy Oriola is the CEO of Aging Life Network where she launches resources for families caring for aging loved ones. As an elder care professional, one of the most common questions Nancy Oriola is asked is the difference between mild cognitive impairment (MCI) and dementia.

Dementia is a syndrome characterized by impairments in a person’s cognitive skills such as memory and thinking, and functioning skills such as eating, walking, and dressing up. It is also associated with mood and behavioral changes. Dementia is caused by the gradual death of brain cells in important areas of the brain. Because of its cognitive and functional effects, some of the symptoms of dementia include speech problems, memory loss, disorientation, thinking difficulties, and personality changes. There are many different types of dementia, with Alzheimer’s being the most common.

MCI is not dementia. MCI is a syndrome characterized by a noticeable decrease in cognitive functioning. The decrease, however, is not significant enough to interfere with normal life activities. While dementia affects cognition, behavior, and functionality, MCI only affects cognition. A person with MCI can perform normal activities such as eating and walking. However, research has found that people with MCI are at an increased risk of developing dementia.

Is It Dementia or Mild Cognitive Impairment?

 

Aging Life Network pic
Aging Life Network
Image: aginglifenetwork.com

With experience in financial planning, business, and social work, Nancy Oriola is the president and CEO of the Aging Life Network, which helps families navigate the care needs of their loved ones as they age. As part of her role, Nancy Oriola helps educate families on the unique challenges of aging, such as understanding the difference between dementia and mild cognitive impairment.

Dementia generally refers to cognitive impairments that cause significant difficulties in one’s everyday life. Alzheimer’s disease accounts for up to 80 percent of cases of dementia, but it could also refer to rarer forms like Parkinson’s disease. These more serious disorders tend to get progressively worse over time.

Mild cognitive impairment (MCI) indicates that there are issues with memory, communication, and other brain functions, but it does not necessarily indicate early signs of a more serious disorder. It does increase the person’s risk of progressing to other disorders, but in some cases, diet and lifestyle changes can slow or reverse MCI.

In some cases, MCI is caused by a vitamin or mineral deficiency, depression, or an underactive thyroid. These can be treated medically when the problem is properly diagnosed. A healthy diet including plenty of plant foods, especially dark leafy greens and berries, and limiting saturated fats and meats has been shown to help some people slow cognitive decline. Exercise, which means 30 to 60 minutes of activity that breaks a sweat three to five times a week, can also help support the heart as well as the brain.

Selecting a Fiduciary as Part of an Elder Care Plan

 Fiduciary pic
Fiduciary
Image: investopedia.com

As the CEO and founder of Decades, LLC, an elder care service provider in New Mexico, Nancy Oriola and her team provide personalized financial plans for older individuals and their families. Leveraging over three decades of experience in comprehensive senior care, Nancy Oriola may oversee the management of her clients’ personal financial affairs as an appointed professional fiduciary.

There are a number of reasons why a fiduciary may be appointed. Elderly people who are unable to manage their own financial matters may not be able to pass this responsibility on to their family members due to distance or strained relationships. In these cases a professional fiduciary may be given power of attorney over a senior’s financial decisions. Professional fiduciaries often have backgrounds in law, financial planning, or accounting.

Ideally, a relationship with a trusted professional would be initiated by the individual before he/she becomes incapacitated. However, family members can also appoint objective fiduciaries to avoid potential conflicts within the family. Once awarded authority, a fiduciary is responsible for a number of activities, including paying bills on the client’s behalf and overseeing the execution of his/her will. Since they exert a considerable amount of control over a client’s finances, it is crucial that family members and fiduciaries have a relationship built upon trust and respect.

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