Clients with dementia may show responsive behaviours — agitation, wandering, calling out, or resistance to care. These are forms of communication, not "bad behaviour," and how you respond is heavily tested.
Behaviours Have Meaning
A responsive behaviour is usually the client trying to express an unmet need — pain, hunger, fear, boredom, or needing the toilet. Your job is to look for the cause, not just the behaviour.
Common Triggers
- Pain or discomfort
- Too much noise or activity
- Being rushed or startled
- Unfamiliar people or surroundings
De-escalation Techniques
- Stay calm and keep your voice gentle.
- Approach from the front, at eye level.
- Use simple, short sentences.
- Validate feelings — "You seem worried, I'm here to help."
- Redirect to a calm activity instead of arguing.
- Give the person space and time.
What Not to Do
Don't argue, correct, or quiz the person. Don't rush or restrain them. Arguing about reality only increases distress — meet them where they are.
🔑 Key Takeaways
- Responsive behaviours are communication of an unmet need.
- Look for triggers: pain, noise, fear, toileting.
- Stay calm, validate, redirect — never argue.
- Never rush or restrain; give space and time.