Is it possible to change my grandmother's behavior through behavioral therapy?

Well, yes and no. Yes but if these are just how she has always been then it is going to be disrespectful to take those habits away from her. Some behavioral methods to extinguish a behavior are to ignore bad behavior and reward good behavior. Inappropriate behaviors are very common in dementia and impose an enormous toll both emotionally and financially. Three main psychosocial theoretical models have generally been utilized to explain inappropriate behaviors in dementia: the “unmet needs” model, a behavioral/learning model, and an environmental vulnerability/reduced stress-threshold model. A literature search yielded 83 nonpharma- cological intervention studies, which utilized the following categories of interventions: sensory, social contact (real or simulated), behavior therapy, staff training, structured activities, environmental interventions, medical/nursing care interventions, and combination therapies. The majority are reported to have a positive, albeit not always significant, impact. Better matching of the available interventions to patients’ needs and capabilities may result in greater benefits to patients and their caregivers.But fighting with her is not recommended. In appropriate behaviors can weigh a hard emotional toll on family and caregivers that come in to home or at an eldercare home may be better able to tolerate these things. However if you realize she isn't really bad enough to need higher level of care yet her behaviors might not seem that bad anymore.

It may be odd behaviors which are signs of the beginnings of dementia from Alzheimer's or other problems of general cognitive decline. Often the odd behaviors or problem behaviora become more present when their environment or other stable situation changes and they begin behaviors which calm themselves. Perhaps moving (the most common environmental change that stimulates dementia behavior problems) was too much for her. Unfortunately cognitive function is likely to not become repaired, but more likely to stay the same or further decline. That's when truly disruptive or dangerous behaviors are enough of a risk for her that she needs a higher level of care. Like with nurses or other caregivers 24/7.

Disruptive actions are common among patients with dementia and are the primary reason for up to 50% of nursing home admissions. Disruptive actions include wandering, restlessness, yelling, throwing, hitting, refusing meds, incessantly questioning, disrupting other people's tasks, insomnia, and crying Deciding what actions constitute a behavioral symptom is highly subjective. Tolerability (what actions caregivers can tolerate) depends partly on the the living arrangements, particularly safety. For example, wandering may be tolerable if she lives in a safe environment (with locks and alarms on all doors and gates); Many behaviorS happen sundowning (exacerbation of disruptive behaviors at sundown or early evening) In nursing homes, 12 to 14% of patients with dementia act disruptively more often during the evening than during the day.hat constitutes disruptive behavior is subjective and variable, yet behavioral disturbances are the reason for up to 50% of nursing home admissions. Like I said, Behavior often deteriorates when patients are moved from their familiar home environment. Behavioral disturbances may be triggered by a physical problem that the patient cannot comminicate. Recognize signs of depression, such as abrupt changes in cognition, decreased appetite, deterioration in mood, a change in sleep pattern (often hypersomnolence), withdrawal, decreased activity level, crying spells, talk of death and dying, and sudden development of irritability or psychosis.

/r/gerontology Thread