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Agitation: When Seniors Feel Restless and Upset

Agitation is when someone feels restless, worried, or upset. It’s like having a storm inside that makes you feel uneasy and sometimes act out. In senior living settings, like assisted living or nursing homes, agitation can be a common problem. It can make it hard for seniors to relax and enjoy their day.   

What Agitation Looks Like:

Agitation can show up in different ways. Some seniors might:   

  • Pace or fidget.
  • Talk loudly or repeat themselves.
  • Get easily upset or angry.
  • Have trouble sleeping.
  • Resist care or become uncooperative.

Why Agitation Happens:

Many things can cause agitation in seniors. Some common reasons include:   

  • Medical Issues: Pain, infections, or side effects from medicine.
  • Dementia: Changes in the brain can cause confusion and agitation.   
  • Changes in Environment: Moving to a new place or changes in routine.   
  • Feeling Lonely or Bored: Not having enough social interaction or activities.
  • Feeling Overwhelmed: Too much noise or activity.

How to Help Seniors with Agitation:

Helping seniors with agitation takes patience and understanding. Here are some things that can help:

  • Find the Cause: Try to figure out what’s causing the agitation.
  • Create a Calm Environment: Reduce noise and clutter.
  • Stick to a Routine: Keep daily activities consistent.   
  • Provide Comfort: Offer reassurance and gentle touch.   
  • Offer Activities: Engage seniors in activities they enjoy.
  • Talk to a Doctor: If agitation is severe or persistent, talk to a doctor.

The Misconception: Agitation is Just “Being Difficult” and “Only Happens When Someone is Angry.”

Agitation is Like “A Language of Unmet Needs” – It’s About Seniors Communicating Distress When Words Fail, Not Just Acting Out, and It’s About Recognizing That Agitation Often Signals Underlying Physical or Emotional Discomfort, Not Just a Bad Mood!

Here’s how we break it down:

  • The Common Misunderstanding:
    • People often see agitation as just bad behavior or anger.
  • The Real Story: A Language of Unmet Needs
    • Think of agitation as a way to:
      • Communicate distress: Seniors might use agitation to show they are in pain, confused, or scared.
      • Signal unmet needs: They might be hungry, thirsty, tired, or need to use the bathroom.
      • Show emotional discomfort: They might be feeling lonely, anxious, or overwhelmed.
      • It is about the communication of needs, not just bad behavior.
      • It is about discomfort, not just anger.
      • It is about the body and mind talking, and not just the person.
  • Why This is Powerful:
    • It changes the idea from “bad behavior” to “communication.”
    • It shows that agitation is often a sign of something else.
    • It helps people see the importance of understanding and responding to the underlying needs.
  • The “Get it Wrong” Factor:
    • People think it’s just being difficult, but it’s often a sign of distress.
    • They think it’s only anger, but it can be many different feelings.
    • They think it is only about behavior, and not about underlying needs.

Agitation in Senior Living:

In senior living places, staff are trained to help seniors with agitation. They work to create a calm and supportive environment. They also work with doctors to address any medical issues that might be causing agitation.   

Resources:

  1. National Institute on Aging (NIA):
  2. Alzheimer’s Association:
  3. AARP (American Association of Retired Persons):
    • Provides information on caregiving and managing challenging behaviors in older adults.
    • Link: https://www.aarp.org/
  4. Centers for Disease Control and Prevention (CDC):
  5. Your Local Area Agency on Aging (AAA):
    • They can provide local resources, and information regarding local programs to help with agitation related issues.
    • Use the Eldercare Locator to find your local AAA.
    • Link: https://eldercare.acl.gov/
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