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Agitation Print E-mail

 


If your relative is in a nursing home and you’re receiving updates from the medical staff that they are very agitated, try to find out why.  Agitation is usually a sign of something and if your loved-one is unable to speak coherently, you may have to be the one to try and find the cause of their distress.

 

Is your relative able to walk or wheel themselves to different areas of the nursing home during the day?  Are they able to interact with other residents and staff members?  Are they included in the daily activities?  Sometimes agitation can be a sign of boredom.  Even someone who is losing their cognitive abilities needs to be stimulated.  In fact, it continues to be important for them to remain engaged.  They need a change of scene and even if they are unable to vocalize their wants and needs, they should be invited to participate in activities, enjoy the company of others or just look at different scenery. 

 

Being confided to bed 24/7 is another cause for agitation.  Along with remaining in the same space all day, every day, lying in bed all the time puts your loved-one at a higher risk for pressure sores.  Check to see if your relative has their position changed regularly. If there’s cause for concern regarding pressure sores then they should be moved every 4 hours day and night.  Pain is definitely a cause for agitation especially in someone unable to articulate their wants and needs.  If the nursing staff is reporting that your relative is lashing out at them when they are being fed or changed, ask whether there is a daily check for pressure sores. 

 

 If your loved-one is unable to move from their room, is the scenery in their room changed?  Are the curtains opened and closed so that they can see outside, is their bed closer to the window so that they can see birds, trees, people walking by?  Can the window be opened, even slightly so that they can feel the breeze?  If they cannot see different sights, can they listen to their favourite music?

 

Visitors can bring a sense of change with them.  Having someone to interact with can brighten a person’s day, stimulate them and get rid of the feeling of the need to move.  Have you ever had a time in your life when you were in bed for several days while you recuperated from an illness?  Most people, after remaining in one place for several days, feel the need to move or have a change of scenery.  Try to imagine what it is like for your loved-one and encourage their friends and other family members to drop in for a visit. 

In nice weather, visitors may be able to take your loved-one for a stroll outside for a change in scenery.  Looking at pictures or listening to music can bring a sense of calm to an agitated individual. 

 

There may not be just one cause for agitation but agitation is a sign that something needs to be addressed.  It might take a bit of investigation on your part but it’s worth the effort if it creates peace for your relative and makes life easier for the nursing staff.  In turn, you will feel better knowing that steps have been taken to alleviate a situation that would probably become worse without your intervention.