Beyond P.I.E.C.E.S. and GPA: The Meaning of Behaviours in Persons with Dementia (PwD)

On May 22nd, 2019, I will be presenting in Fergus, ON, Canada. You can purchase tickets to attend at: https://www.eventbrite.ca/e/beyond-pieces-and-gpa-the-meaning-of-behaviours-in-persons-with-dementia-tickets-50275908596?aff=ebdssbdestsearch During this presentation, I will talk about how dementia can impair the different circuit systems of the brain, and how these impairments can translate into the behaviours we see from PwD. I will discuss 12…

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11. Physically Aggressive Behaviors

Category 11 out of 12 Theoretical Construct: Theories in Compliance and Aggression Associated Category/Categories: Oppositional Behaviors Symptoms Pulling, pushing, grabbing. Kicking, biting, scratching, punching. Spitting, throwing things, breaking objects. Self-abuse / mutilation. Purpose of the Behavior Demonstrates presence of physiological, security or belongingness need that needs to be fulfilled. Demonstrates blocked goal attainment, which leads to negative emotions of anger…

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10. Oppositional Behaviors

Category 10 out of 12 Theoretical Construct: Theories in Compliance and Aggression Associated Category/Categories: Physically Aggressive Behaviors Symptoms Negotiation: Observed in early stages of impairment with high intellectual function. Person negotiates around care and other needs. Passive non-compliance: Observed in early stages of impairment with lower intellectual function. Person is evasive to commands. Simple non-compliance: Observed in moderate stages…

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Chapter 7: Theories in Compliance and Aggression

This chapter is focused on the fourth and final identified theoretical construct for behaviors: Theories in Compliance and Aggression (TCA). Behavioral categories emanating from TCA are the result of an imbalance in our emotional regulation and expression, to the point where expressions of non-compliance and aggression manifest. Such impairments can be a consequence of dysregulation of normal physiology or structural decline,…

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9. Vocal Behaviors

Category 9 out of 12 Theoretical Construct: Theories in Regulation of Emotion Associated Category/Categories: Emotional Behaviors, Fretful / Trepidated Behaviors Symptoms Argumentative, explosive, quarrelsome. Talking loud / fast, acting manic-like. Whimpering, moaning, making strange noises. Yelling, screaming. Persistent calling out for staff / family members. Rattling bed rails, banging table tops. Purpose of the Behavior Demonstrates cognitive impairment affecting emotional…

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