Aggressive & Combative

The 38 sources listed below are individually rated by how they can help caregivers better understand and deal with aggressive & combative behaviors in people with Alzheimer's disease or dementia.

Sources are ranked from highest to lowest.
ALZSmart Score™ - Extraordinary90%

UCLA Alzheimer's and Dementia Program

Linda Ercoli, PhD

Geo Location: All

ALZSmart Review™ - Summary of Contents

[Video 55:21]  In this nearly hour long video, UCLA psychologist Linda Ercoli gives caregivers a frank discussion on aggressive behavior in people with dementia.  She includes a PointPoint presentation in the background with a lot of statistical data.  There's also lengthy discusses on techniques to manage aggression.
Aggressive Behavior in People with Dementia
ALZSmart Score™ - Extraordinary90%

Coping With Behavior Change in Dementia: A Family Caregiver's Guide

Beth Spencer and Laurie White

Pages 18-24

Geo Location: All

ALZSmart Review™ - Summary of Contents

Provides 11 bullet points examining possible physical, medical, and emotional causes of anxiety, agitation, anger, and aggression; followed by 9 strategies to try to reduce behaviors.  5 environmental causes and strategies.  There are also many communication strategies; plus staying safe.
Coping With Behavior Change in Dementia:  A Family Caregiver's Guide
ALZSmart Score™ - Excellent85%

Alzheimer's Society

Geo Location: All (UK)

ALZSmart Review™ - Summary of Contents

This is part 1 of a 6 part series:  1) Aggression and dementia, 2) What causes aggressive behaviour?, 3) Responding to aggressive behaviour, 4) Preventing and managing aggressive behaviour, 5) Aggression and looking after yourself, and 6) UK resources.
Aggression and dementia
ALZSmart Score™ - Excellent85%

A Caregiver's Guide to Dementia

Laura N. Gitlin, PhD and Catherine Verrier Piersol, PhD, OTR/L

Pages 84-87

Geo Location: All

ALZSmart Review™ - Summary of Contents

There are 14 bullet points on common triggers of combative behavior.  There are 36 bullet points on strategies to minimize combative behaviors.  These strategies are broken down into environment, prevention, establishing a routine, keeping frustration from getting out of hand, and when angry outbursts are over.
A Caregiver's Guide to Dementia
ALZSmart Score™ - Excellent85%

Dementia Care Notes

Geo Location: All (IN)

ALZSmart Review™ - Summary of Contents

Extensive, well organized, and well researched article on handling behavior challenges.
Handling Behavior Challenges
ALZSmart Score™ - Excellent85%

The Dementia Caregiver

Marc E. Agronin, MD

Pages 153-171

Geo Location: All

ALZSmart Review™ - Summary of Contents

Written from the view point of a geriatic psychiatrist.  Begins by defining agitation and psychosis.  Has 7 bullet points on how caregivers can deal with these behaviors.  Next, are 8 recommendations for applying behavioral approaches.  Then there is a section on using mediations. This chapter uses 8 examples to additional illustrate this issues at hand.
The Dementia Caregiver
ALZSmart Score™ - Excellent80%

Crisis Prevention Institute

Kim Warchol, Pres. & Founder of Dementia Care Specialists

Geo Location: All

ALZSmart Review™ - Summary of Contents

Focuses of shifting the dementia care paradigm from drug to human intervention by employs the DRNO protocol:  1) Describe the behavior expression, 2) Uncover the Reason, 3) Identify appropriate Non-pharmacologic intervention(s), and 4) Observe outcomes of chosen intervention(s).  Follows up with a case study.
How to Manage Combative Alzheimer's Behavior Without Drugs
ALZSmart Score™ - Very Good75%

WebMD

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with 5 bullet points on keeping safe.  That's followed by 20 questions that may help find emotional triggers and possible causes.  Finally, there are 17 tips that offer different ways to keep your loved one calm.
Alzheimer’s Disease and Aggression
ALZSmart Score™ - Very Good75%

The Alzheimer's Disease Caregiver's Handbook

Sally Willard Burbank, MD

Pages 196-206

Geo Location: All

ALZSmart Review™ - Summary of Contents

Describes what to expect at different stages.  Explores 11 triggers.  Has 24 tips for reducing aggressive behavior.  Ends with section on medications for aggressive behavior.
The Alzheimer's Disease Caregiver's Handbook
ALZSmart Score™ - Very Good75%

A Place For Mom

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

Provides a lot of context on what's behind aggressive behavior.  Eleven bullet points detailing techniques and strategies to manage aggression.
Alzheimer's Aggression
ALZSmart Score™ - Very Good70%

Surviving Alzheimer's (2nd Edition)

Paula Spencer Scott

Pages 167-172

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with an example to illustrate aggressive behavior.  Describes possible causes using 6 'why' factors.  The 'try' section includes 7 bullet points to use in the moment.  Then there are 10 tips and coping suggestions.
Surviving Alzheimer's (2nd Edition)
ALZSmart Score™ - Good65%

UCLA Alzheimer's and Dementia Program

Paola Suarez, PhD

Geo Location: All

ALZSmart Review™ - Summary of Contents

[Video 4:43]  Scenario-based video that shows mean and aggressive behavior towards a caregiver.  The video has four parts:  common response, expert explanation, recommended reponse, plus 6-8 tips for dealing with aggression.
Aggressive Language and Behaviors
ALZSmart Score™ - Good65%

National Caregivers Library

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

This article begins by discussing how aggressive behavior adds to the burden of the caregiver.  Next, it examines questions that a doctor may ask related observation and diagnosis.  Then discusses treatment and management options, as well as 8 suggestions for coping with agressive behavior.
Dealing With Aggressive Behavior
ALZSmart Score™ - Good65%

VeryWell Health

Esther Heerema, MSW

Geo Location: All

ALZSmart Review™ - Summary of Contents

Helps you understand the causes by viewing three scenarios through the eyes of someone living with dementia.  Follows up with 9 bullet points aimed at reducing combative behavior.
How to Respond to Combative Behavior In Dementia
ALZSmart Score™ - Good65%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

TEST CONTENTS --- TEST CONTENTS --- TEST CONTENTS
What To Do When Someone With Dementia Lashes Out Physically
ALZSmart Score™ - Good65%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

Explains why a person with dementia may become angry because their world is becoming more confusing and difficult to navigate.  9 bullet points show ways to reduce anger in dementia.
9 Ways to Reduce Anger in Dementia
ALZSmart Score™ - Good65%

Thoughtful Dementia Care: Understanding the Dementia Experience

Jennifer Ghent-Fuller

Pages 103-108

Geo Location: All

ALZSmart Review™ - Summary of Contents

Uses examples of anger, aggression, and combativeness to describe catastrophic reactions.  Highlights context and perspective to gain insights on causes.  Focuses on triggers to manage aggressive behaviors.
Thoughtful Dementia Care:  Understanding the Dementia Experience
ALZSmart Score™ - Good65%

When Reasoning No Longer Works (2nd Edition)

Angel Smits

Pages 88-91

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with a discussion on if you should stay with them or leave the room.  Lists 24 guidelines to calm and neutralize the situation.  Ends with thoughts on how to learn from these situations to reduce them in the future.
When Reasoning No Longer Works (2nd Edition)
ALZSmart Score™ - Good65%

Alzheimer's Basic Caregiving: An ABC Guide

Kathy Laurenhue, MA

Pages 75-83

Geo Location: All

ALZSmart Review™ - Summary of Contents

Advises the caregiver to tune in to the person with Alzheimer's.  Looks at the 'big five' when confonting aggression.  Has sections on physiological causes, personality traits, and situational discomforts.  Finally, has 10 bullet points on when your best intentions go awry.
Alzheimer's Basic Caregiving:  An ABC Guide
ALZSmart Score™ - Good65%

Confidence to Care (aka Home Instead)

Molly Carpenter

Pages 26-31

Geo Location: All

ALZSmart Review™ - Summary of Contents

Examines why aggression happens.  Has 17 bullet points for care approaches.  Offers examples of how to communicate with a person who is angry.  Ends with a couple of tips on prevention.
Confidence to Care (aka Home Instead)
ALZSmart Score™ - Good65%

Dementia Australia

Geo Location: All (AU)

ALZSmart Review™ - Summary of Contents

Explores what causes aggressive behavior, what do to prevent, and what to do when aggressive behavior occurs.
Aggressive behaviours
ALZSmart Score™ - Average55%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 10 tips for dealing with aggressive behavior in dementia while it’s happening.  Also explains 4 ways to learn from the situation to find ways to prevent or reduce future outbursts.
14 Ways of Dealing With Aggressive Behavior in Dementia
ALZSmart Score™ - Average55%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

This article has 7 bullet points on advanced preparation that can be taken prior to aggressive episodes.
7 Ways To Reduce and Prepare For Aggressive Dementia Behaviors
ALZSmart Score™ - Average55%

Daily Caring

Geo Location: All

ALZSmart Review™ - Summary of Contents

7 bullet points that focus on the environment and caregiver support.
7 Ways To Respond To Mean Dementia Behavior
ALZSmart Score™ - Average55%

Alzheimer's Disease and Other Dementias: The Caregiver's Complete Survival Guide

Nataly Rubinstein, MSW, LCSW, C-ASWCM

Pages 235-240

Geo Location: All

ALZSmart Review™ - Summary of Contents

General overview followed by 9 bullet point of possible causes.  Has a list of 11 suggestions for coping and staying safe.
Alzheimer's Disease and Other Dementias:  The Caregiver's Complete Survival Guide
ALZSmart Score™ - Average55%

Learning to Speak Alzheimer's

Joanne Koenig Coste

Pages 117-119

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with an example of aggressive behavior.  Briefly discusses causes, ways of dealing with issues, and developing a successful game plan.  Other parts of the book elaborate on triggers and ways of reducing challenging behaviors.
Learning to Speak Alzheimer's
ALZSmart Score™ - Average45%

National Institute on Aging

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

There are 11 bullet points on the causes for agititation or aggressive behavoirs.  Also includes 11 tips for coping with agitation or aggression.  Plus there is a one minute video.
Coping with Agitation and Aggression in Alzheimer's Disease
ALZSmart Score™ - Average45%

Lewy Body Dementia Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

This article looks at agression may occur in response to aspects of environment.
Preventing or Defusing Aggressive or Catastrophic Reactions
ALZSmart Score™ - Average45%

Aging Care

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

The focus of this article is to get to the root causes of the outbursts of aggression.   Understaning to cause will help caregivers manage behavior more effectively.
How to Handle Alzheimer's Outbursts
ALZSmart Score™ - Average45%

D4Dementia

Geo Location: All

ALZSmart Review™ - Summary of Contents

Uses the story of a close family member to show how aggression is often misunderstood.
Understanding Aggression
ALZSmart Score™ - Average45%

The 36-Hour Day (6th Edition)

Nancy L. Mace, MA and Peter V. Rabins, MD, MPH

Pages 176-177

Geo Location: All

ALZSmart Review™ - Summary of Contents

Begins with an overview then has a couple of examples with tips on how to address those issues.  Refers reader to a chapter on catastophic reactions for more info.
The 36-Hour Day (6th Edition)
ALZSmart Score™ - Average40%

Alzheimer's Association

Geo Location: All

ALZSmart Review™ - Summary of Contents

Lists 10 causes of verbal or physically aggressive behaviors.  These causes are categorized by physical discomfort, environmental factors, and poor communication.  Offers 10 bullet points on how to respond.
Aggression and Anger
ALZSmart Score™ - Satisfactory35%

Alzheimers.net (aka A Place For Mom)

Kristen Hicks

Geo Location: All

ALZSmart Review™ - Summary of Contents

Discusses 7 ways to deal with aggression.  There are a couple of paragraphs written on each of the 7 coping strategies.
How to Deal With Aggression and Dementia
ALZSmart Score™ - Satisfactory35%

HelpGuide

Melinda Smith M.A., Jeanne Segal, Ph.D., and Monika White, Ph.D.

Geo Location: All

ALZSmart Review™ - Summary of Contents

This multiple topic article begins with a section on common causes.  That's followed by a section on creating a calming environment  About 2/3 of the way down the web page there's a section specifically on anger and aggression.
Alzheimer’s and Dementia Behavior Management
ALZSmart Score™ - Satisfactory35%

HelpforAlzheimersFamilies.com (aka Home Instead Senior Care)

Geo Location: All

ALZSmart Review™ - Summary of Contents

Offers 5 steps to try when facing a loved one who’s unexpectedly angry.
Why is Mom Always Angry With Me?
ALZSmart Score™ - Satisfactory25%

Dementia Care Central (National Institute on Aging)

Geo Location: All (US)

ALZSmart Review™ - Summary of Contents

Multi-topic article with a couple of paragraphs on anger and frustration.  Also includes 6 tips for handling emotional distress (near the middle of the web page) and 5 tips for handling behavioral challenges (near the bottom of the web page).
Behavior, Mood & Emotional Challenges with Dementia and Strategies for Coping
ALZSmart Score™ - Satisfactory25%

The 36-Hour Day (6th Edition)

Nancy L. Mace, MA and Peter V. Rabins, MD, MPH

Pages 37-38

Geo Location: All

ALZSmart Review™ - Summary of Contents

Simple anecdote with tips to handle that situation.
The 36-Hour Day (6th Edition)
ALZSmart Score™ - Satisfactory25%

Alzheimer's Through the Stages: A Caregiver's Guide

Mary Moller, MSW, CAS

Pages 91

Geo Location: All

ALZSmart Review™ - Summary of Contents

Simple and general discussion.
Anger and Aggression

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