A person with dementia may feel depressed because: -1. If they are in the early stages and have only recently beendiagnosed they will worried about how the condition will affect them in thefuture, and may feel that their life has been taken from them. 2. Depression can be caused because the person feels they have nocontrol over their future 3. They can feel depressed through isolation, not getting help whenneeded or the support they need. 4. Depression is oftenassociated with loss of personal independence, not being able to drive or leavetheir house on their own 5.
Depression is also caused by the way the person is treat byothers, especially family, as family can be to be too caring and attempt towrap the person up in cotton wool. Stopping them from doing things, from takingrisks, from making decisions, and by not consulting the individual in theirfuture care plans. Depression can affect someone’s life, it can lead to self-harm,and thoughts of suicide, to taking your own life.Due to depression mimicking signs and symptoms of dementia, itcan be wrongly thought that the dementia is getting worse, and the wrongmedication be given. Depression can lead to someone being withdrawn and isolation, itcan stop someone from socialising and engaging in stimulating activities, ortaking medication which can help slow down the onset of dementia.
It is important that the root cause of depression is found tohelp give the person the correct treatment to alleviate the symptoms. As unlikedementia depression can be cured through medication, cognitive therapy and/orcounselling. One-way staff can help support a person with depression is to bepatient, to allow the person to talk when they are ready to talk.
Basicnon-judgemental human contact, such as holding a hand, smiling and beingavailable to listen, is important, never saying “things like pull yourselftogether,” Staff should listen to what the person describes without beingcritical or thinking they are weak. Staff should never give advice such as’just cheer up’ or ‘pull yourself together’. Staff should avoid getting into anargument with the person.People with depression sometimes feel so overwhelmed andhelpless about their life, the future appears hopeless.Staff should engage the person in conversation about how theyare feeling and let them describe why they are feeling this way.Staff should ask the person if they are having thoughts ofsuicide. If they are, find out if they have a plan for suicide. This is not abad question to ask someone who is suffering from depression.
It is importantto find out if he/she is having these thoughts to refer him/her for help Staff can give encouragement to get involved in gentle exercisecan release positive endorphins to help them feel better.Staff can help by encouraging a client to change theirenvironment, either by going outside and getting fresh air, or encouragingparticipation in social events, Staff should provide hope for the person and talk about a goodoutcome for that person.Staff can tell the person that he/she has an illness that can betreated, let them know that you want to help, and encourage the person to get appropriate professional help. 1. One reason that a person living with dementia may become angryis because they may know that they are losing their personal identity, abilityto remember family, friends.
Feeling unsafe or insecure leads to frustrationand fear. Night times (darkness) and unfamiliar faces often trigger insecurityand may lead to resistance or aggression or a lack of co-operation 2. They may be in undiagnosed pain, but not able to communicatethis condition. Unmet pain and discomfort relief may quickly lead to a sense offrustration and a sense that no-one cares. 3. They may feel angry at God, for giving them this type ofcondition, and their religious beliefs may be challenged. 4. They may feel angry as their needs not being met, they arebored, hungry, thirsty or scarred.
A lack of respect and dignity especiallywhen providing personal care and toileting needs, or poor levels of caresuggests we assume the individual either doesn’t realise or won’t complain.This leads to frustration and annoyance by the client and these are welldocumented as triggers of challenging behaviour. When our self-respect isviolated frustration, anger, embarrassment increases, and self-esteem fallsleading to a lack of co-operation from the individual 5. They may feel angry due to their failing ability to completecommon simple tasks, such as personal care, dressing or being able to use aknife and fork. Clients with dementia are frequently inactive because of theirlimited ability, but when they do try and do things we often try and stop them.Stimulation is essential to our psychological wellbeing and under stimulationquickly leads to boredom and frustration.