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5. Psychological factors;
Accusing, suspicion and paranoia: The person you are caring for may
sometimes become suspicious, believing that other people are taking
advantage or intending to harm him/her in some way. You may be accused
of stealing possessions or of being unfaithful
Wandering, getting lost and pacing: One of the worries that families
and carers have when looking after a person with dementia is the
problem of wandering.
Incontinence: Incontinence is when a person does not go to the toilet but
wets (urinary incontinence) or dirties (faecal) his or her pants. If
incontinence occurs, it is important to check first with the doctor or clinic to
find out what the cause of the incontinence might be.
Sight and hearing changes: If you suspect that you are not being
heard by the person you are caring for, make sure his or her hearing is
not impaired. You may need to arrange for a hearing test. If sight is
affected, you may have to explain to whom he or she is talking, possibly
more than once.
Hallucinations: Some people have hallucinations: that is, they see or
hear things that are not actually there. These can be very frightening
and can cause great anxiety.
Uninhibited behaviour: The person you are caring for may sometimes
behave in a way that you or other people find embarrassing. It may be
that the person’s forgotten the ‘rules’ our society has created about what
is and what isn’t ‘acceptable’ behaviour.
Depression: The person you are caring for may feel sad and low at
times. Feeling sad is a normal human emotion. The person may be
anxious about what is happening to him or her.
Coupled behaviour: is maintained by its consequences. The
consequences that accelerate the behaviour are termed rein forcers where
as those that hinder the behaviour are termed punishers. There are two
types of reinforcements, negative and positive reinforcement. Positive
reinforcement occurs when behaviour is strengthened by a positive
reward. For example, a husband who, puts his dirty socks in a laundry
basket is rewarded by his wife with praise and recognition. This reinforces
his efforts to pick up his socks.