What To Do When A Dementia Patient Becomes Violent In 2023

what to do if dementia patient gets violent
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Understanding the Causes of Dementia-Related Violence

Dementia affects over 50 million people worldwide and is characterized by a decline in cognitive functions, including memory, judgment, and reasoning. It can be caused by a variety of medical conditions, including Alzheimer’s disease and stroke. As dementia progresses, it can cause behavioral changes that range from confusion to aggression and even violence. In 2023, it is estimated that over 7 million people in the United States alone will be living with dementia, making it important to understand the causes of dementia-related violence.

The most common cause of violent behavior in dementia patients is frustration. As the disease progresses, patients may struggle to communicate their needs and feelings, leading to frustration and anger. This frustration can lead to outbursts of aggression, which can be directed at caregivers, family members, or even strangers. Other causes of dementia-related violence include pain, fear, and confusion, as well as environmental factors such as loud noises or unfamiliar people or settings.

Safely Managing Violent Outbursts

When a dementia patient becomes violent, it is important to keep everyone safe while also respecting the patient’s dignity. The first step is to remove any potential weapons or objects that the patient may use to harm themselves or others. It is also important to ensure that the patient is in a safe environment and that the caregiver is not in any danger. It is important to remain calm, speak in a soothing voice, and avoid physical contact with the patient. It is also important to try to identify the cause of the outburst and address the issue. For example, if the patient is in pain, it is important to provide them with medication or other forms of relief.

Preventing Future Outbursts

Once the immediate threat of violence has been managed, it is important to focus on preventing further outbursts. One of the best ways to do this is to understand the triggers for violence and try to avoid them. Caregivers should also be aware of the patient’s current level of functioning and provide the appropriate level of care and supervision. It is also important to provide a safe and supportive environment with familiar people and routines. Finally, it is important to ensure that the patient receives adequate nutrition and hydration and that they are provided with a variety of activities to keep them engaged.

When to Seek Professional Help

It is important to remember that dementia-related violence is not the patient’s fault, and managing it can be difficult. If caregivers are struggling to manage violent outbursts, it is important to seek professional help. A physician can provide the patient with medication to manage their symptoms, while a mental health professional can provide counseling and support to both the patient and the caregiver. A geriatric care manager can also help to coordinate all aspects of care, including arranging for additional home care or residential care.


Dementia-related violence can be frightening and challenging to manage. However, it is important to remember that the patient is not to blame and that violent outbursts can be managed in a safe and respectful manner. By understanding the causes of dementia-related violence, providing a safe and supportive environment, and seeking professional help when needed, caregivers can help to ensure that the patient is safe and their dignity is respected.

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