Complex behaviour

Complex behaviour

Residential and nursing placements for working age and older adults

Complex behaviour that may be challenging is a widespread problem in older people with dementia. It can increase caregiver stress, reduce the quality of life and increase the risk of institutionalisation and admission to hospital. 

Challenging behaviour is a catch-all term. In the context of the people we support. It usually includes one or a combination of the following:

  • repetitive talking or shouting
  • throwing things
  • wandering around
  • biting
  • trying to destroy objects
  • being agitated and general anger

It can also be physical, with attacks on others or themselves. The term challenging and or complex behaviour describes any behaviours that are dangerous or disruptive to themselves or others.

Traditionally treatment of these behaviours has been, to control and contain the individual often using chemical or environmental restraints. We do not believe that these approaches are beneficial to the individual. They are not sound on ethical grounds or for their evidence base.

Assessments and behaviours of complex behaviours

Assessment of challenging behaviour is vital, good observation is essential and establishing the causes/triggers is critical. Our staff are highly knowledgeable and experienced. Where possible we favour using non-pharmacological and non-physical methods to deescalate situations. Furthermore, we have found that our practices lead to a reduction in behaviours.

Aggression is prevalent for someone living with dementia and complex needs. It may be one of the behaviours that you or your loved one is struggling with or most affected by. It can be challenging for all involved and lead to feelings of guilt, isolation and emotional distress. Aggression may be a direct result of changes in the brain. Or be caused by a general health problem, such as pain.

Why are they aggressive

These behaviours can also reflect problems related to frustration, environment or social interactions. In some cases, it could be that you or your loved are having trouble communicating. Aggression is not only shown by someone being physical. It can also be shown in other ways, such as being verbally abusive. This can be very distressing, for you, your loved one, family and their carer.

The people we support have needs that may stem from several conditions, including:

complex care

We have a highly trained multidisciplinary team who deliver clinical services such as; 

  • Enhanced GP
  • Psychiatry
  • Psychology
  • Occupational therapy
  • Chiropody
  • Optometry 
  • Specialist nursing team. 

This is provided within a therapeutic environment that is personal to everyone.