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What is the Behavior of a Person with Vascular Dementia?

Understanding the behavioral changes and challenges in vascular dementia.

By Amiee FraleyPublished about a year ago 3 min read

Vascular dementia is one of the most common forms of dementia, which is caused by reduced blood flow to the brain. It significantly affects cognitive function and daily behaviors. This condition progresses over time, leading to distinct behavioral and psychological changes. Understanding these behaviors is essential for providing appropriate care and support.

Symptoms and Behavioral Patterns in Vascular Dementia

Memory Loss and Cognitive Decline

Memory problems are one of the earliest symptoms of vascular dementia. Unlike Alzheimer's disease, which usually starts with short-term memory loss, vascular dementia can impact specific areas of cognitive function depending on the brain region affected. For instance, people may have trouble:

  • Recalling recent events or conversations
  • Making decisions or solving problems
  • Understanding and processing new information

Emotional Instability

Emotional regulation can become problematic for a patient suffering from vascular dementia. The patient might show sudden mood swings, irritation, or frustration. In addition, patients might express anxiety or depression due to the realization of the deterioration in their cognitive function.

Inability to Communicate Effectively

Speech and language is usually affected by vascular dementia. It can take many forms, including:

  • Loss of words
  • Difficulty following a conversation
  • Speaking with too much repetition

Caregivers should be tolerant and speak in plain language that the patient will easily understand.

Changes in Social Behavior

Social Isolation

As the cognitive ability becomes more challenging, many individuals with vascular dementia start isolating themselves from the society. This may be due to frustration or humiliation with memory loss or communication problem.

Aggressive or Inappropriate Behavior

Some of the patients may become aggressive, hostile, or even carry out inappropriate behavior. The cause is not intentional but as a result of disruption in certain parts of the brain that regulate impulses.

Vascular Dementia Effect on Daily Life

Failure to Perform Routine Activities

Over the course of progression, such individual may become extremely hard-stricken in his/her personal activities, as:

  • Eating or preparation of the meal
  • Ability to pay bills
  • Compliance in proper medication intake schedules

The patient will now lose spacial awareness with respect to familiar places in which even sometimes he/she get lost out of his room.

Behavioral and Psychosocial Challenges Late Stage

Hallucination & Insanity

At a more advanced stage, there might be hallucinations or delusions. These symptoms can be distressing and thus require careful management from the caregivers and medical professionals.

Physical Restlessness

The patients often exhibit physical restlessness or wandering. The environment should be safe enough to avoid accidents or injuries for these patients.

Behavior and Life Expectancy

"Vascular Dementia Life Expectancy Over 80": Understanding

Life expectancy depends on the state of individual health conditions, vascular dementia life expectancy over 80 often relies on the severity of symptoms, the general health, and how the coexisting diseases such as heart disease or diabetes are being managed. The behavioral symptoms can give information about disease progression, helping caregivers to prepare for suitable care.

Coping Strategies for Caregivers

Promote Routine and Structure

A daily routine can help to make the person feel stable, and confusion will be decreased. Activities should be simple, familiar, and enjoyable.

Use Nonverbal Communication

When verbal communication is difficult, nonverbal communication such as eye contact, gestures, and facial expressions can help to convey a sense of understanding and empathy.

Seek Professional Support

Professional resources, such as memory care facilities or respite services, can provide much-needed relief for caregivers while ensuring patients receive high-quality care tailored to their needs.

Conclusion

The behavior of a patient with vascular dementia changes with time and thus poses new challenges to both the patient and the caregiver. An understanding of these behavioral changes and their underlying causes can enable families and healthcare professionals to develop an environment that is conducive to dignity and well-being. Early intervention, structured care plans, and compassion are critical elements in effective management of this complex condition.

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