How can I understand the relationship between pain and agitation?
In most illnesses, an increase in pain coincides with an increased level of confusion and agitation. In considering the link between pain and agitation, reviewing the cycle of pain can be useful.
The cycle is as follows:
Pain -> Anxiety -> Fatigue -> Depression -> Pain -> Anxiety-> Fatigue -> Depression ->
As you can see, the cycle experienced by the person in pain has both a physical and mental dimension. Pain can have a direct impact on our mood and our ability to communicate with those around us. If your loved one has dementia and seems to be caught up in this cycle, you must work with the individual, as well as their physician, in order to bring them relief.
Infections, inflammation, arthritis, muscle and joint problems, and headaches are some of the most common causes of pain in individuals with Alzheimer’s. If your loved one is predisposed to any of these conditions, it is important that you and your loved one’s physician work to combat these problems in such a way that is compatible with any other medicinal treatment they be receiving for their dementia or Alzheimer’s. Ongoing health evaluations to review your loved one’s level of discomfort are advisable. It is also important to learn about the possible side effects of any medication that your loved one is on. Some medicines, for instance, are known for increasing levels of agitation. However, you must remember: Always consult a doctor about questions and concerns regarding a prescription or its side effects. Do not alter a prescribed medicinal regiment without first consulting your loved one’s physician.
Simple aches and pains in a person with Alzheimer’s are often enough to elicit a perceptible change in behavior. Be aware of your loved one’s body language and other nonverbal cues. Also seek out other caregivers in your area. The importance of a strong support network cannot be overstated. Talk with other people who have firsthand experience in caring for easily agitated loved ones. It is important to remember that you are not the first, or the last, person to go through this. Learn from those around you who are willing to offer you guidance and support.
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