S2 Ep 8 - The Hidden Triggers in Your Home: How to Prevent Aggression in Dementia Care

Welcome to today’s episode of Caregiver Secrets, where we share practical advice, research, emotional support, and resources for caregivers of loved ones. Thanks for joining me today, and I’m so glad you’re here. Today, we’re continuing our 5-part series, Navigating Aggression as a Dementia Caregiver.

Also, please remember that this is not medical, financial, or health advice. Please seek out a proper professional for any matter you’re dealing with. My goal is to inform you as best I can, but you and you alone are responsible for doing your own research and taking the appropriate action.

Today, we’re diving into environmental triggers—the often overlooked causes of aggression in dementia care. The space we create around our loved ones can either calm them or add to their confusion and distress. Let’s explore how simple changes in their environment can reduce aggression and create a sense of safety.

Imagine this: A caregiver named Tony is helping his father, who has Alzheimer’s, get ready for the day. The morning starts with loud music blaring from the TV, bright lights flashing in the kitchen, and his father’s favorite chair cluttered with clothes. As Tony gently encourages his father to get dressed, his father becomes agitated, yelling, “Leave me alone!” Tony is stunned. What happened?

The truth is, Tony’s father wasn’t reacting to Tony. He was reacting to his environment. The noise, clutter, and overwhelming stimuli made him feel disoriented and unsafe, triggering his aggression. This kind of scenario is common, but the good news is, it’s also preventable.

According to the Alzheimer’s Association, a person with dementia processes their environment differently. Things that we filter out without a second thought—background noise, changes in lighting, or even unfamiliar objects—can be overwhelming for them. Their brain is working hard to make sense of the world, and when it can’t, frustration and fear take over.

Let’s start with noise. Loud or sudden sounds can trigger an aggressive response because they startle the person or make it difficult for them to focus. Instead, aim for a calm auditory environment. Play soft, familiar music or use white noise to create a soothing atmosphere. Avoid having the TV on as background noise; it can be confusing and overstimulating.

Lighting is another critical factor. Bright, harsh lights can feel invasive, while dim lighting may create shadows that seem threatening. Try to keep lighting soft and even, especially in spaces where your loved one spends most of their time. Natural light is ideal when possible, as it can improve mood and reduce confusion.

Then there’s clutter. A messy environment can make it harder for someone with dementia to navigate their surroundings. Clear pathways, minimize decorations, and keep familiar items like their favorite blanket or photo album within reach. Familiarity is a source of comfort, and reducing visual distractions can help your loved one feel more at ease.

Another trigger to consider is the unpredictability of the environment. A routine that feels consistent and predictable can reduce anxiety and prevent outbursts. For example, if a meal is always served at the same time or their favorite chair is always in the same spot, it can create a sense of stability.

Sometimes, it’s not just what’s in the environment but how you introduce changes to it. If you’re moving furniture or switching their bedroom, involve them in the process as much as possible. Even small changes should be explained calmly and gently.

Let’s go back to Tony’s story. What could he have done differently? He might have started the morning with soft music his father loved, cleared the clutter from the living room, and avoided rushing him through his morning routine. By controlling the environment, Tony could have helped his father feel safe and secure, reducing the chance of an aggressive reaction.

One affirmation from Get Risen comes to mind: “I am creating every day, and I am seeing what I say.” As caregivers, we have the power to create environments that speak peace, comfort, and security into the lives of those we care for.

If you’re noticing aggression in your loved one, take a step back and assess their surroundings. Ask yourself:

• Is there too much noise or chaos?
• Is the lighting soothing and consistent?
• Is the space cluttered or overwhelming?
• Are there familiar objects that bring comfort?

Remember, caregiving isn’t about getting it perfect. It’s about observing, adjusting, and showing up with love. Small changes in the environment can lead to big changes in behavior.

As we wrap up, I encourage you to take a look at your loved one’s environment today. What’s one small change you can make to create a more calming space? It might surprise you how much of a difference it makes.

If this episode was helpful, please share it with another caregiver who might need these insights. And don’t forget to join our Facebook community at bit.ly/CaregiverSecretsOn Facebook, where you can connect with others, share your experiences, and learn from one another.

Until next time, take care of yourself and your loved one. You’re making a difference every day, and you’re not alone on this journey. You’ve got this.