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Behaviours when safe/comfortable

Behaviours when safe/comfortable

Stage 1 Malorientation (accept help: trusted other)

  • confides in ‘trusted other normal adult’ when upset (usually only one carer or family member), hence they do not blame others for errors
  • admit to memory difficulties, and to being fearful
  • ask for help when frightened, and appreciate reminders and cues to maintain normal routine
  • don’t use excuses or blame so much to cover up their own mistakes
  • humorous
  • helpful
  • engaging, affectionate
  • tries to present their ‘preferred self-image’ and their best adult social etiquette
  • enjoys group outings and activities
  • enjoys doing ‘special tasks’ to help staff
  • may try to help people in Stages 2 & 3 (in group activities), as long as they don’t have to identify with them because their ‘trusted other’ affirms them

Stage 2 Time confusion (feel found)

  • think that they are at home or work (even in a care setting)
  • relaxed, spontaneous, disinhibited, fun, affectionate
  • sing, dance, recite poems, prose, prayers readily
  • mistakes caregivers for others in their life
  • if they have a ‘buddy’ in the same stage, they care for each other all day, and do not try to cling to others
  • engage with familiar routines, people, objects
  • try to help with anything that they can
  • sometimes think they’re not being paid for work done

Stage 3 Repetitive Motion (others provide real stimulation)

  • maintain a larger repertoire of words/phrases
  • try to locate others to have eye contact
  • often sing, hum, tap rhythms
  • will hold hands with others
  • will respond enthusiastically to simple questions
  • will participate in groups with sensory stimulation activities, with movement & minimal speech demands
  • still try & feed self (often manage finger foods slowly)

S4 End stage withdrawal (feeling care & attention)

  • still trying to make eye contact, lip movements (some sounds), hand squeezes.

Behaviours when fearful/uncomfortable

Behaviours when fearful/uncomfortable

Stage 1 Malorientation (trying to be self-reliant)

  • frightened of losing control, independence of ‘going crazy’, of not appearing normal
  • denies/blames others for their ‘thinking’ mistakes
  • seem to be on constant guard of others
  • may be mistrustful, suspicious of virtually everyone
  • may request help, but then resist or decline it trying to show they are managing fine on their own(e.g. multiple phone calls to family member in night)
  • defensive body posturing is very obvious
  • confabulation, social facade used to hide mistakes
  • gets ‘bees in bonnet’(fears) about finances , people who (supposedly) don’t like them; ‘hiding and hoarding’ may occur
  • very threatened by the presence of people in Stages 2 & 3
  • may try to solve perceived problems by complaining to authorities (police, inspectors, bank manager)
  • reluctant to engage in social activities
  • if in care home, often blame family life for this.

Stage 2 Time confusion (feel lost)

  • try to cling to family or staff all day
  • may mistake care home for a hotel and be fearful they have no money to pay for things
  • leave to ‘go home’ (even if in own home), or work
  • often get lost and in other residents rooms
  • crying, distressed, angry if staff try to stop them
  • Search, ask after, and call out for people they are missing (mostly but not always parents)
  • since they cannot hang onto things (like handbags), or personal items anymore-anything that looks familiar is mistaken to be their own and taken

Stage 3 Repetitive Motion (isolated/self-stimulating)

  • only few words used, call out (for help) all day
  • making own stimulation with moments in the air, with own clothing, on table-tops
  • repeated words and movements increase in frequency and severity when distressed
  • screaming may start
  • fixed start for long periods of time
  • sometimes very difficult to get eye contact with
  • often need to be fed

Stage 4 End stage withdrawal (feeling abandoned?)

  • passive, more difficult to get any contact.
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Aucklands Care,
2 Ken Road, Bournemouth,
Dorset BH6 3ET.
Telephone: 01202 427166


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