Final answer:
The primary cause of combative behavior in a resident with dementia is related to the progression of the disease causing cognitive deficits, which combined with caregiver factors such as burnout and lack of training, contributes to the likelihood of mistreatment.
Step-by-step explanation:
Primary Causes of Combative Behavior in Dementia
The primary cause of combative behavior in a resident with dementia can be attributed to various factors, including the progressive damage to the brain. As dementia advances, such as in moderate Alzheimer's disease (AD), there is an increase in memory, language, and cognitive deficits which can lead to agitation, wandering, inappropriate behaviors, and difficulty in daily activities. These symptoms and the resulting frustration are often at the core of combative behavior.
Caregivers play a crucial role in the management of residents with dementia. According to a survey in Florida, verbal aggression by caregivers rose from factors like low job satisfaction, burnout, and treating the elderly like children. Additionally, caregivers with less training, education, and those suffering from depression or psychiatric disorders were also more likely to engage in such behavior, thus increasing the risk of mistreatment to the elderly.
Enhancing caregiver education and wellness, improving job satisfaction, and providing better support can help in reducing the risk of mistreatment and combative behaviors in residents with dementia. It's essential to address the root causes and understand the cognitive and emotional state of residents to provide appropriate care and minimize combative episodes.