Challenging behavior is a catch-all term that, in the context of dementia, includes one or combinations of things like shouting, wandering, biting, throwing things, repetitive talking repetitive movements, destroying personal possessions and other objects without regard for whom it belongs, agitation and general anger, physical  or verbal attacks on others, waking others at night, making sexually inappropriate comments, disrobing inappropriately, and urinating or defecating in undesirable locations. This is not an all-inclusive list and I am sure you can think of many more examples that fit under the umbrella term of challenging behavior.

There is an urgent need to equip caregivers to better respond to and care for persons living with dementia.  Traditional training models have focused on the number of classroom hours an individual must spend in training, assuming that a person who completes the required training hours is ready to work successfully with people living with dementia.  The shift to competency-based training improves dementia care by focusing on mastery of tasks and tools that are learned.

As bankers and financial advisors we must develop systems, policies and facilities that meet the every changing needs of people living with dementia, allowing independence to access and manage their money without fear of financial abuse.  Creating a dementia friendly bank will require training, education - and looking at their world through a different lens.

Time is precious.  Staff is in short supply.  Family caregivers are stretched to the limit.  Just taking care of the basic needs  is hard enough, so five minutes a day seems - IMPOSSIBLE!

In my office there is a framed print of Nelson Mandela's famous quote "It always seems impossible until IT'S DONE".  I believe hospitals have procrastinated long enough in becoming dementia friendly and the urgency to GET IT DONE is now.