Caring for a Person with Dementia

June 2026

Many older adults and caregivers face challenges with anger or agitation, especially in those with dementia. Experts at PACE Southeast Michigan say this behavior is communication. When caregivers understand this, they can respond with patience and confidence.

Older adults may be upset for many reasons. They may be afraid, confused or in pain. If they are sick, have changed any medications or have dementia, aging adults can become upset.

Bryan Dovichi, Senior Director, PACE Southeast Michigan – Pontiac Center and Behavioral Health & Spiritual Care says caregivers must look past the behavior at what the person is feeling.

“Behavior is communication. When we understand why, we can respond better,” Dovichi said.

Caregivers should look for needs that are not met. Unmet needs can cause agitation. Aging adults who get the medical and social care they need are often calmer and have less anger. Older adults may not be able to explain what’s wrong, especially if they have memory loss. Hunger, being tired and stress from loud or crowded places also can cause anger in aging adults.

When people around them are calm, older adults feel safe. Using a gentle voice and open body language helps too. Smile, nod, keep your arms and legs uncrossed and lean slightly forward when talking with people will help them feel calm.

Each team at PACE Southeast Michigan works with participants and caregivers to educate them. We support older adults while keeping their dignity and quality of life. When caregivers learn what causes agitation, they can create calm and supportive places for loved ones.

The video below features Emily Cutler, Center Director at the PACE Southeast Michigan – Thome Rivertown Center, a certified dementia trainer in the positive model approach. Emily has been caring for people with dementia for nearly ten years. Many PACE Southeast Michigan participants live with some sort of dementia and our team does everything to help living full lives. Call 855-445-4554 to find out more or talk with someone about becoming a PACE participant.