When a person living with dementia acts out or becomes restless, the first reaction may be to think about safety—sometimes even considering restraints. But before taking that step, it’s essential to pause and ask: Why is this happening?
The real key to preventing, reducing, or completely eliminating the use of physical or chemical restraints lies in understanding the person’s needs. Behavior is communication. When a person resists care, tries to get up, or becomes agitated, it’s often a signal that something deeper is going on.
Is the person in pain? Hungry? Cold? Lonely, sad, bored, or afraid?
These unmet needs can easily trigger distressing behaviors that may seem difficult to manage. But rather than reaching for medication or physical control, the most compassionate and effective approach is to identify and meet those needs.
After all, you wouldn’t give someone medication just because they’re cold—or restrain someone who’s simply frightened. It sounds simple, yet it’s a powerful truth: when we take the time to know each person, to observe and connect, we can often prevent the situations that lead to restraint use altogether.
This philosophy is at the heart of the CARES® Approach—a person-centered way of caring that emphasizes understanding, empathy, and meaningful connection. By constantly assessing behavior and responding to the underlying causes, caregivers can create safer, more dignified environments where restraints are rarely, if ever, needed.
Because true care isn’t about control—it’s about compassion, respect, and meeting each person exactly where they are.
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