What should be checked first when addressing behavior expressions of distress in individuals with dementia?

When addressing behavior expressions of distress in individuals with dementia, checking for hunger, pain, and bathroom needs should be the first step. This is essential because physiological needs often directly impact a person's mood and behavior. For someone with dementia, communicating discomfort or needs can be challenging, and they may express distress behaviors as a way to signal that something is not right.

By ensuring that basic needs are met, care staff can help alleviate immediate sources of discomfort, which may reduce distress behaviors. After addressing hunger, pain, and the need to use the bathroom, caregivers can then look into other aspects such as the environment or communication methods, but ensuring that the individual is physically comfortable is the foundational step in effective care.