This article is evidence-based, verified by\u00a0<\/em>Dr. Ahmed Zayed<\/em><\/a>. <\/p>\n\n\n\n
In this post, we'll cover:<\/p>\n
Smearing will not dissipate over time, which is why it\u2019s essential to take the right measures to manage it. Some of the most effective methods are sensory integration therapy, wearing restrictive outfits, and analyzing the patient\u2019s functional behavior. In other cases, however, this problem could result from a health issue, so you might have to take the patient to the doctor for evaluation.\u00a0<\/p>\n\n\n\n
This disruptive behavior is much more complicated than most people believe. It could have deeper roots due to psychological problems, for example, in individuals with post-traumatic stress, anxiety, depression, etc., or could be caused by a medical problem, such as hemorrhoids, protozoal infections, rectal prolapse, and more.\u00a0\u00a0<\/p>\n\n\n\n
It\u2019s an unpleasant problem to overcome, but luckily, there are multiple methods you can try to manage the issue and prevent it from happening in the future. Here, we will focus on how to take the proper approach to manage fecal smearing in adults with dementia. We will talk about: <\/p>\n\n\n\n
Some cases of scatolia could be caused by under-stimulation. There are specific periods where our senses are understimulated, for example, when sitting alone in a dark room and being unable to fall asleep from insomnia. <\/p>\n\n\n\n
In such\u00a0particular moments, an individual can be deprived of adequate\u00a0sensory input, like smell and touch, and will seek other ways to satisfy that need. As a result, some can choose to smear their feces and fulfill that sensory need.\u00a0<\/p>\n\n\n\n
To reduce the chance of fecal smearing in adults with dementia, you should try to inspire supervised play with sticky or soft substances. For example, playing with bread dough, shaving cream, or clay can help individuals alleviate that need for handling their feces and give them a different thing to focus on with a similar consistency.\u00a0\u00a0<\/p>\n\n\n\n
To handle the odor craving, patients can try out various essential oils, cheese, spices, scented lotions, or anything that has an overpowering smell. The more potent the scent is, the easier it will be to overpower the senses and satisfy that craving.\u00a0<\/p>\n\n\n\n
Some patients with dementia result in fecal smearing out of a need to control their environment<\/a> and body since they lack power in other areas in their lives. To reduce the problem, those responsible for these patients should take that control away in a non-aggressive way.\u00a0\u00a0<\/p>\n\n\n\n
Adults with dementia often don\u2019t express their issues. Instead, they show them. Fecal smearing sends out a powerful message, and to manage it; you first\u00a0have to\u00a0understand it. Ask yourself what could lead up to such behavior, has the patient experienced any traumatic stress in their life. Are they expressing their helplessness, frustration, anger, or powerlessness?\u00a0<\/p>\n\n\n\n
There could be many reasons for this behavior, but one thing is guaranteed if you want to manage it, then you have to act in a neutral emotional manner. When fecal smearing happens, it\u2019s crucial to avoid working in a dominating, aggressive way. <\/p>\n\n\n\n
Records show that individuals who\u2019ve reacted aggressively or negatively towards an individual while smearing their feces have increased the messiness and frequency of scatolia. <\/p>\n\n\n\n
It\u2019s complicated to pinpoint the cause of fecal smearing unless you talk with a doctor. But you should know that you are not alone. Other caregivers or family members are going through the same thing and are trying to overcome the same issues.\u00a0\u00a0<\/p>\n\n\n\n
Fifty million\u00a0people worldwide have dementia, but fecal smearing is only present in very few of them. One particular\u00a0study, explicitly focused on this disruptive behavior, was issued to analyze the rate of this problem and how prevalent it is in patients with dementia.\u00a0\u00a0<\/p>\n\n\n\n
Out of the 246 patients tested, fecal smearing (or scatolia) was frequently present in 23% of cases, and it was rarely noticed in 14% and never appeared in 51% of all the tested. Patients with fecal smearing showed a negative outlook concerning their quality of life and low scores with cognitive functions. <\/p>\n\n\n\n
But, all those tested had insomnia, some more frequently than others. This study suggests that the reason for such behavior could be insomnia and cognitive dysfunction. <\/p>\n\n\n\n
If an adult with dementia has insomnia or any cognitive dysfunction, they will try to soothe their problem or deal with the discomfort and pain by going through their rectal area. The doctor can prescribe certain medications to help these individuals treat their health issues to reduce that behavior.\u00a0\u00a0<\/p>\n\n\n\n