Dementia and Wandering Behavior: Concern for the Lost Elder by Nina M. Silverstein PhD, Gerald Flaherty, Terri Tobin PhD

By Nina M. Silverstein PhD, Gerald Flaherty, Terri Tobin PhD

Winner of an AJN booklet of the yr Award! Alzheimer's is readily turning into the epidemic of the twenty first century. this present day, an predicted 4 million american citizens be afflicted by this devastating sickness. This quantity may perhaps explode to fourteen million via the yr 2050, whilst child boomers come of age. Written in a transparent and available variety, Dementia and Wandering habit brings realization to this life-threatening challenge and is helping pros and kin caregivers needless to say there are preventative measures on hand. through targeting particular responses to wandering habit and describing how one can create a secure surroundings in the house, group, and care facility, this ebook teaches you ways to maximise autonomy whereas minimizing threat for individuals with dementia on your care.

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Caregivers were largely aware of the risk of this problem behavior and most took precautions to some extent. Most had experienced wandering and its related problems. Using a higher number of precautions was significantly associated with attempts at wandering and having experienced a serious outcome as a result of a wandering incident. Having experienced wandering was not associated with 24-hour supervision. Being older, being married, having had the diagnosis for a longer period of time, being an older caregiver, and being a caregiver who had participated in a support group were predictors of 24-hour supervision.

What factors seem to prompt wandering? Wanderers spent more time in motion, had greater involvement in nonsocial behavior, and spent more time in Ritual-Z behavior than nonwanderers. Wanderers did not differ from nonwanderers on sex, marital status, age, or diagnosis of heart disease or stroke. Wanderers had more psychosocial problems, and were more likely to have problems in recent and remote memory, orientation to time and place, and ability to respond appropriately to a given conversation topic.

Ballard, Mohan, Bannister, Handy, & Patel (1991) Camdex schedule items: getting lost outside the home and getting lost inside the home 92 persons with suspected dementia Examined problems of getting lost both in and outside the home, and studied the change in prevalence of getting lost with increased cognitive impairment. 3%; those with Alzheimer's were more likely to get lost outside the home than those with vascular dementia; and there was no correlation between level of cognitive impairment and prevalence of getting lost outside the home.

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