Nursing Interventions in Managing Wandering Behavior in Patients With Dementia: A Literature Review

Gu, Lin

doi:10.1016/j.apnu.2015.06.003

Cited by 19 publications

(19 citation statements)

References 20 publications

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“…Creating a positive caring environment can reduce the risks associated with wandering (Gu, 2015). Apart from having adequate staffi ng to supervise residents who wander, incorporating wandering paths can support individuals who wander.…”

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confidence: 99%

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Adekoya¹,

Guse²

2019

Research in Gerontological Nursing

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Wandering is often described as aimless and disruptive in long-term care (LTC) facilities. Kitwood's Enriched Model of Dementia challenges one to focus on the person, not the behavior. The current exploratory study addressed a gap in knowledge of wandering behavior by gaining the perspectives of older adults with mild to moderate dementia residing in LTC. Walking interviews were conducted with eight older adults. Six themes emerged from their perspectives: Walking as Enjoyable, Walking for Health Benefi ts, Walking as Purposeful, Walking as a Lifelong Habit, Walking as a Form of Socialization, and Walking to Be With Animals. These results suggest a reconceptualization of wandering behavior from aimless walking and disruption to a purposeful and benefi cial activity.

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confidence: 99%

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Adekoya¹,

Guse²

2019

Research in Gerontological Nursing

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“… 26 The wandering and elopement associated with possible life-threatening morbidity and mortality are preventable, so comprehensive approaches that include assessing wandering risk are sturdily encouraged by the studies. 27 , 28 The other common consequences of wandering are increased caregiver burden, increased cost of care, and increased negative emotions. It also raises the chance of institutionalized care for PwD.…”

Section: Outcome Of Wandering In Dementiamentioning

confidence: 99%

Approach to Management of Wandering in Dementia: Ethical and Legal Issue

Agrawal

Gowda²,

Achary

et al. 2021

Indian Journal of Psychological Medicine

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Wandering behavior is one of the most important and challenging management aspects in persons with dementia. Wandering behavior in people with dementia (PwD) is associated with an increased risk of falls, injuries, and fractures, as well as going missing or being lost from a facility. This causes increased distress in caregivers at home and in healthcare facilities. The approach to the comprehensive evaluation of the risk assessment, prevention, and treatment needs more strengthening and effective measures as the prevalence of wandering remains high in the community. Both the caregiver and clinicians need a clear understanding and responsibility of ethical and legal issues while managing and restraining the PwD. Ethical and legal issues especially in the light of the new Indian Mental Healthcare Act of 2017, related to confinement by family members in their homes by family caregivers, seclusion, physical or chemical restraints, other pharmacological and behavioral treatment, highlighting their effectiveness as well as adverse consequences are discussed. This article attempts to address an approach in managing wandering behavior in PwD in light of MHCA, 2017

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“…Some other studies identified that sometimes wandering has purpose. When a patient with dementia (PwD) has become lost in the community, it is often described as “wandering” [ 5 ]. This behaviour has been found to occur in 65% of patients with Alzheimer’s disease (AD) [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Non-Pharmacological Interventions for Wandering/Aberrant Motor Behaviour in Patients with Dementia

et al. 2022

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Background: Aberrant motor behaviour or wandering refers to aimless movement without a specific purpose. Wandering is common in patients with dementia and leads to early institutionalization and caregivers’ burden. Non-pharmacological interventions should be also considered as a first-line solution for the wandering because current pharmacological treatment has serious side-effects. Methods: A cross-over randomised controlled trial (RCT) with 60 participants of all stages and different types of dementia was conducted in Greece. The sample was randomly assigned in 6 different groups of 10 participants each. Every intervention lasted for 5 days, and there were 2 days as a wash-out period. There was no drop-out rate. The measurements used were the Mini Mental State Examination (MMSE), Addenbrooke’s Cognitive Examination Revised (ACE-R), Geriatric Depression Scale (GDS), Functional Rating Scale for Symptoms in Dementia (FRSSD), and Neuropsychiatric Inventory (NPI). The interventions that were evaluated were reminiscence therapy (RT), music therapy (MT), and physical exercise (PE). Results: NPI scores were reduced in the group receiving PE (p = 0.006). When MT (p = 0.018) follows PE, wandering symptoms are reduced further. RT should follow MT in order to reduce wandering more (p = 0.034). The same combination was effective for the caregivers’ burden as well; PE (p = 0.004), MT (p = 0.036), RT (p = 0.039). Conclusions: An effective combination that can reduce wandering symptoms in all stages and types of dementia was found: The best order was PH-MT-RT. The same combination in the same order reduced caregivers’ burden.

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Nursing Interventions in Managing Wandering Behavior in Patients With Dementia: A Literature Review

Cited by 19 publications

References 20 publications

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Wandering Behavior From the Perspectives of Older Adults With Mild to Moderate Dementia in Long-Term Care

Approach to Management of Wandering in Dementia: Ethical and Legal Issue

Non-Pharmacological Interventions for Wandering/Aberrant Motor Behaviour in Patients with Dementia

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