The nature of wandering in dementia: A community‐based study

Hope, Robert; Fairburn, Christopher G.

doi:10.1002/gps.930050406

Cited by 80 publications

(74 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 In recognition of the complexity of wandering, a descriptive typology rather than a simple definition has been outlined. 4,8 The typology includes nine items: checking; pottering; aimless walking; walking with inappropriate purpose; walking with appropriate purpose but inappropriate frequency; excessive activity; night-time walking; attempts to leave home; and brought back home. In addition, the term 'sundowning' is widely used to describe people with dementia who become more confused and prone to wandering in the evening and during the night.…”

Section: Background Description Of the Underlying Problemsmentioning

confidence: 99%

“…The participants included in the review were people with acute or chronic cognitive impairment, of any age, who exhibited wandering behaviour 1,2,4,8 including people:…”

Section: Types Of Participantsmentioning

confidence: 99%

“…The term incorporates a diverse spectrum of behaviours that have been categorised in several ways (i.e. according to geography, frequency and purpose 4,8 and relationship to neurocognitive deficit 10 ). Of the 235 studies identified as potentially relevant to include in the review, almost half were excluded as it was not possible to identify clearly any of the relevant behaviours represented in the typology of wandering and wandering per se was often subsumed within the term agitation or agitated behaviour.…”

Section: Definition Of Wanderingmentioning

confidence: 99%

See 2 more Smart Citations

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS,...

show abstract

Section: Background Description Of the Underlying Problemsmentioning

confidence: 99%

“…The participants included in the review were people with acute or chronic cognitive impairment, of any age, who exhibited wandering behaviour 1,2,4,8 including people:…”

Section: Types Of Participantsmentioning

confidence: 99%

Section: Definition Of Wanderingmentioning

confidence: 99%

See 1 more Smart Citation

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

View full text Add to dashboard Cite

show abstract

“…2 Along with agitation, wandering seems to be the most enduring sign of BPSD. 16 Different types of behaviours are included in wandering: 17 • Repeatedly checking the whereabouts of the carer …”

Section: Wanderingmentioning

confidence: 99%

Managing challenging behaviour in older adults with dementia

Krishnamoorthy¹,

Anderson²

2011

Prog Neurol Psychiatry

View full text Add to dashboard Cite

Progress in Neurology and Psychiatry 20C hallenging behaviour is a term that has been adapted from the field of learning disability, 1 and incorporates other terms used previously such as behavioural disturbance, problematic behaviours, behavioural problems and difficult behaviour. The concept takes into account the intrinsic and extrinsic factors involved in the aetiology. 2 Challenging behaviour puts a strain on caregivers and reduces quality of life of ser vice users and staff, leading to transfer between care setting, institutionalisation, referral to psychiatric services and admission to hospital. 3 Challenging behaviour can occur with any mental health problem but is most common and demanding in dementia. The term behavioural and psychological symptoms of dementia (BPSD) is linked to challenging behaviour, as these symptoms often result in challenging behaviour. For the purpose of this article, challenging behaviour and BPSD are used interchangeably and the focus is on dementia, although most of the principles apply generally. Size of the problemThe prevalence of BPSD varies depending on the situation, eg community, care home or hospital, how the symptoms are measured and the severity of dementia. Dementia is a syndrome caused by number of illnesses in which there is a progressive decline in cognitive function and the ability to carry out activities of daily living. There are about 700 000 people with dementia in the UK. BPSD is a strong predictor of carer distress, 4 entry into social care, 5 and is associated with impaired functional ability, poorer prognosis and caregiver burden. It also makes discharge from hospital more difficult. 6 BPSD affects up to 95 per cent of people with dementia at some point. 7 BPSD fall into three main groups: agitation, psychosis and mood disorder. 5 They increase in frequency and severity as the dementia progresses and become evident in the moderately severe stage of dementia when people are beginning to lose an awareness of their disability. Symptoms include delusions, hallucinations, anxiety, depression, apathy, agitation, misidentification and disinhibition, possibly together with behaviours such as calling out/shouting, repetitive questioning, inappropriate incontinence, sexually inappropriate behaviour, wandering and aggression. 7,8 Understanding challenging behaviour Challenging behaviour has been defined as an active attempt by the person to express an unmet need, which could be physiological or psychological. 8 It can be a manifestation of distress or suffering, or a reaction to distress in the carer, which may in turn increase the behavioural problems. 9 Before any treatment can be formulated, the challenging behaviour needs to be understood, and for this, a person-centred approach is essential. 10 This means that the behaviour needs to be understood on the basis of the function it serves for that individual and the reasons behind it. Rather than see challenging behaviour as a problem it should be seen as a method of communication: what is the person trying to tel...

show abstract

“…Reduced wayfinding effectiveness is very common in Alzheimer's disease, beginning in the early stages (Cummings & Benson, 1986;Tariot et al, 1986). Losing ability to find one's way results in getting lost and necessitates assistance from others in returning home (Hope & Fairburn, 1990). All too often, getting lost has dire consequences (Rowe & Glover, 2001).…”

mentioning

confidence: 99%

Initial Psychometric Evaluation of the Wayfinding Effectiveness Scale

et al. 2007

View full text Add to dashboard Cite

This study evaluates three versions of the Wayfinding Effectiveness Scale (WES), developed to differentiate problems of wayfinding and wandering behavior of community-residing elders with dementia (EWD), in 266 dyads (EWD and caregiver) recruited from Alzheimer's Association chapters. Factor analyses yield a five-factor solution (explained variance = 62.6%): complex wayfinding goals, analytic strategies, global strategies, simple wayfinding goals, and being stimulus bound. Overall, internal consistencies are high: WES (.94-.95), and subscales are stable across all versions. Testretest reliability is acceptable for the overall WES and two subscales (complex and simple wayfinding goals) for the care recipient current behavior version. Construct validity is supported by the pattern of correlations among subscales and analyses of variance (ANOVAs) showing significant differences among the care recipient (current vs. prior behavior) and caregiver versions overall and for all subscales. Results support the WES as a valid and reliable measure of wayfinding effectiveness in persons with dementia.

show abstract

The nature of wandering in dementia: A community‐based study

Cited by 80 publications

References 23 publications

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Managing challenging behaviour in older adults with dementia

Initial Psychometric Evaluation of the Wayfinding Effectiveness Scale

Contact Info

Product

Resources

About