Wandering can be problematic for caregivers, as well as for the person with dementia. This occurs when wandering behavior disrupts the individual’s sleep, eating, socialization, safety, or the caregiver’s ability to provide care. Assessment of premorbid factors, the disease process, behavioral symptoms typical of dementia, medications and their side effects is important when individualizing interventions for wandering behavior. Other factors, such as environment and the knowledge and skill of the caregiver, should be considered when planning care for older adults with dementia who are at risk for wandering behavior.
The purpose of this evidence-based guideline is to assist caregivers in identifying and in dealing with wandering behaviors in community-dwelling or institutionalized older adults with dementia. Written 2002; Revised 2008; 2014.
Toolkit Included in Guideline:
- Nursing Outcomes Classification (NOC): Safe Wandering – 1926
- Mini-Mental State Examination
- Pain Assessment in Advanced Dementia Scale (PAIN-AD)
- Revised Algase Wandering Scale: Long-Term Care Version (RAWS-LTC)
- Short Form Geriatric Depression Scale
- Cohen Mansfield Agitation Inventory: Long Form with Expanded Descriptions of Behaviors
- Memory and Behavior Problems Checklist –1990R
- Wandering Knowledge Assessment Test
- Process Evaluation Monitor
- Outcomes Monitor
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