What is wandering behaviour with a dementia patient?

July 14, 2024 - Reading time: 16 minutes

Understanding Wandering Behavior in Dementia Patients and How to Provide Support Navigating the complexities of dementia can be a challenging journey, both for those with the condition and their caregivers. One of the most perplexing behaviours associated with dementia is wandering. Loved ones suddenly become disoriented and set off on foot, causing worry and panic for their families.

Understanding why this happens and how to provide support is crucial in ensuring their safety and well-being. In this article, we delve into the mystery of wandering behaviour in dementia patients. We explore the underlying causes and contributing factors that trigger this behaviour, from confusion and restlessness to the need to fulfil a past routine or desire. 

Additionally, we provide practical and compassionate strategies to help caregivers manage and prevent wandering episodes, ensuring the safety and security of their loved ones. If you are seeking guidance in navigating the challenging world of dementia, this article is a must-read. Gain insight into the perplexing behaviour of wandering, and discover effective ways to provide the support and care your loved one truly deserves. Wandering can manifest in different ways:


Random Walking: 

Ambulatory (walking) behaviour is a common activity among individuals receiving care. Often, care recipients engage in this form of movement without a particular aim or goal in mind, simply wandering around their residence or care facility. This type of behavior can be very beneficial to individuals receiving care, as it not only promotes physical activity but also provides mental stimulation and relaxation. Furthermore, it can help individuals feel more comfortable and at ease in their environment while encouraging social interaction with other residents or care personnel. So, caregivers need to encourage ambulatory behaviour among individuals receiving care whenever possible to promote their overall well-being and quality of life.

Exit-Seeking: 

Individuals with cognitive impairment may engage in unsafe behavior such as attempting to exit a building multiple times, believing they need to go somewhere. Such behaviour can pose a threat to their safety, especially if they become disoriented or lost. Supervising individuals with cognitive impairments and implementing measures to ensure their security and well-being is crucial. This highlights the importance of providing them with appropriate care and attention.

Pattern Walking: 

It has been observed that certain individuals tend to follow a predetermined area or route, often familiar to them, which may involve activities such as pacing back and forth.

Searching: 

Understandably, patients may seek to locate something or someone important to them, even when the object of their search is no longer present or has passed away.
 

Restlessness: 

Restlessness or agitation, often accompanied by an inability to sit still, can indicate an underlying concern that should be taken seriously. It is important to seek the advice of a medical professional if you are experiencing these symptoms. With the help of a qualified healthcare provider, you can develop a plan of action to address any underlying issues and improve your overall well-being. Remember, it is always best to take prompt action when it comes to your health and seek the support of trusted professionals who can provide expert guidance and care.

Wandering can be distressing for both the patient and caregivers, as it can lead to safety risks, such as getting lost, falling, or exposure to extreme weather conditions. Understanding and addressing wandering behaviours is crucial to ensure the safety and well-being of dementia patients.

 

How to recognize and address wandering behaviour in a dementia patient?


It is essential to address the wandering behaviour in individuals with dementia to ensure their safety and overall well-being. This unique behaviour is common and often challenging to handle effectively. Therefore, it requires a professional approach to manage it successfully. Here are some strategies:

 

Identification: 

Be vigilant for signs of restlessness, pacing, or attempts to leave familiar surroundings, especially if these behaviours are new or escalating.

 

Understand Triggers: 

Identify triggers for wandering, such as discomfort, hunger, thirst, or the need to use the restroom. Addressing these needs proactively can reduce wandering.

 

Establish Routine: 

Create a structured daily routine to provide a sense of security and predictability for the patient. This can reduce restlessness.

 

Safe Environment:
Ensure the home is safe by installing locks out of the patient's line of sight, using alarms on doors, and removing potential hazards like tripping hazards.

 

Engagement:
Offer activities that stimulate the mind, like puzzles, music, or familiar hobbies, to keep the patient engaged and less likely to wander.

 

Redirecting

If the patient starts to wander, gently redirect their attention to a different activity or location. Avoid confrontation or restraint.

 

Medication

In some cases, medication may be prescribed to manage wandering behaviours, but this should be discussed with a healthcare professional.

 

Caregiver Support: 

Caregivers should seek support from support groups, respite care, or professional help to manage the challenges of caring for a dementia patient.

 

Professional Assessment:

If wandering becomes a significant issue, consult a healthcare professional for a comprehensive assessment and personalized care plan.

 

Safety First:
Ultimately, prioritize the safety of the patient. If wandering poses a significant risk, consider professional care options, like memory care facilities, that specialize in dementia care.

 

Remember that each dementia patient is unique, so it's important to tailor strategies to their specific needs and preferences while ensuring their safety is the top priority.



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