Wandering
Wandering is a behavior often associated with certain medical conditions such as Alzheimer's, dementia, and autism. It involves the affected individual moving about aimlessly, often without a clear direction or purpose. This behavior can pose significant risks, including injury and getting lost.
Causes
Wandering can be triggered by a variety of factors. In individuals with Alzheimer's or dementia, it may be a response to confusion, fear, or frustration. In those with autism, it may be a response to overstimulation or an attempt to escape a stressful situation. Other potential causes include medication side effects, unmet needs (such as hunger or thirst), and environmental factors (such as noise or crowding).
Risks
The risks associated with wandering are significant. Individuals may become lost or injured, and may be unable to find their way back to a safe location. They may also be at risk of exposure to the elements, traffic accidents, and other dangers. In addition, the stress and anxiety associated with wandering can exacerbate existing health conditions.
Management
Management of wandering involves a combination of strategies, including environmental modifications, behavioral interventions, and in some cases, medication. Environmental modifications may include making the home environment safer (for example, by installing locks or alarms on doors and windows), and providing safe areas for the individual to wander. Behavioral interventions may include providing structured activities, using visual cues to guide behavior, and providing reassurance and comfort. Medication may be used in some cases, but is generally considered a last resort due to potential side effects.
See also
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Contributors: Prab R. Tumpati, MD