Wandering (dementia)
Wandering (dementia)
Wandering is a common behavior associated with dementia, a broad category of brain diseases that cause a long-term and often gradual decrease in the ability to think and remember. This behavior is seen in people with dementia such as Alzheimer's disease and is characterized by aimless or disoriented movement across a variety of settings, which can create significant potential for harm and stress.
Causes
Wandering in dementia is often caused by the person's inability to recognize familiar places and faces. This can be due to the progressive damage to the brain caused by diseases like Alzheimer's. Other factors that can contribute to wandering include restlessness, agitation, or the side effects of certain medications.
Effects
The effects of wandering can be distressing for both the person with dementia and their caregivers. It can lead to physical harm, such as falls or getting lost, and emotional distress, such as anxiety and fear. It can also place a significant burden on caregivers, who must constantly monitor the person to prevent wandering.
Management
Management of wandering in dementia involves a combination of strategies, including environmental modifications, behavioral interventions, and sometimes medication. Environmental modifications can include making the home safer by removing tripping hazards and installing locks on doors and windows. Behavioral interventions can include activities that provide mental stimulation and physical exercise. Medication is usually a last resort, used only when other strategies have failed and the person's safety is at risk.
See also
References
External links
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Contributors: Prab R. Tumpati, MD