Those with Alzheimer’s or Dementia are at greater risk for dangerous wandering behavior.
Alzheimer’s disease causes millions of Americans to lose their ability to recognize familiar places and faces.
Six in 10 people with Alzheimer’s disease will wander. Many people cannot even remember their name or address. They may become disoriented and lost, even in their own neighborhood. Although common, wandering can be dangerous – even life-threatening. The Alzheimer’s Association is working to help save lives through MedicAlert® + Alzheimer’s Association Safe Return®, a 24-hour nationwide emergency response service for individuals with Alzheimer’s or related dementia that wander or who have a medical emergency.
Here are tips to help caregivers prepare for and prevent wandering behavior.
Wandering: Who’s at risk?
• Returns from a regular walk or drive later than usual
• Tries to fulfill former obligations, such as going to work
• Tries to “go home” even when at home
• Is restless, paces or makes repetitive movements
• Has difficulty locating familiar places like the bathroom, bedroom or dining room
• Checks the whereabouts of familiar people
• Acts as if doing a hobby or chore, but nothing gets done (e.g. moves around pots and dirt without planting anything)
• Feels lost in a new or changed environment
• Be aware of who is at risk for wandering.
• Identify the most likely times of day that wandering may occur, and plan activities at that time.
• Provide opportunities for activities and exercise, such as folding towels, listening to music and dancing.
• When night wandering is a problem, make sure the person has restricted fluids two hours before bedtime and has gone to the bathroom just before bed. Limit daytime naps, if possible.
• Monitor reaction to medications. Consult a physician, if necessary
• Use communication focused on exploration and validation (not correcting) when the individual says that he or she want to leave to go home or to work.
• If wandering is in progress, use distraction to redirect the individual’s focus.
Consider the home environment
• Night-lights: Place throughout the home or facility.
• Locks*: Place out of the line of sight. Install slide bolts at the top or bottom of doors.
• Door knobs*: Cover knobs with cloth the same color as the door. Use childproof knobs.
• Doors*: Camouflage doors by painting them the same color as the walls. Cover them with removable curtains or screens.
• Use black tape or paint to create a two-foot black threshold in front of the door.
• Warning bells: Place above doors.
• Monitoring devices: Try devices that signal you when a door is opened. Place a pressure-sensitive mat at the door or person’s bedside to alert you to movement.
• Hedges or fence*: Put around the patio, yard or other outside common areas.
• Safety gates or bright colored netting*: Use to bar access to stairs or the outdoors.
• Furniture*: Consider providing a recliner or geriatric chair for the individual to sit and rest. It is comfortable and yet restrictive to the body. Use round-cornered furniture, placed against the wall. Remove obstacles.
• Noise levels and confusion: Reduce excessive stimulation caused by movement or noise.
• Common areas: Develop indoor and outdoor areas that can be safely explored.
• Clothing: Provide the person with brightly colored clothing.
• Labeling*: Label all doors. Use signs or symbols to explain the purpose of each room.
• Secure trigger items: Some people will not go out without a coat, hat, pocketbook, keys, wallet, etc.
• Avoid leaving a person with dementia alone in a car.
• Enroll in MedicAlert + Safe Return.
• Keep a list of people to call when feeling overwhelmed. Have their telephone numbers in one location.
• Ask neighbors, friends and family to call if they see the person alone or dressed inappropriately.
• Keep a recent, close-up photo on hand to give to police.
• Make sure that MedicAlert + Safe Return has an updated photo and medical information.
• Know your neighborhood. Pinpoint dangerous areas near the home, such as bodies of water, open stairwells, dense foliage, tunnels, bus stops and roads with heavy traffic.
• Is the individual right or left-handed? Wandering generally follows the direction of the dominant hand.
• Keep a list of places where the person may wander to, like past jobs, former homes or a church or restaurant.
For safety and peace of mind, enroll in MedicAlert + Safe Return today: Call 1.888.572.8566 (6 a.m. – 7 p.m. (PST) Monday – Friday and 8 a.m. – 5 p.m. (PST) Saturday) or online at www.alz.org.
1.800.272.3900 | www.alz.org
© 2007 Alzheimer’s Association. All rights reserved. This is an official publication of the Alzheimer’s Association but may be distributed by unaffiliated organizations and individuals. Such distribution does not constitute an endorsement of these parties or their activities by the Alzheimer’s Association.