Dementia Wandering Behavior Focusing Essay

3445 words - 14 pages

Summary"Wandering" is a common problem and it is frequently seen in older people with cognitive impairment, especially in dementia patients (Hodgkinson et al., 2007). Newspapers and broadcast media report stories of cognitively impaired leaving from homes and long-term care facilities and becoming lost. Some wanderes are found and alive but some are injured or dead or never found.The behaviour is one of the most troubling behavioural and psychological symptoms of dementia to cause stress to the caregiver (Neville et al., 2006; Hodgkinson et al., 2007). However, aetiology of wandering behaviour has not discovered fully. During the illness, many wander putting themselves at risk and challenging to cares and institutional staff (Miskelly, 2004). Therefore, understanding and use some strategies (environmental modifications, technology and safety, physical/psychosocial interventions and caregiving support and education) to manage the behaviour are essential for caregivers and institutional staff.AetiologyEven Meguro et al. (2004) reported that wandering behaviour have more dyspraxia, but wandering behaviour has not been fully explored and unclear of why and what causes wandering (Lai, 2003; Myra, 2004; Algase, 2005). The behaviour, many studies have highlighted unpredictable and unattended (Lai, 2003). It might have different reasons and individuals. Hypotheses explanation include past lifestyle of activity, current needs, and reactions to environmental stress (Myra, 2004), and, Therefore, this makes it hard to discover effective strategies for managing wandering and difficult to design appropriate intervention strategies (Hermans et al., 2007).Definition overviewwandering is a complex behaviour among older adults with dementias, has been defined as a purposeful and goal directed behaviour which means exit-seeking or wayfinding behaviour and execution of one or more strategies to follow the path and reach the particular need of desire. The desire, such as leaving the current environment, leaving the confined area, talking about going home, going to work or leaving the stress as it requires the cognitive ability to have a thought, an action of plan and carry out the plan (Lucero, 2002; Algase et al., 2004; Myra, 2004; Lai & Arthur, 2003; Hodgkinson et al., 2007). There are four types of wandering behaviour characteristics categorised: exit seekers, restless pacers, self stimulators and modellers who do not have a desire to leave the facility and only inadvertently.(1)"Exit seekers" only aim was to escape and have different belief that they still have responsibilities for loved ones, their homes, and normal daily chores/tasks. Two types of exit seekers have identified: elopers and runaways. They are different by their emotional states, their perceptions of why they are in a long-term care setting, and their reasons for wanting to leave. "Elopers" seem to be unconcerned about the fact that they are in a long-term care facility and they assume...

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