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Alzheimer’s: Understand wandering and how to address it

Alzheimer’s disease is a progressive neurological disorder that primarily affects memory and cognitive function. According to the Alzheimer’s Association, around 6.9 million Americans are living with Alzheimer’s dementia. Understanding the tendency of Alzheimer’s patients to wander is crucial for ensuring the safety and well-being of those affected by this disease. By recognizing the causes and implementing …
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Alzheimer’s: Understand wandering and how to address it
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Alzheimer’s disease is a progressive neurological disorder that primarily affects memory and cognitive function. According to the Alzheimer’s Association, around 6.9 million Americans are living with Alzheimer’s dementia. Understanding the tendency of Alzheimer’s patients to wander is crucial for ensuring the safety and well-being of those affected by this disease. By recognizing the causes and implementing effective strategies to manage wandering, caregivers and family members can help create a safer environment for their loved ones.


What is “wandering”?

Alzheimer's: Understand wandering and how to address it
Kindel Media / Pexels / “Man in White Shirt Covering His Face” / Pexels license

Wandering is a common behavior observed in individuals with Alzheimer’s disease and other forms of dementia. It involves moving about aimlessly or with a seemingly specific goal in mind but without the ability to follow through or recognize familiar surroundings. This behavior can manifest in various forms, such as pacing back and forth, trying to leave the home, or attempting to reach a place from the individual’s past.


Wandering is often triggered by confusion, disorientation, stress, or a desire to fulfill a perceived need such as finding someone or something from their past. It can also occur due to environmental factors, such as noise, temperature changes, or lack of activity, which may cause restlessness.


The implications of wandering can be serious, including the risk of getting lost, encountering dangerous situations, or suffering injuries.


Causes of wandering

Wandering in individuals with Alzheimer’s disease is often a complex behavior influenced by multiple factors. Understanding the causes can help caregivers and medical professionals develop better strategies to manage and mitigate this challenging symptom. According to Hebrew Senior Life, around 60% of people diagnosed with dementia will experience wandering.


Alzheimer’s disease progressively damages the brain, leading to significant cognitive decline and memory loss. Individuals with Alzheimer’s often revert to memories of their past, sometimes believing they need to go to a former home or workplace. They may forget where they are, prompting them to wander in an attempt to find a place of safety and familiarity.


According to research, it is common for Alzheimer’s patients to have feelings of restlessness and agitation, often due to unmet needs or discomfort. This restlessness can manifest as a compulsion to move around or wander away, as they attempt to alleviate their discomfort or satisfy a need they cannot express.


Strategies to address wandering

wandering
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The tendency to move about aimlessly or leave familiar settings can lead to severe consequences, including getting lost or injured or other harmful situations. Strategies for addressing wandering effectively are crucial for ensuring the safety and well-being of those with Alzheimer’s.


It is important to ensure that the home environment is safe. Install locks on doors and windows that are out of immediate sight or difficult for the individual to unlock. Consider using childproof doorknobs or latches.


Additionally, make use of alarm systems and motion detectors to alert caregivers if the person tries to leave the house. Creating a clear, clutter-free environment can also help minimize confusion and reduce the risk of falls or injuries.


A structured daily routine can also help reduce anxiety and restlessness, which are common triggers for wandering. Regular activities and consistent schedules provide a sense of security and predictability.


Wandering can sometimes be a result of unmet needs such as hunger, thirst, or the need to use the bathroom. Regularly checking in on these basic needs can prevent wandering. Emotional triggers like loneliness, boredom, or stress can also prompt wandering, so it’s important to provide social interaction and engagement.


Conclusion

Effectively addressing wandering in individuals with Alzheimer’s requires a multi-faceted approach that includes understanding the causes, implementing practical strategies, and fostering a supportive environment. While wandering poses significant risks, taking proactive measures can reduce these dangers and improve the quality of life for those affected. Ultimately, a compassionate and informed approach can make a substantial difference in managing wandering behaviors, ensuring the safety and well-being of individuals with Alzheimer’s disease.


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Reach your USMLE Step 1 target score on the first try with Achievable's online self-study course. Includes an easy-to-understand online textbook and 1,400+ review quizzes with explanations.
Concise online textbook
1.4k+ chapter quizzes
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