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WHY DO DEMENTIA PATIENTS WANDER?

Author: punchbath9
Posted On: February 14, 2024, 6:16 pm



A dementia patient who wanders can be a source of anxiety for caregivers and
family members. In some cases, this behavior can lead to serious injury or
death.

Fortunately, there are steps you can take to prevent your loved one from
wandering. Here are some of the most common reasons people with dementia wander:
1. Confusion.
1. Confusion

Many dementia patients experience a lot of confusion, especially at the end of
their life. This confusion is often triggered by over-stimulation, which can be
caused by loud noises, quick movements and other sensory stimulation. When these
things are paired with the frustration of not being able to communicate, the
result can be a desperate attempt to escape from the environment and find a calm
place where they can be safe.

A common cause of wandering is wanting to go home. This can be a result of being
in a new environment, like a different house or community, or it may be due to
the fact that they haven’t been to their own home in some time.

To help prevent your loved one from getting lost, keep track of when they tend
to wander and their surroundings. Also, remember if they are left or
right-handed as wandering patterns usually follow the dominant hand. Lastly, be
aware of their neighborhood and pinpoint potential dangers such as bodies of
water, open stairwells, busy roads and bus stops.
2. Agitation

A state of intense agitation can be a dangerous and scary symptom of dementia.
It is usually triggered by a feeling of unease or distress, often associated
with the desire to go home. It is most common for people to wander when agitated
at the end of the day or in the evening, known as sundowning.

The person may be trying to get back to a place they consider to be home, or it
could be that they are trying to go somewhere to meet an unmet need such as
hunger or thirst. Providing them with food and water regularly can help prevent
this.


Despite being one of the most impactful behavioral symptoms, there is very
little research evidence to guide therapeutic approaches for wandering and
agitation. Many patients are unable to verbalize their distress, and it can be
hard to know what is making them so anxious. It can take time to find a
medication and stress relieving techniques that will work.
3. Unmet Needs

Dementia patients often experience unmet needs that can trigger wandering
behavior. This can include hunger, thirst, pain or boredom. In addition, a lack
of sleep can cause confusion. It is important to ensure that your loved one’s
basic needs are met. If you notice them trying to get outside, make sure there
are visible cues that tell them they are inside such as night lights or pictures
on doors.

The researchers found that people with dementia who experienced a high level of
unmet needs on the JHDCNA were more likely to be nonwhite and have lower
education and income levels. However, the study did not investigate etiology and
sampling bias is possible. Moreover, these findings are limited to those who
participated in the structured interviews. This does not include the large
number of individuals who declined participation, died between consent forms
being obtained and the interviews or did not respond to the questionnaires.
Thus, it is important to keep in mind that no single intervention can prevent a
person with dementia from wandering.
4. Fear

People with dementia often start wandering due to confusion. They may have
trouble recalling familiar places like home or a favorite park. This can lead to
a fear of getting lost or becoming disoriented in a new environment.

This may be especially true for those who have recently moved to a different
home or neighborhood. personal alarms for seniors It is also common for those
with dementia to become fixated on wanting to go home.

This behavior is a very difficult challenge for caregivers, families and health
care professionals. It is important to assess a person with dementia’s risk of
wandering and develop non-pharmacological strategies to minimize it. Consider
implementing physical barriers, such as a fence or putting up security alarms
that can be activated when a door or window is opened. Also, try to identify any
patterns associated with the wandering, such as being triggered by evening light
(known as sundowning). Consider changing medications that cause confusion or
agitation to ones that are less likely to do so.


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