Dementia and Wandering Behavior: Concern for the Lost Elder by Nina M. Silverstein PhD, Gerald Flaherty, Terri Tobin PhD

By Nina M. Silverstein PhD, Gerald Flaherty, Terri Tobin PhD

Winner of an AJN publication of the yr Award! Alzheimer's is readily turning into the epidemic of the twenty first century. this day, an envisioned 4 million americans be afflicted by this devastating illness. This quantity may explode to fourteen million by way of the 12 months 2050, while child boomers come of age. Written in a transparent and obtainable type, Dementia and Wandering habit brings awareness to this life-threatening challenge and is helping execs and kinfolk caregivers needless to say there are preventative measures on hand. by means of targeting particular responses to wandering habit and describing how one can create a secure atmosphere in the house, neighborhood, and care facility, this booklet teaches you the way to maximise autonomy whereas minimizing possibility for individuals with dementia on your care.

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1 Coexisting medical conditions. 2 Psychiatric complications. , 1990. , 1990). Another study followed 32 recently diagnosed people with Alzheimer's for 6 years, all of them living in the community, and found that symptoms of psychosis only worsened as the disease progressed (Rosen & Zubenko, 1991). Before continuing, however, we would add a clarifying note on aggressive behavior. A study by Gilley and colleagues (1997) found that nearly 80% of aggressive behaviors occurred during a care-related activity like dressing, bathing, or toileting, all of which involve close, even intrusive, physical contact.

They examined missing person reports from local law enforcement in Arkansas. They reported one critical wanderer per year for every 1,000 persons over the age of 65. Using Evans' estimate of the 10% prevalence of AD among those age 65 or greater, then the incidence of critical wandering is 1% among AD patients. S. Census population estimate). The next number game requires figuring out how many cases of critical wanderers never get reported to law enforcement officials. Silverstein and Salmons contacted by phone 463 caregivers who had registered with the Alzheimer's Association Safe Return Program in eastern Massachusetts.

1990, p. 1049). While the research literature discussed above suggests that wandering comes with many risks, Algase (1992, p. " Risk Factors and Possible Reasons Not surprisingly, with the rates of prevalence and the serious consequences, a whole body of research has focused on dementia and wandering behavior. This field has been dominated by studies investigating risk factors. Identifying major characteristics of those who are likely to wander, such studies have had mixed results. , 1998). It indeed appears that levels of impairment are related to incidence of wandering and that as cognitive impairment increases, wandering is more common.

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