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07-SEPTEMBER-2008 03:17:44 - Wandering dementia Wandering, in persons with dementia, is a common behavior that causes great risk for the person and concern for caregivers. Although it occurs in several types of dementia, wandering is especially problematic in persons with Alzheimer's disease AD. This is because AD frequently produces impaired memory: persons with impaired memory are likely to become disoriented and lost simply because they do not recognize where they are nor remember how they came to be there. Contents 1 Elopement 2 Prevention 3 Management 4 See also 5 References Elopement Unattended wandering that goes out of bounds, a behavior known as elopement, is a special concern for caregivers and search and rescue responders. Because elopement often follows from a combination of wandering and sundowning, it typically results in the person being lost out of doors at night, dressed inappropriately, and unable to take many ordinarily routine steps to ensure their personal safety and security. This is a situation of great urgency, and the necessity of searching at night imposes added risks on the searchers. In some countries the social costs of elopement, already significant, are increasing rapidly.1 A SAR mission lasting more than a few hours is likely to expend many hundreds to thousands to tens of thousands of skilled man hours and, per mission, those involving subjects with dementia typically expend significantly more resources than others.1 Prevention The most effective methods of preventing wandering, particularly wandering out of bounds, are physical restraint, physical barriers, and the use of tracking devices. All of these methods have ethical issues and one, physical restraint, is widely considered to be inhumane.2 Tracking devices of several kinds have been evaluated.34 Management To mitigate the problem of wandering, in the United States the Alzheimer's Association has developed a program called Safe Return. See also References ^ a b Wandering and Alzheimer's overview. dbs-sar.com. Retrieved on 2008-08-26. ^ PMID 16849002 ^ PMID 16107453 ^ PMID 15082438 PMID 15352531 PMID 15213777 PMID 15154224 PMID 15014607 PMID 14645806 PMID 10513031 This medical article is a stub. v d e WHO ICD-10 mental and behavioral disorders F · 290-319 Neurological/symptomatic Dementia Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia, Elopement, Sundowning, Wandering · Delirium · Post-concussion syndrome · Organic brain syndrome Psychoactive substance alcohol drunkenness, alcohol dependence, alcoholic hallucinosis, Alcohol withdrawal, delirium tremens, Korsakoff's syndrome, alcohol abuse · opioids opioid dependency · sedative/hypnotic benzodiazepine withdrawal · cocaine cocaine dependence · general Intoxication, Drug abuse, Physical dependence, Withdrawal Psychotic disorder Schizophrenia disorganized schizophrenia · Schizophreniform disorder · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood affective Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety, Social phobia · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder Ganser syndrome · Somatoform disorder Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia · Neurasthenia Physiological/physical behavioral Eating disorder: Anorexia nervosa · Bulimia nervosa Sleep disorder: Dyssomnia Hypersomnia, Insomnia · Parasomnia REM behavior disorder, Night terror · Nightmare Sexual dysfunction: Erectile dysfunction · Premature ejaculation · Vaginismus · Dyspareunia · Hypersexuality · Female sexual arousal disorder Postpartum depression · Postnatal psychosis Adult personality and behavior Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation · Fetishism Mental retardation Mental retardation Psychological development developmental disorder Specific: speech and language expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp · Scholastic skills dyslexia, dysgraphia, Gerstmann syndrome · Motor function developmental dyspraxia Pervasive: Autism · Rett syndrome · Asperger syndrome Behavioral and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech stuttering · cluttering Retrieved from http://en..org/wiki/Wandering_dementia Categories: Medicine stubs | Alzheimer's disease | Rescue Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page This page was last modified on 27 August 2008, at 21:51
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