title: Problematic wandering behavior in the cognitively impaired elderly. A single-subject case study.
abstract: Three psychosocial factors that may influence wandering behavior have been previously identified: lifelong patterns of coping with stress, previous work roles, and a need to search for persons or places associated with security. Strategies for managing wandering behavior include environmental modifications, planned activities, physical exercise, and attention to psychosocial history. However, limited attention has been given to testing psychosocial approaches that could be used by nursing home staff when interacting with residents who wander. The findings of this study suggest that providing sufficient staff time for interacting with residents, programs that address residents' needs for activity and rest, and appropriate environmental modifications should occur in conjunction with the decreased use of antipsychotic medications and physical restraints.
authors.affiliation: Veterans Administration Medical Center, Portland, OR 97207, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Goldsmith
authors.forename: B
authors.initials: B
authors.lastname: Hoeffer
authors.forename: J
authors.initials: J
authors.lastname: Rader
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000544:Alzheimer Disease / Q000451:nursing* / Q000523:psychology; D001521:Behavior Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D006707:Homes for the Aged; D006801:Humans; D007380:Intermediate Care Facilities; D008297:Male; D008609:Mental Status Schedule; D009043:Motor Activity; D009720:Nurse Clinicians; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D009735:Nursing Homes; D009949:Orientation; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000009:adverse effects; D012149:Restraint, Physical; D012931:Social Environment
chemical_list: D011619:Psychotropic Drugs