title: The effectiveness of control strategies for dementia-driven wandering, preventing escape attempts: a case report.
abstract: One of the most complicated aspects of caring for patients with dementia is dementia-driven wandering due to its adverse ramifications. We report a case of an 80-year-old man who had been previously diagnosed with dementia (with a score of 6 on the Reisberg Global Deterioration Scale - GDS). The patient went to an Adult Day Care Center on a daily basis where he demonstrated wandering behavior with a high rate of escape attempts (the number of times the Center's glass exit door was approached). The objective of this study is to present effective non-pharmacological intervention strategies for dementia-driven wandering; assessed strategies included: environmental (subjective barriers), cognitive/behavioral (cognitive training with differential reinforcement), and combined (subjective barriers + cognitive/behavioral). The results showed that all of these three strategies significantly decreased the number of escape attempts.
authors.affiliation: Centro de Evaluación y Rehabilitación Neuropsicológica (CERNEP), Universidad de Almería, Almería, Spain.
authors.forename: Daniel Valle
authors.initials: DV
authors.lastname: Padilla
authors.forename: María Teresa Daza
authors.initials: MT
authors.lastname: González
authors.forename: Inmaculada Fernández
authors.initials: IF
authors.lastname: Agis
authors.forename: Jenna
authors.initials: J
authors.lastname: Strizzi
authors.forename: Raquel Alarcón
authors.initials: RA
authors.lastname: Rodríguez
mesh_terms: D000369:Aged, 80 and over; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D003704:Dementia / Q000175:diagnosis / Q000523:psychology*; D005430:Floors and Floorcoverings; D006801:Humans; D008297:Male; D011595:Psychomotor Agitation / Q000628:therapy*; D012054:Reinforcement, Psychology; D016896:Treatment Outcome; D016138:Walking; D055816:Wandering Behavior / Q000523:psychology*