Managing Wandering in Older Adults

Some reasons that people with dementia may wander include:

• Short term memory loss – people with memory loss may leave to perform an errand but forget why they went out or where they are. 
• Continuing a habit – if someone used to walk a lot they may continue to do so.
• Confusing the past with the present – they may look for a person or a place or try to perform a task relating to their past. 
• Confusion in the night – people with dementia sometimes struggle with insomnia and they may become confused or disoriented in the dark.

Some strategies to decrease the risk of wandering:

• Ensure the person is always identifiable – this might take the form of an identity or medic alert bracelet or identification information sewn onto clothing.
• Look for patterns or triggers that cause wandering – if wandering occurs at certain times of the day or when items associated with going out are present this may make wandering easier to prevent. 
• Inform neighbours of the issue – having a friendly eye out in the neighbourhood can reduce any harm when wandering does occur. 
• Provide safe walking opportunities – walking is a healthy way to keep active and manage agitation. Ensure there is a safe space for walking or that accompanied walks are offered regularly. 

Wandering can be a serious issue and can put people with dementia in unsafe situations. A carer can help orientate and redirect the attention of those with wandering tendencies, while also putting in place some strategies for your specific circumstances.