Description of the behaviour of wandering in people with dementia living in nursing homes - a review of the literature

Halek, Margareta; Bartholomeyczik, Sabine

doi:10.1111/j.1471-6712.2011.00932.x

Cited by 36 publications

(35 citation statements)

References 42 publications

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“…This definition and others that focus on the aimlessness of the wandering have however come under increasing scrutiny (Algase , Algase et al . , Halek and Bartholomeyczik , Lucero ). Indeed, not only is ‘the aetiology of wandering poorly understood’ but it also ‘remains an unresolved riddle’ (Cipriani et al .…”

Section: Introductionmentioning

confidence: 99%

“…Wandering has been discussed in the healthcare literature since the 1970s (Halek and Bartholomeyczik : 406). In earlier years of these debates, wandering was defined as ‘a tendency to move about, either in a seemingly aimless or disoriented fashion, or in pursuit of an indefinable or unobtainable goal’ (Snyder et al .…”

Section: Introductionmentioning

confidence: 99%

“…In the latter case, wandering is argued to be understandable and to be a ‘consequence of a search for something familiar, safe and pleasant’ (Coltharp et al . 1996, cited in Halek and Bartholomeyczik : 406). Attempts to define specifically what wandering is are further hampered by the complexity of the behaviour attributed to it (Lai and Arthur , White and Montgomery ) as well as difficulties in articulating appropriate theoretical frameworks for analysis.…”

Section: Introductionmentioning

confidence: 99%

“…Evident in these ongoing debates is thus the complexity of how to define precisely what wandering is, the kinds of wandering that occur, the behaviour associated with it, the usefulness of the term itself, and appropriate theoretical tools to analyse it. There also is no agreement over the issue of the intentions of the person with dementia, and wandering is seen to be both aimless and directed: the ‘extent [to which] wandering is random and aimless or goal‐oriented and planned cannot be clarified’ (Halek and Bartholomeyczik : 407). Some have sought to differentiate between normal walking and wandering by classifying wandering in four ways: lapping, pacing, random travel and direct travel (Algase et al .…”

Section: Introductionmentioning

confidence: 99%

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When walking becomes wandering: representing the fear of the fourth age

Degnen

Gibson

Dickinson

et al. 2017

Sociology Health & Illness

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Dementia is linked to behavioural changes that are perceived as challenging to care practices. One such behavioural change is 'wandering', something that is often deeply feared by carers and by people with dementia themselves. Understanding how behavioural changes like wandering are experienced as problematic is critically important in current discussions about the behavioural and psychological symptoms of dementia. In this article we draw on our secondary analysis of qualitative interviews and focus groups with carers of people with dementia to critically question 'when does walking become wandering'? Drawing on theoretical perspectives from anthropology, sociology and human geography to explore experiences of carers and of people with dementia, we argue that a conceptual shift occurs in how pedestrian activity, usually represented as something purposeful, meaningful and healthy (walking) is seen as something threatening that needs managing (wandering). We demonstrate how this shift is connected to cultural assumptions about the mind-body relationship in both walking and in dementia. We further argue that the narratives of carers about wandering challenge the notion of 'aimless' walking in the fourth age. This is because, as these narratives show, there are often pronounced links to specific areas and meaningful places where people with dementia walk to.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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When walking becomes wandering: representing the fear of the fourth age

Degnen

Gibson

Dickinson

et al. 2017

Sociology Health & Illness

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“…This might give rise to experiencing a feeling of being restricted, trapped or overprotected. These feelings might result in a struggle to get home [4] , with wandering and checking doors in an attempt to get out [5] . Sundown syndrome among persons with AD exhibits wandering and agitative behaviour because of a decreased ability to cope with external stimuli towards evening.…”

Section: Introductionmentioning

confidence: 99%

A therapy dog’s impact on daytime activity and night-time sleep for older persons with Alzheimer’s disease - A case study

Swall¹,

Fagerberg²,

Ebbeskog³

et al. 2014

Clinical Nursing Studies

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A therapy dog's impact on daytime activity and night-time sleep for older persons with Alzheimer's disease: a case study. Clinical Nursing Studies, 2(4): 80-93http://dx.doi.org/10. 5430/cns.v2n4p80 Access to the published version may require subscription. N.B. When citing this work, cite the original published paper. AbstractBackground: Animal-Assisted Therapy using dogs have been described as having a calming effect, decrease sundowning and blood-pressure in persons with Alzheimer's disease. The aim was to investigate how continuous and scheduled visits by a prescribed therapy dog affected daytime and night-time sleep for persons with Alzheimer's disease. Methods:In this case study, registration of activity and sleep curves was conducted from five persons with moderate to severe Alzheimer's disease living at a nursing home, over a period of 16 weeks using an Actiwatch. Data was analysed with descriptive statistics. Result:The study shows no clear pattern of effect on individual persons daytime activity and sleep when encounter with a therapy dog, but instead points to a great variety of possible different effects that brings an increased activity at different time points, for example during night-time sleep. Conclusions:Effects from the use of a Animal-Assisted Therapy with a dog in the care of persons with Alzheimer's disease needs to be further investigated and analysed from a personcentred view including both daytime and nightime activities.

show abstract

When walking becomes wandering: representing the fear of the fourth age

Degnen

Gibson

Dickinson

et al. 2017

Ageing, Dementia and the Social Mind

View full text Add to dashboard Cite

Dementia is linked to behavioural changes that are perceived as challenging to care practices. One such behavioural change is 'wandering', something that is often deeply feared by carers and by people with dementia themselves. Understanding how behavioural changes like wandering are experienced as 'problematic' is critically important in current discussions about the behavioural and psychological symptoms of dementia. In this paper we draw on our secondary analysis of qualitative interviews and focus groups with carers of people with dementia to examine the question 'when does walking become wandering'? Drawing on theoretical perspectives from anthropology, sociology and human geography to explore experiences of carers and of people with dementia, we argue that a conceptual shift occurs in how pedestrian activity is represented as something purposeful, meaningful and healthy (walking) to something threatening and that needs managing (wandering). We demonstrate how this shift is connected to cultural assumptions about the mind/body relationship in both walking and in dementia. We further argue that the narratives of carers about wandering challenge the notion of 'aimless' walking within the fourth age. This is because, evident within these narratives, there are often pronounced links to specific areas and meaningful places where people with dementia walk to.

show abstract

Description of the behaviour of wandering in people with dementia living in nursing homes - a review of the literature

Cited by 36 publications

References 42 publications

When walking becomes wandering: representing the fear of the fourth age

When walking becomes wandering: representing the fear of the fourth age

A therapy dog’s impact on daytime activity and night-time sleep for older persons with Alzheimer’s disease - A case study

When walking becomes wandering: representing the fear of the fourth age

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