Travel Behavior of Nursing Home Residents Perceived as Wanderers and Nonwanderers

Martino-Saltzman, David; Blasch, Bruce B.; Morris, Robin D.; McNeal, Lisa Wynn

doi:10.1093/geront/31.5.666

Cited by 166 publications

(130 citation statements)

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“…Martino-Salzman and colleagues 7 reported that, in an observational study of 40 residents, the frequency of wandering peaked around 7 p.m. Lapping was the wandering pattern in 90% of the cases and random walking represented 5% of wandering.…”

Section: The Wandering Cyclementioning

confidence: 96%

“…Random and lapping patterns of wandering increased as a percentage of overall ambulation as cognitive function declined, while the pacing pattern remains stable through all levels of impairment. 7 Also Algase and colleagues 138 reported that severely impaired patients ambulate more. However, it has been highlighted that although wandering behaviour (as other behavioural symptoms) becomes more common as cognitive impairment increases, the relationship is not linear but can be represented by a concave function.…”

Section: Appendixmentioning

confidence: 99%

“…haphazard movement without repeating points in sequence). 7 In recognition of the complexity of wandering, a descriptive typology rather than a simple definition has been outlined. 4,8 The typology includes nine items: checking; pottering; aimless walking; walking with inappropriate purpose; walking with appropriate purpose but inappropriate frequency; excessive activity; night-time walking; attempts to leave home; and brought back home.…”

Section: Background Description Of the Underlying Problemsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS,...

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Section: The Wandering Cyclementioning

confidence: 96%

Section: Appendixmentioning

confidence: 99%

Section: Background Description Of the Underlying Problemsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

View full text Add to dashboard Cite

show abstract

“…However, recent advances in measuring wandering, at least in long-term care settings, have demonstrated that it has various geographical patterns (random, lapping, and pacing) and a multidimensional structure [1,[10][11][12][13]. These patterns and dimensions now provide a more elaborate means for investigating wandering in relation to possible explanations.…”

Section: Introductionmentioning

confidence: 99%

The Interrelatedness of Wandering and Wayfinding in a Community Sample of Persons with Dementia

Algase

Son

Beattie

et al. 2004

Dement Geriatr Cogn Disord

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The aim of this study was to evaluate the relationship of wandering and wayfinding and validate the Revised Algase Wandering Scale – Community Version (RAWS-CV) using a community sample of persons with dementia. Adult caregivers (n = 266) completed the RAWS-CV and the Wayfinding Effectiveness Scale (WES). Four aspects of wandering were confirmed (persistent walking, repetitive walking, spatial disorientation, eloping behavior), and two new aspects were also validated (negative outcomes, mealtime impulsivity). The spatial disorientation subscale of the RAWS-CV had significant (p < 0.01) negative correlations with all WES subscales. The global strategies and simple wayfinding goals subscales of the WES correlated significantly with all RAWS-CV subscales except repetitive walking and mealtime impulsivity. ANOVAs comparing wayfinding at 4 levels of wandering revealed differences only for the simple wayfinding goals subscale. Studies examining the relationship of wandering and wayfinding at various levels of cognitive impairment are suggested to further understand these phenomena.

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“…Wandering behaviors have been classified as random walking (ambulation having frequent direction changes), lapping (moving in circuitous or looping fashion), pacing (moving back and forth repetitively between two points) and direct ambulation [6]. Random wandering becomes more prevalent with increased cognitive impairment while pacing is less frequent, is not significantly associated with cognitive impairment, and might be more an indication of agitation or anxiety.…”

Section: Characterizing Wandering Behaviorsmentioning

confidence: 99%

LaCasa: Location And Context-Aware Safety Assistant

Hoey¹,

Yang²,

Quintana³

et al. 2012

Proceedings of the 6th International Conference on Pervasive Computing Technologies for Healthcare

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Abstract-Wandering is a common behavior among people with dementia (PwD). It is also one of the main concerns of caregivers since it can cause the person to get lost and injured. The frequency and manner in which a person wanders is highly influenced by the person's background and contextual factors specific to the situation. In this paper we investigate some of the properties of wandering behaviours, particularly related to our ability to sense them with mobile devices. We then propose a novel decision-theoretic model that estimates the risk faced by the PwD and decides on the appropriate action to take, such as prompting the PwD or calling the caregiver. The model can be tailored to the user needs (e.g. known locations, level of cognitive decline) and takes into account uncertainty, and contextual information gathered from sensors, such as current location, noise, and proximity to the caregiver. A preliminary version of the system has been instantiated in a wandering assistance application for mobile devices running on an Android platform.

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Travel Behavior of Nursing Home Residents Perceived as Wanderers and Nonwanderers

Cited by 166 publications

References 0 publications

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

The Interrelatedness of Wandering and Wayfinding in a Community Sample of Persons with Dementia

LaCasa: Location And Context-Aware Safety Assistant

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