Winner of an AJN Book of the Year Award! "I have not seen a book that does a better job with synthesis or provision of good concise information to those in need." (3 Stars)--Doody's Book Review Service Wandering behaviors are among the most frequent, problematic, and dangerous conditions associated with dementia and a continual challenge in health care and the community. Strongly research-based, this book presents and analyzes the latest research on wandering from the clinical, health care management, and policy literature and offers practical assessment and management tools. Nurses, physicians, gerontologists and others address the range of wandering behaviors of patients with Alzheimer's and other dementias, including prevention of elopement, getting lost, falls, fractures, and the subsequent need for extended nursing home or other supervised care that may result. The book places special emphasis on the difficult and stressful problems of daily patient care, improving safety for those with cognitive impairments, and enabling those with dementia to remain independent longer. This book is for all caregivers intent on improving care for the nearly 5 million Americans who are at risk. Key Features of this book: Offers practical tools for measuring and assessing wandering Emphasizes difficult and stressful daily problems of patient care Assesses medication and nonpharmacological interventions Describes the Alzheimer's Association's Safe Return Program Weighs environmental design factors that influence wandering behaviors
Author(s): Audrey L. Nelson, Donna L. Algase
Edition: 1
Year: 2007
Language: English
Pages: 480
Cover......Page 1
TOC Contents......Page 5
Preface......Page 9
Contributors......Page 13
Acknowledgments......Page 19
List of Figures......Page 23
List of Tables......Page 25
PART I. CONSTRUCT OF WANDERING......Page 29
CH ONE Wandering Definitions and Terms......Page 31
CH TWO Theoretical Models of Wandering......Page 47
CH THREE Epidemiology of Wandering......Page 81
CH FOUR Neuropsychological Correlates of Wanderers......Page 93
PART II. ASSESSMENT......Page 101
CH FIVE Assessment of Wandering Behaviors......Page 103
PART III. SPECIAL ISSUES ASSOCIATED WANDERING......Page 131
CH SIX Impact of Wandering on Functional Status......Page 133
CH SEVEN Caregiver Issues Associated With Wandering......Page 151
CH EIGHT Cultural Issues Associated With Wandering......Page 171
CH NINE Root Cause Analysis of Reported Wandering Adevrse Envents in the Veterans Health Administration......Page 189
CH TEN Getting Lost: Antecedents, Wandering Behaviour, and Search Strategies......Page 209
PART IV. INTERVENTIONS......Page 221
CH ELEVEN Behavior Management of Wandering Behaviour: Staff Trainig Issues......Page 223
CH TWELVE Pharmacological Interventions Associated With Wandering......Page 243
CH THIRTEEN The Alzheimer’s Association’s Safe Return Program for Persons Who Wander......Page 279
CH FOURTEEN A Home Safety Program for Community-Based Wanderers: Outcomes From the Veterans Home Safety Project......Page 287
CH FIFTEEN Technologies to Manage Wandering......Page 305
CH SIXTEEN Environmental Design......Page 327
CH SEVENTEEN Evidence-Based Practice Protocols for Wandering......Page 365
PART V. FUTURE DIRECTIONS......Page 379
CH EIGHTEEN A Research Agenda to Build the Science Associated with Wandering......Page 381
Appendix A: Compendium of Wandering-Related Terms and Definitions......Page 393
Appendix B: Measurement Tools for Wandering......Page 413
Appendix C: Wandering Resources......Page 427
IDX Index......Page 467
