Skip to main content
American Journal of Alzheimer's Disease and Other Dementias logoLink to American Journal of Alzheimer's Disease and Other Dementias
. 2004 Nov-Dec;19(6):361–368. doi: 10.1177/153331750401900602

Dangerous wandering: Elopements of older adults with dementia from long-term care facilities

Myra A Aud 1
PMCID: PMC10833955  PMID: 15633945

Abstract

Wandering is a commonly observed behavior among older adults with Alzheimer's disease (AD) and other types of dementia. When wandering around becomes wandering away, older adults with dementia are at high risk of injury. This exploratory, qualitative study described the circumstances, environmental risks, and injuries sustained in 62 elopements from long-term care facilities by elderly residents with dementia. Content analysis of the reports of the elopements identified patterns that included: 1) a lack of effective precautions to prevent elopement when residents had indicated an intent to elope, had repeatedly attempted to elope, or had a history of elopement; 2) a lack of awareness by the staff of resident location; and 3) ineffective use of alarm devices intended to alert staff to elopement attempts.

Keywords: wandering, elopement, dementia, long-term care

Full Text

The Full Text of this article is available as a PDF (136.1 KB).

References

  1. Silverstein N, Flaherty G, Tobin T: Dementia and Wandering Behavior: Concern for the Lost Elder.New York: Springer, 2002. [Google Scholar]
  2. Thomas DW: Wandering: A proposed definition. J Gerontol Nurs. 1995; 21(9): 35-41. [DOI] [PubMed] [Google Scholar]
  3. Algase DL: A century of progress: Today's strategies for responding to wandering behavior. J Gerontol Nurs.1992; 18(11): 28-34. [DOI] [PubMed] [Google Scholar]
  4. Thomas DW: Understanding the wandering patient: A continuity of personality perspective. J Gerontol Nurs.1997; 23(1): 16-24. [DOI] [PubMed] [Google Scholar]
  5. Algase DL: Wandering. A dementia-compromised behavior. J Gerontol Nurs.1999; 25(9): 10-16. [DOI] [PubMed] [Google Scholar]
  6. Lach H, Reed T, Smith L, et al.: Alzheimer's disease: Assessing safety problems in the home. Geriatr Nurs.1995; 16(4): 160-164. [DOI] [PubMed] [Google Scholar]
  7. Algase DL, Beel-Bates C, Beattie E: Wandering in long-term care. Annals of Long-Term Care.2003; 11(1): 33-39. [Google Scholar]
  8. Melillo K, Futrell M: Wandering and technology devices. Helping caregivers ensure the safety of confused older adults. J Gerontol Nurs.1998; 24(8): 32-38. [DOI] [PubMed] [Google Scholar]
  9. Aud MA: Interactions of behavior and environments as contributing factors in the discharge of residents with dementia from assisted living facilities. J Housing Elderly. 2002; 16(1/2): 61-83. [Google Scholar]
  10. Aud MA: Residents with dementia in assisted living facilities. The role of behavior in discharge decisions. J Gerontol Nurs. 2004; 30(6): 16-26. [DOI] [PubMed] [Google Scholar]
  11. Detweiler M, Trinkle D, Anderson M: Wander gardens: Expanding the dementia treatment environment. Ann Long-Term Care. 2002; 10(3): 68-74. [Google Scholar]
  12. Rowe M, Glover J: Antecedents, descriptions, and consequences of wandering in cognitively-impaired adults and the Safe Return (SR) program. Am J Alzheimers Dis Other Demen.2001; 16(6): 344-352. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Rowe M: People with dementia who become lost. Am J Nurs. 2003; 103(7): 32-40. [DOI] [PubMed] [Google Scholar]
  14. Rodriguez J: Resident falls and elopement: Cost and controls. Nurs Homes. 1993; 42(4): 16-17. [Google Scholar]
  15. Kennedy D: Precautions for the physical security of the wandering patient. Security J.1993; 4(4): 170-176. [Google Scholar]
  16. Foxwell LG: Elopement—Exposure and control. J Long Term Care Adm. 1993-1994; 21(4): 8-12. [PubMed] [Google Scholar]
  17. Aud MA, Manion P, Hites K: Elopement interventions for wandering LTC residents. Long-Term Care Interface.2002; 3(12): 26-29, 31-31. [Google Scholar]
  18. Zeisel J, Hyde J, Levkoff S: Best practices: An environmentbehavior model (E-B) for Alzheimer special care units. Am J Alzheimers Car Res.1994; 9(2): 4-21. [Google Scholar]
  19. Henderson JN: Protecting the “frustrated eloper.” J Long Term Care Adm. 1993-1994; 21(4): 13-14. [PubMed] [Google Scholar]
  20. Dickinson J, McLain-Kark J: Wandering behavior associated with Alzheimer's disease and related dementias: Implications for designers. J Interior Design.1996; 22(1): 32-38. [Google Scholar]

Articles from American Journal of Alzheimer's Disease and Other Dementias are provided here courtesy of SAGE Publications

RESOURCES