A framework for managing wandering and preventing elopement

Moore, Helen, Algase, Donna L. , Powell-Cope, Gail, Applegarth, Shawn, & Beattie, Elizabeth (2009) A framework for managing wandering and preventing elopement. American Journal of Alzheimer's Disease and Other Dementias, 24(3), pp. 208-219.

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Purpose of the Study: A framework aids choice of interventions to manage wandering and prevent elopement in consideration of associated risks and mobility needs of wanderers. ---------- Design and Methods: A literature review, together with research results, published wandering tools, clinical reports, author clinical experience, and consensus-based judgments was used to build a decision-making framework. Results: Referencing a published definition of wandering and originating a clinical description of problematic wandering, authors introduce a framework comprising (1) wandering and related behaviors; (2) goals of wandering-specific care, (3) interpersonally, technologically, and policy-mediated wandering interventions, and (4) estimates of relative frequencies of wandering behaviors, magnitudes of elopement risk, and restrictiveness of strategies. ---------- Implications: Safeguarding wanderers from elopement risk is rendered person-centered and humane when goals of care guide intervention choice. Despite limitations, a reasoned, systematized approach to wandering management provides a basis for tailoring a specialized program of care. The need for framework refinement and related research is emphasized.

Impact and interest:

15 citations in Scopus
12 citations in Web of Science®
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ID Code: 32040
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Dementia, Elopement, Risk, Behaviour Management, Technology
DOI: 10.1177/1533317509332625
ISSN: 1533-3175
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aged Health Care (111702)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2009 Sage Publications, Inc.
Deposited On: 06 May 2010 01:56
Last Modified: 29 Feb 2012 14:08

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