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August 13, 2020
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Navigating the aging journey

Julie Ann Soukoulis
The whys behind wandering behaviors
June 26, 2020

Disruption of normal patterns, lack of visitation habits from familiar faces, and the sheer isolation  due to COVID-19 can cause an escalation in a dementia patients’ confusion and wandering.  If you’re a family caregiver of an individual with Alzheimer’s disease or another form of dementia, the risk of wandering is one of the potential behavioral symptoms that a loved one could be facing.

Wandering could put that person’s safety in jeopardy. Have you noticed more “Silver Alert” recently? Similar to the Amber Alerts for missing children, a Silver Alert is a public notification system in the United States to broadcast information about missing persons – especially senior citizens with Alzheimer's disease, dementia or other mental disabilities – in order to aid in their being found.

Check out the resources by Home Instead Senior Care to help protect your loved one from the potential dangers of wandering. And sign up your older adult for the Missing Senior Network, a free web service that can help locate a loved one who goes missing or becomes lost here on our site:  www.helpforalzheimersfamilies.com. Follow me here for a minute....

Stuart arose early, ready for a new day and excited about the prospect of going to a job he loved. He put on his favorite tie and headed out the door, briefcase in hand, to go to work as an insurance adjustor.

But in reality, Stuart is 85 years old and has been retired for 20 years. He also has Alzheimer’s disease, a brain disease that may take those diagnosed back to a different time and place.

Wandering is one of the potential symptoms of Alzheimer’s disease and other dementias. According to a leading authority on the issue, those who wander often are trying to get to a familiar destination with a specific purpose in mind – like a former job.

“A person may want to go back to a former job he or she had, even though it may no longer exist,” said Monica Moreno, director of Early-Stage Initiatives for the Alzheimer’s Association. “Someone may have a personal need that must be met. For example, that individual may be looking for the bathroom, but be unable to find it. So he or she goes searching and gets lost. There’s always a purpose and intent. It’s just a matter of identifying the triggers.”

 Common triggers can run the gamut from tiredness and confusion at the end of the day (commonly referred to as “sundowning”) to a change in routine, such as a move from home to a care community.

The frequency of wandering typically varies according to the stage of the disease. “I work with many individuals living in the early stage of the disease,” Moreno said. “Typically the challenge during this stage of the disease isn’t wandering, it’s getting lost.” Perhaps it can be an individual who starts out to an appointment on a familiar route to a see long-time physician and suddenly cannot remember how to get there. Early-stage Alzheimer’s disease tends to involve more disorientation, while the later stage may involve wandering to find where they want to go.”

Regardless of the whys, those who wander often are looking for safety and reassurance because they may be feeling lost, abandoned or disoriented. If the person with dementia wants to leave to “go home” or “go to work,” consider using communication focused on exploration and validation. Try to refrain from correcting the person. For example, “We are staying here tonight. We are safe and I’ll be with you. We can go home in the morning after a good night’s rest.”

Alzheimer’s disease affects everyone differently, which makes wandering unpredictable and complicated, noted Moreno. Because of that unpredictability, it’s important for families to get an early diagnosis and put plans in place to help keep individuals safe and independent for as long as possible.

If you would like more information on wandering or other related aging questions, please do not hesitate to reach out to my office as we are more than happy to help you navigate the aging journey! It’s one that’s best not journeyed alone. 

We can make a warm introduction to the Alzheimer’s Association or to our care partner Legacy Concierge Services  whose mission it is to offer options so that  aging adults remain safe and age with dignity.

 

Julie Ann Soukoulis is the owner of Home Instead Senior care office in Rohnert Park, mother of two and passionate about healthy living at all ages. Having cared for her own two parents, she understands your struggles and aims, through her website,  to educate and encourage seniors & caregivers. Have a caregiving or aging concern?  She’d love to hear from you at 586-1516 anytime.