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Problematic wandering behavior in the cognitively impaired elderly. A single-subject case study

S M Goldsmith1, B Hoeffer, J Rader

  • 1Veterans Administration Medical Center, Portland, OR 97207, USA.

Journal of Psychosocial Nursing and Mental Health Services
|February 1, 1995
PubMed
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This study highlights that nursing home staff interactions, resident activity programs, and environmental changes can help manage wandering behavior. These psychosocial approaches should complement reduced use of antipsychotic medications and physical restraints.

Area of Science:

  • Gerontology
  • Psychiatry
  • Nursing

Background:

  • Wandering behavior in nursing home residents is influenced by psychosocial factors like stress coping, work history, and security needs.
  • Current management strategies include environmental changes, activities, exercise, and psychosocial history, but psychosocial interventions by staff are understudied.

Observation:

  • This study investigated the effectiveness of psychosocial interventions for managing wandering in nursing home residents.
  • The research focused on practical strategies for nursing home staff to implement.

Findings:

  • Providing adequate staff time for resident interaction is crucial.
  • Programs balancing resident activity and rest needs are beneficial.
  • Environmental modifications are important alongside psychosocial support.

Related Experiment Videos

Implications:

  • Nursing home staff should prioritize psychosocial interventions to manage wandering.
  • Integrating these approaches with reduced medication and restraint use can improve resident care.
  • Further research into staff-resident psychosocial interactions is warranted.