Wandering. A dementia-compromised behavior.

The wandering behavior of individuals with dementia is a puzzling behavior, and strategies for responding to it often are poorly grounded. However, advances in the understanding of neuro-cognitive factors contributing to wandering now may provide important clues for designing nursing approaches. In this article, such advances are summarized, and implications and strategies for practice are delineated.

[1]  J. K. Cooper,et al.  Relation of Cognitive Status and Abnormal Behaviors in Alzheimer's Disease , 1990, Journal of the American Geriatrics Society.

[2]  K. Meguro,et al.  Cortical glucose metabolism in psychiatric wandering patients with vascular dementia , 1996, Psychiatry Research: Neuroimaging.

[3]  C. H. Vanderwolf,et al.  Hippocampal electrical activity and voluntary movement in the rat. , 1969, Electroencephalography and clinical neurophysiology.

[4]  T. Zandi,et al.  Graphomotor Perseveration and Wandering in Alzheimer's Disease , 1995, Journal of geriatric psychiatry and neurology.

[5]  G. Grossberg,et al.  The Evolution of Psychiatric Symptoms in Alzheimer's Disease: A Natural History Study , 1996, Journal of the American Geriatrics Society.

[6]  E. Kokmen,et al.  Psychiatric Symptoms in Cases of Clinically Diagnosed Alzheimer's Disease , 1991, Journal of geriatric psychiatry and neurology.

[7]  P. Donovick,et al.  Neuropsychological correlates of wandering in persons with Alzheimer's disease , 1998 .

[8]  J. B. Ranck,et al.  Studies on single neurons in dorsal hippocampal formation and septum in unrestrained rats. I. Behavioral correlates and firing repertoires. , 1973, Experimental neurology.

[9]  D. Thomas.  Understanding the wandering patient. A continuity of personality perspective. , 1997, Journal of gerontological nursing.

[10]  J. Hughes,et al.  Cognitive deterioration in Alzheimer's disease: behavioral and health factors. , 1990, Journal of gerontology.

[11]  I. Whishaw,et al.  “Short‐stops” in rats with fimbria‐fornix lesions: Evidence for change in the mobility gradient , 1994, Hippocampus.

[12]  Martin H. Teicher,et al.  Circadian locomotor activity rhythms in Alzheimer's disease. , 1991, Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology.

[13]  Philip D. Harvey,et al.  Noncognitive Disturbances in Alzheimer's Disease: Frequency, Longitudinal Course, and Relationship to Cognitive Symptoms , 1997, Journal of the American Geriatrics Society.

[14]  D. Algase.  Cognitive Discriminants Of Wandering Among Nursing Home Residents , 1992, Nursing research.

[15]  R. Passini,et al.  Wayfinding in dementia of the Alzheimer type: planning abilities. , 1995, Journal of clinical and experimental neuropsychology.

[16]  M J de Leon,et al.  Wandering and parietal signs in senile dementia of Alzheimer's type. , 1984, Neuropsychobiology.

[17]  L. Nadel,et al.  The Hippocampus as a Cognitive Map , 1978 .

[18]  R. Lévy,et al.  Psychiatric Phenomena in Alzheimer's Disease. IV: Disorders of Behaviour , 1990, British Journal of Psychiatry.

[19]  S. Berent,et al.  Need-driven dementia-compromised behavior: An alternative view of disruptive behavior , 1996 .

[20]  D. Bennett,et al.  Predictors of behavioral disturbance in Alzheimer's disease. , 1991, Journal of gerontology.

[21]  E Halgren,et al.  Firing of human hippocampal units in relation to voluntary movements , 1991, Hippocampus.

[22]  P. Dawson,et al.  Behavioral dimensions of patients at risk of wandering. , 1987, The Gerontologist.

[23]  E. Beattie,et al.  Estimates of stability of daily wandering behavior among cognitively impaired long-term care residents. , 1997, Nursing research.

[24]  L. McNeal,et al.  Travel behavior of nursing home residents perceived as wanderers and nonwanderers. , 1991, The Gerontologist.

[25]  J. Yesavage,et al.  Selected Psychiatric Symptoms Associated With Rate of Cognitive Decline in Patients With Alzheimer's Disease , 1993, Journal of geriatric psychiatry and neurology.

[26]  T. Cornbleth.  Effects of a protected hospital ward area on wandering and nonwandering geriatric patients. , 1977, Journal of gerontology.

[27]  R. N. Mohan,et al.  Wandering in dementia sufferers , 1991 .

[28]  D. Mungas,et al.  Risk Factor and Behavioral Differences Between Vascular and Alzheimer's Dementias: The Pathway to End-Stage Disease , 1993, Journal of geriatric psychiatry and neurology.

[29]  S. Robb,et al.  Wandering behavior in old age: a psychosocial study. , 1982, Social work.

[30]  E B Larson,et al.  Behavioral Disturbance in Dementia of the Alzheimer's Type , 1988, Journal of the American Geriatrics Society.

[31]  H. S. Wilson,et al.  Wandering in Alzheimer's Dementia Patients , 1993, Clinical nursing research.

[32]  V. Henderson,et al.  Spatial disorientation in Alzheimer's disease. , 1989, Archives of Neurology.