What do we know about strategies to manage dementia-related wandering? A scoping review

Three of five persons with dementia will wander, raising concern as to how it can be managed effectively. Wander-management strategies comprise a range of interventions for different environments. Although technological interventions may help in the management of wandering, no review has exhaustivel...

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Autores:
Tipo de recurso:
Fecha de publicación:
2018
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/24063
Acceso en línea:
https://doi.org/10.1016/j.dadm.2018.08.001
https://repository.urosario.edu.co/handle/10336/24063
Palabra clave:
Caregiver
Clinical effectiveness
Dementia
Disease association
Evidence based medicine
Human
Laboratory test
Medical ethics
Medical literature
Outcome assessment
Patient care
Practice guideline
Review
Total quality management
Wandering behavior
Aging in place
Dementia
Interventions
Review
Wandering
Rights
License
Abierto (Texto Completo)
Description
Summary:Three of five persons with dementia will wander, raising concern as to how it can be managed effectively. Wander-management strategies comprise a range of interventions for different environments. Although technological interventions may help in the management of wandering, no review has exhaustively searched what types of high- and low-technological solutions are being used to reduce the risks of wandering. In this article, we perform a review of gray and scholarly literature that examines the range and extent of high- and low-tech strategies used to manage wandering behavior in persons with dementia. We conclude that although effectiveness of 49 interventions and usability of 13 interventions were clinically tested, most were evaluated in institutional or laboratory settings, few addressed ethical issues, and the overall level of scientific evidence from these outcomes was low. Based on this review, we provide guidelines and recommendations for future research in this field. © 2018 The Authors