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The effectiveness of control strategies for dementia-driven wandering, preventing escape attempts: a case report

  • Daniel Valle Padilla (a1), María Teresa Daza González (a1) (a2), Inmaculada Fernández Agis (a1) (a2), Jenna Strizzi (a1) and Raquel Alarcón Rodríguez (a2)...

Abstract

One of the most complicated aspects of caring for patients with dementia is dementia-driven wandering due to its adverse ramifications. We report a case of an 80-year-old man who had been previously diagnosed with dementia (with a score of 6 on the Reisberg Global Deterioration Scale – GDS). The patient went to an Adult Day Care Center on a daily basis where he demonstrated wandering behavior with a high rate of escape attempts (the number of times the Center's glass exit door was approached). The objective of this study is to present effective non-pharmacological intervention strategies for dementia-driven wandering; assessed strategies included: environmental (subjective barriers), cognitive/behavioral (cognitive training with differential reinforcement), and combined (subjective barriers + cognitive/behavioral). The results showed that all of these three strategies significantly decreased the number of escape attempts.

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Corresponding author

Correspondence should be addressed to: María Teresa Daza González, PhD, Departamento de Neurociencia y Ciencias de la Salud, Facultad de Psicología, Universidad de Almería, 04120 Almería, Spain. Phone: +34-950214623; Fax: +34-950214383. Email: tdaza@ual.es.

References

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