Wandering is a complex behavior, and defining wandering has been challenging. The current study used the integrated circuit (IC) tag monitoring system to describe the distance moved per day and the spatial movements of patients with dementia. The study was conducted in a 60-bed semiacute dementia care unit in a general hospital in Japan over a 3-month period in 2006. The distance moved per day, the numbers of pacing and lapping movements, and the proportions of the distance moved that was paced or lapped were tabulated in 23 patients diagnosed with dementia. The distance moved per day and the numbers of pacing and lapping movements varied greatly within and among study participants. The median distance moved per day was inversely correlated with participants’ age and Mini-Mental State Examination (MMSE) scores (adjusted r2 = .34, P = .01). Consecutive lapping and pacing movements were rare patients with in Alzheimer’s disease (AD), while 2 patients with frontotemporal dementia paced or lapped repeatedly.
Robinson L. , Hutchings D., Dickinson HO, et al. Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia: a systematic review. Int J Geriatr Psychiatry. 2007;22(1):9-22.
2.
Lai CK, Arthur DGWandering behaviour in people with dementia. J Adv Nurs. 2003;44(2):173-182.
3.
Algase DL, Moore DH, Vandeweerd C., Gavin-Dreschnack DJMapping the maze of terms and definitions in dementia-related wandering . Aging Ment Health. 2007;11(6):686-698.
4.
Kiely DK, Kiel DP, Burrows AB, et al. Identifying nursing home residents at risk for falling. J Am Geriatr Soc. 1998; 46(5):551-555.
5.
Colombo M., Vitali S., Cairati R., et al. Wanderers: features, findings, issues. Arcl Gerontol Geriatr Suppl. 2001;7:99-106.
6.
Martino-Saltzman D., Blasch BB, Morris RD, McNeal LWTravel behavior of nursing home residents perceived as wanderers and nonwanderers. Gerontologist. 1991;31(5):666-672.
7.
Algase DL, Beattie ER, Bogue EL, Yao L.The Algase Wandering Scale: initial psychometrics of a new caregiver reporting tool. Am J Alzheimers Dis Other Demen. 2001 ;16(3):141-152.
8.
Hope T., Fairburn CGThe Present Behavioural Examination (PBE): the development of an interview to measure current behavioural abnormalities. Psychol Med . 1992;22(1):223-230.
9.
Thomas DWWandering: a proposed definition. J Gerontol Nurs . 1995;21(9):35-41.
10.
Klein DA, Steinberg M., Galik E., et al. Wandering behavior in community-residing persons with dementia . J Adv Nurs. 1999;14(4):272-279.
11.
Rolland Y., Payoux P., Lauwers-Cances V., et al. A SPECT study of wandering behavior in Alzheimer’s disease . Int J Geriatr Pshchiatry.2005;20(9):816-820.
12.
Matteson MA , Linton A.Wandering behaviors in institutionalized persons with dementia. J Gerontol Nurs. 1996 ;22(9):39-46.
13.
Dawson P., Reid DWBehavioral dimensions of patients at risk of wandering. Gerontologist . 1987;27(1):104-107.
14.
Cohen-Mansfield J., Marx MS, Rosenthal ASA description of agitation in a nursing home . J Gerontol. 1989;44(3):M77-M84.
15.
Kiely DK, Morris JN, Algase DLResident characteristics associatede with wandering in nursing homes . Int J Geriatr Pshchiatry. 2000;15(11):1013-1020.
16.
Klein DA, Steinberg M., Galik E., et al. Wandering behaviour in community-residing persons with dementia . Int J Geriatr Pshchiatry. 1999;14(4):272-279.
17.
Mungas D., Weiler P., Franzi C., et al. Assessment of disruptive behavior associated with dementia: the Disruptive Behavior Rating Scales. J Geriatr Pshchiatry Neurol. 1989;2(4):196-202.
18.
Hope RA, Fairburn CGThe nature of wandering in dementia: a community-based study. Int J Geriatr Pshchiatry. 1990;5(4): 239-245.
19.
Cummings JL , Mega M., Gray K., et al. The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology. 1994;44(12):2308-2314.
20.
Cohen-Mansfield J., Werner P., Culpepper WJ, Barkley D.Evaluation of an inservice training program on dementia and wandering. J Gerontol Nurs. 1997;23(10):40-47.
21.
Algase DL, Beattie ER, Leitsch SA, Beel-Bates CABiomechanical activity devices to index wandering behavior in dementia . Am J Alzheimers Dis Other Demen. 2003;18(2):85-92.
22.
Yamakawa M. , Shigenobu K., Makimoto K., et al. Environmental control interventions for frontotemporal dementia with reversed sleep-wake cycles. Am J Alzheimers Dis Other Demen. 2008; 23(5):470-476.
23.
Makimoto K. , Eun AL, Kang Y., et al. Temporal patterns of movements in institutionalized elderly with dementia during 12 consecutive days of observation in Seoul, Korea. Am J Alzheimers Dis Other Demen. 2008;23(2):200-206.
24.
Greiner C., Makimoto K., Suzuki M., et al. Feasibility study of the integrated circuit tag monitoring system for dementia residents in Japan. Am J Alzheimers Dis Other Demen. 2007;22(2):129-136.
25.
McKhann G., Drachman D., Folstein M., et al. Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology . 1984;34(7):939-944.
26.
Román GC, Tatemichi TK, Erkinjuntti T., et al. Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop. Neurology. 1993;43(2):250-260.
27.
Neary D., Snowden JS, Gustafson L., et al. Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology. 1998;51(6):1546-1554.
28.
McKeith IG, Dickson DW, Lowe J., et al. Diagnosis and management of dementia with Lewy bodies: third report of the DLB Consortium. Neurology. 2005 ;65(12):1863-1872.
29.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders: DSM-IV-TR. 4th ed., Text Revision.Washington, DC: The Association; 2000.
30.
Folstein MF , Folstein SE, McHugh PR‘‘Mini-mental state’’. A practical method for grading the cognitive state of patients for the clinician . J Psychiatr Res. 1975;12(3):189-198.
31.
Shigenobu K. , Hirono N., Tabushi K., Ikeda M.Validity and reliability of the Japanese Version of the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH). Brain Nerve. 2008;60(12):1463-1469.
32.
Cohen-Mansfield J., Werner P., Marx MS, Freedman L.Two studies of pacing in the nursing home . J Gerontol. 1991;46(3): M77-M83.
33.
Bathgate D. , Snowden JS, Varma A., et al. Behaviour in frontotemporal dementia, Alzheimer’s disease and vascular dementia. Acta Neurol Scand. 2001;103(6):367-378.
34.
Merrilees JJ , Miller BLLong-term care of patients with frontotemporal dementia. J Am Med Dir Assoc.2003;4(6 suppl):S162S164.
35.
Algase DL, Kupferschmid B., Beel-Bates CA, Beattie EREstimates of stability of daily wandering behavior among cognitively impaired long-term care residents. Nurs Res. 1997;46(3):172-178.
