I read Starr's article on the Alzheimer's Daily News web site and was originally going to print it out as a potential inservice for my staff ... then I read it. May I respectfully take exception to a number of Starr's "tips"?
First off, reference to people with dementia as "victims" implies hopelessness and helplessness. People with dementia still enjoy life, if they are in the right setting and environment. They still have lots of hard work, wisdom, love, and humor to share and most would personally take exception to being viewed as victims.
Tip #10 should be a first priority ... (with the exception of the pennies -- safety hazard) ... persons with dementia maintain their desire to be a contributing person. Give them a task or ask for their assistance in folding clothes, washing the dishes, or sweeping the floor. Thank them for their assistance. In many instances, wandering is the person with dementia's attempt to communicate boredom or a need for "purpose".
Regarding Tip #4, the Alzheimer's Association has a "Safe Return" program of which every person with dementia should take advantage. The Safe Return bracelet or necklace will serve as a notice to others who will ensure they return them safely to their loved ones. Call toll free 1-888-572-8566 for more information.
I was most discouraged to read Tip #9, advice for the doctor to prescribe a gerichair! While a person with dementia can still walk and get exercise the last thing that person with dementia needs is something that will restrict his or her movement. You may resolve the "wandering" behavior, but create more severe behaviors in the process, besides potentially causing loss in muscle strength which create fall risks and unsafe ambulation. This "prescription" may help alleviate the frustration of the caregiver, but is certainly not in the best interest of the person with dementia.
While I applaud families who attempt to care for loved ones in their homes, if they are unable to engage their loved one in activities that will distract the wandering person with dementia in a positive manner, then perhaps it is time to seek alternative placement, especially if this behavior has become frustrating for the caregiver. There are many wonderful options available specifically designed for people with dementia that offer calm, secure environments, fulfilling activities, and highly trained staff to address "behaviors" that the family may find "difficult." Behaviors are attempts to communicate something -- the most positive surroundings take that into account and create a person-specific environment where wandering is no longer a need.
Kathy E. Wiederhold
Sally's Garden -- A Memory Care Neighborhood
