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Dementia Care: Wandering Online

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Dementia Care: Wandering Online

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Course Number:

This course will be discontinued effective October 1st, 2018. You will have until December 31st, 2018 to complete the course and print your certificate. The replacement course is located here.

This course is not approved by the California Department of Social Services (CDSS).

In this course we will address how wandering is not necessarily a negative behavior. We will discuss providing meaningful activities that can help discourage excessive wandering, how wandering can easily lead to elopement, and actions to prevent elopement.

Course Information:
  • Online Training Course
  • Credit Hours: 1
  • Wandering and Elopement in Persons With Dementia
  • Monitoring for Different Types of Wandering
Helpful Instructions?
 Purchasing Courses for Yourself Purchasing Courses for Yourself:

This Training course is delivered 100% online through our Online Campus. In order to enroll you in a course we will need to collect your First Name, Last Name and Email Address.

When you place your order we will create an account for you, or add the courses to your existing account if you are a return customer. Access to the Online Campus is based on your email address. If you are a return customer, please purchase using the same email address used previously to avoid creating a duplicate account.

The course(s) you purchase will be available within 10 minutes of purchase and your login information will be sent to the email address you provide.
 Purchasing Courses for Others Purchasing Courses for Others:

This Training course is delivered 100% online through our Online Campus. If you are purchasing for others or your employees, please make sure to provide the First Name, Last Name, and Email Address of the person who you are purchasing for.

IMPORTANT: Access to the Online Campus is based on email addresses. If you are purchasing for multiple people, each person must have a unique email address to access the Online Campus. DO NOT USE THE SAME EMAIL ADDRESS FOR DIFFERENT INDIVIDUALS!

When you place your order we will create accounts for each individual you are purchasing for. If you are a return customer, please purchase using the same email address used previously to avoid creating duplicate accounts.

Example: Jim is buying a course for Bob. Jim will provide Bob’s First, Last and Email before the course is added to cart. Jim then uses his personal information for the checkout process.

We understand no one likes to give out their information and that’s why we only require the course attendee’s First Name, Last Name and Email to add the course to your shopping cart.

The course(s) you purchase will be available within 10 minutes of purchase and each person’s login information will be sent to the email address you provide.

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Course Description

This topic addresses wandering and elopement in persons with dementia, however the topics covered are critical even if this is not your "target" resident population.

Course Objectives

By the end of this course participants will be able to:
  • 1. Define wandering and describe different causes of elopement.
  • 2. Monitor for different types of wandering.
  • 3. Discuss the importance of assessment and identify triggers that affect residents to wander or elope.
  • 4. Identify the high risk times of day.
  • 5. Develop interventions for various reasons and redirection techniques.

Course Outcomes

Hour One
  • I. Wandering and Eloping
  • a. Define Wandering
  • b. Residents who are diagnosed with Dementia have a higher risk of wandering
  • c. Residents who seek to exit (elopement) usually have an agenda or purpose
  • II. Types of Wandering
  • a. As A Care Provider Be Familiar With Different Types of Wandering:
  • i. Checking
  • ii. Trailing
  • iii. Pottering
  • iv. Aimless Walking
  • v. Inappropriate Purpose
  • 1. Tips for Wandering
  • vi. Excessive
  • vii. Nighttime Walking
  • viii. Chronic Exit-Seeking
  • III. Assessments
  • a. Discuss family history and history of resident regarding wandering
  • b. Gather as much information as you can on the resident prior to move in
  • i. Job history
  • ii. Hobbies
  • iii. Life-long routines
  • iv. How the resident enjoys to spend the day
  • c. Have conversations with the resident and gather information from what he/she shares
  • IV. Triggers
  • a. Examples of common triggers that stimulate wandering behaviors
  • i. Environment
  • ii. People
  • iii. Emotions
  • iv. Underlying Conditions
  • b. Triggers may vary depending on time of day
  • c. Essential for care staff to observe what triggers each resident
  • V. High-Risk Times of Day
  • a. Wandering may occur different times of day
  • i. During Entertainment
  • ii. After Meals
  • iii. During Shift Changes
  • iv. Before or After Visitors
  • VI. Reasons for Wandering
  • a. Common causes for wandering
  • i. Unmet physical needs
  • ii. Past routines or behaviors
  • iii. Lack of appropriate activities
  • iv. Anxiety or fear
  • v. Stress
  • vi. Medications
  • b. Always talk to your supervisor if you have questions or concerns about a resident who tends to wander
  • VII. Interventions
  • a. Tips for caring for residents who tend to wander:
  • i. Place night lights throughout the facility
  • ii. Secure all toxic substances and medications
  • iii. Reduce noise
  • iv. Know the resident’s triggers
  • v. Provide safe and inviting outdoor areas
  • vi. Label the resident’s door
  • vii. Maintain current photos
  • viii. Remove obstacles
  • ix. Provide appropriate activities
  • x. Assist with taking walks
  • xi. Watch for patterns
  • xii. Manage Sundowning and Anxiety
  • xiii. Address physical issues/pain management
  • xiv. Ensure adequate nutrition and hydration
  • VIII. Redirection Techniques
  • a. Approach resident with gentle calm manner
  • i. Try not to frighten the resident
  • b. Techniques you may want to consider:
  • i. Approach resident slowly
  • ii. Use simple statements
  • iii. Attempt to redirect the resident by using topics or activities the resident enjoys
  • iv. Make sure the resident is properly hydrated/has adequate nutrition
  • v. Redirect resident to quiet location
  • vi. Change of face
  • vii. Smile
  • viii. Ask for help from the resident
  • ix. Offer time for hobbies, etc
  • x. Mention familiar names
  • xi. Engage in conversation
  • xii. Do not argue with resident
  • xiii. Never pull the resident
  • xiv. Do Not block the door
  • xv. If resident leaves call for help
  • c. Maintain residents comfort
  • d. Make resident your care priority

Instructor: Josh Allen, RN; Laura Gumban, LVN; Anne Zimmerman, RN

Josh Allen is a Registered Nurse with over 20 years of experience in senior living. As the Director of InTouch at Home, Josh oversees all aspects of business development, care, services, and operations for the organization. As a part of the SRG Senior Living family of companies, InTouch at Home delivers personalized care and services to clients living in senior living communities as well as private residences across three states.

Josh also serves on the board of the American Assisted Living Nurses Association, and represents AALNA on the boards of the Center for Excellence in Assisted Living and Coalition of Geriatric Nursing Organizations. Josh has previously served as President and CEO of Care and Compliance Group, a leading training solutions provider.

Laura Gumban, LVN is currently the Resident Care Coordinator at the Eskaton Lodge Brentwood in Brentwood California. There, she is responsible or budget maintenance; she is a liaison with the medical community; she interviews, hires, schedules, and supervises clinical staff; she completes resident assessments and quarterly evaluations; and is the director of nursing duties.Laura has been with Eskaton Lodge Brentwood since 2006. Previously she was an MDS Nurse for the Elmhaven Care Center in Stockton, California and was a MDS/TILES Nurse at Heritage Oakes Estates in Balliger Texas.

Anne Zimmerman, RN has worked for Community Education, LLC in California since 2003. There she is responsible for teaching state approved re-certification courses to administrators of group homes; adult residential facilities; and residential care facilities for the elderly. Her background is in consulting, training, and directing care.

Additional Information

Canonical Link No
Course Type Online Course

Dementia Care: Wandering Online