Causes of Wandering and Elopement | The Rooth Law Firm (2024)

Causes of Wandering and Elopement

The Dangers of Wandering Behavior and Elopement

Wandering and elopementare two serious behaviors in whichnursing home residentscan engage that can be very dangerous to their safety. There are many risk factors for such behavior.

WhatAretheMainRiskFactorsforWanderingandElopement?

In addition to medication complications, other risk factors can include:

  • Neurological disorders
  • Psychological or adjustment issues
  • And environmental factors

Neurological Disorders

Degenerative neurological conditions, such asAlzheimer’s diseaseor dementia, can increase the risk of wandering behavior since the affected individual often “forgets” where he or she is and where he or she is going.

These conditions can cause a person to:

  • Wander aimlessly
  • Engage in random and haphazard travel
  • Or travel in a repetitive pattern around a given path

Those with more severe diseases often exhibit more pronounced and potentially more dangerous behavior, as these individuals often lack a sense of danger and are unable to perceive the potential for harm in a given situation.

Problems sleeping through the nightcan also lead to cognitive impairments and can cause an uptick in daytime ambulation (walking and moving) and wandering. Certain medications can disrupt sleep patterns and can be a contributing factor.

Other medications, usually prescribed for treating or managing neurological conditions, can also increase the risk of wandering behavior as well.

Psychological Issues

Depressionand agitation are two of the most common psychological causes for elopement behavior. Upon arrival at the nursing home, a new resident may be consumed by anger at the change in circ*mstances or may be scared of his or her new living arrangement.

These feelings can encourage a resident to attemptelopementfrom the facility, which can be dangerous and detrimental to his or her safety. The resident usually does not have a plan for escape or any idea what he or she will do after escaping. Elopers are merely driven by their desire to leave.

Other psychological factors can also cause a resident to elope or wander to alleviate these feelings, such as:

  • Lack of self-control
  • An uncontrollable sense of boredom
  • Stress
  • Or anxiety

Environmental Factors

There are many environmental factors that can triggerwandering and elopementin thosenursing home residentswho are at risk for engaging in such behavior. For instance, “cues to leave,” such as seeing a jacket and keys by the door, may trigger the impulse in a cognitively impaired individual to leave, just likeseeing a bus station can trigger the impulse to ride the bus to get home.

Similarly, sometimes wanderers are drawn to investigate something, and then become distracted, eventually wandering off. Unfamiliar places can cause anxiety, which can instigate wandering behavior as the resident tries to “find his or her way” to someplace more familiar.

If you are worried that your loved one is at risk of wandering unsafely or eloping from a nursing home and you are concerned that the nursing home is not doing enough to protect your loved one from harm, please contact theRooth Law Firmtoday by phone at(847) 869-9100or by filling out ouronline contact form.

Causes of Wandering and Elopement | The Rooth Law Firm (2024)

FAQs

What is the main risk factor for wandering and elopement? ›

Mental issues, cognitive impairments, and dementia classify as risk factors for wandering and elopement in nursing home residents.

Which of the following are the most significant risk factors for wandering? ›

The main overall risk factor for wandering is dementia, though the reasons for elopement and wandering run much deeper than that. Some of the most common reasons for wandering include: Disorientation or confusion. Restlessness.

What is the difference between wandering and elopement? ›

While similar, wandering is considered moving around inside the facility or home without awareness of personal safety, potentially putting themselves in harm's way. On the other hand, elopement is leaving the facility or home unnoticed and unsupervised.

What is non goal directed wandering? ›

Non-goal-directed wandering is characterized by a short attention span and lack of a specific destination, appearing aimless as to a destination. Conversely, goal-directed wandering is repetitive and the person appears to be searching for something or someone.

What are the risk factors for wandering? ›

Risk factors for wandering include cognitive impairment, restlessness, agitation, previous wandering attempts, and expressions of a desire to leave. MeetCaregivers. Elopement and Wandering in Seniors. June 27, 2022.

How can we reduce wandering and elopement? ›

Ways to help prevent wandering and elopement include:
  1. Behavorial intervention.
  2. Family and staff education.
  3. Installing alarms on exit doors.
  4. Instituting a missing persons protocol.
  5. Locking systems.
  6. Patient tracking devices such as the Wanderguard bracelet that alerts staff when a resident exits the facility.

What are the 4 main risk factors? ›

In general, risk factors can be categorised into the following groups:
  • Behavioural.
  • Physiological.
  • Demographic.
  • Environmental.
  • Genetic.

What are the risk factors of elopement? ›

Increasing Elopement Risks

Residents who have eloped may be exposed to extreme heat or cold. They may suffer a fall when walking over uneven or unfamiliar territory. Additionally, they may suffer injuries or death as a result of wandering into traffic or bodies of water, or as a result of exposure to inclement weather.

What is the best way to prevent wandering? ›

Steps to Take for Preventing Wandering
  1. Creating a secure environment by… Locks on doors. Door or window alarms. Securing car keys. Child proof door knob covers. ...
  2. Managing restless behavior with… Activities to occupy the person's time. Regular physical exercise. Ensuring adequate sleep.

What are 4 interventions for wandering? ›

Interventions for wandering
  • Pay attention to a patient's behavioral patterns associated with wandering.
  • Observe possible triggers.
  • Address the triggers in a person-centered care plan.
  • Understand that a patient's condition and behaviors can change; continue periodic assessments.
Jun 22, 2022

What causes elopement? ›

Some children elope to get to desired items or places. For example, a child might elope to get to a favorite toy in a store. Children with autism may find it hard to cope with certain everyday situations and may elope to get away from stresses. For example, a child may elope to get away from a noisy birthday party.

What causes elopement behavior? ›

Elopement can occur for many reasons including running away from a situation that is unpleasant, running to a preferred object or place, running to get the caregiver to chase him/her.

What is an example of wandering behavior? ›

People may wander in response to an unmet basic need like human contact, hunger, or thirst; a noisy or confusing environment; or because they are experiencing some type of distress, like pain or the need to use the toilet.

What is the act of wandering? ›

wander, roam, ramble, rove, traipse, meander mean to go about from place to place usually without a plan or definite purpose. wander implies an absence of or an indifference to a fixed course. roam suggests wandering about freely and often far afield.

Which of the following can be considered a benefit of wandering? ›

It can be a form of low-impact exercise that helps individuals stay active, reducing the risk of muscle weakness and frailty associated with sedentary lifestyles. So, among the options provided, maintaining strength stands out as a potential benefit of wandering.

What is the most important factor during an elopement? ›

Weather is one of the most important factors during an elopement. It can greatly affect the overall experience and success of the event. For example, a couple planning to elope outdoors may need to consider the weather conditions such as rain or extreme temperatures.

What are the causes of patient elopement? ›

5 Common Causes of Patient Elopement
  • 1) Lack of Supervision. Patient elopement is a serious issue in healthcare, and one of the most common causes is lack of supervision. ...
  • 2) Poorly Designed Facilities. ...
  • 3) Cognitive Impairment. ...
  • 4) Mental Illness. ...
  • 5) Substance Abuse. ...
  • Patient Elopement Solutions.
Dec 11, 2023

What is the most common risk factor for client falls? ›

They include:
  • Lower body weakness.
  • Vitamin D deficiency (that is, not enough vitamin D in your system)
  • Difficulties with walking and balance.
  • Use of medicines, such as tranquilizers, sedatives, or antidepressants. ...
  • Vision problems.
  • Foot pain or poor footwear.
  • Home hazards or dangers such as.

Top Articles
Latest Posts
Article information

Author: Manual Maggio

Last Updated:

Views: 6200

Rating: 4.9 / 5 (69 voted)

Reviews: 84% of readers found this page helpful

Author information

Name: Manual Maggio

Birthday: 1998-01-20

Address: 359 Kelvin Stream, Lake Eldonview, MT 33517-1242

Phone: +577037762465

Job: Product Hospitality Supervisor

Hobby: Gardening, Web surfing, Video gaming, Amateur radio, Flag Football, Reading, Table tennis

Introduction: My name is Manual Maggio, I am a thankful, tender, adventurous, delightful, fantastic, proud, graceful person who loves writing and wants to share my knowledge and understanding with you.