Alzheimer's disease care, nursing home safety, wandering prevention, non-pharmacological interventions, IDE role, patient objectification, behavioral disorders, dementia care, elderly care facilities, EHPAD, long-term care, caregiver anxiety, patient autonomy, validating care, Algase Revised Wandering Scale, dementia management, neurodegenerative pathology, care approaches, safe care, nursing staff responsibilities, High Authority for Health guidelines, HAS recommendations, pharmacological care limitations, elderly patient safety, care facility challenges, dementia-related wandering, patient freedom, caregiver-patient communication, rest home care, MA patient care, fugue prevention, accidental risks, hypothermia prevention, drowning prevention, malnutrition prevention, dehydration prevention, emotional disorders, affective disorders, sleep disorders, eating disorders, cognitive decline, progressive loss of autonomy, demential syndrome, nursing care strategies.
This document explores the role of IDEs in caring for Alzheimer's patients who wander in nursing homes, discussing non-pharmacological approaches and the importance of validating patient emotions.
[...] 2.2) Causes of walking The reasons for this behavior are numerous. The IDE and the care team will attempt to identify them in order to understand the need that this locomotive activity represents for the person and to respond to the need(s) that they express. It can be explained by: - a behavior responding to vital needs (hunger, thirst) (Tilly & Reed, 2006) - psychological factors such as boredom (Coons et al., 1988). - environmental factors such as an unknown environment (Hong & Song, 2009) - a flight or opposition mechanism in response to a feeling of confinement. [...]
[...] Humanitude : understanding old age, taking care of old men. Paris : Armand Colin p. 320. Hugonot-Diener, L., Barbeau, E., Michel B.F., Thomas-Antericon, C. (2009). Tests and scales of Alzheimer's disease and related syndromes. Marseille : Solal ; 2009, p.308. Khosravi, M. Communication during Alzheimer's disease and related disorders. 3rd edition. France p.512 Klerk-Rubin, V. Validation, the Naomi Feil method. For a life full of wisdom in old age. Editions Lamarre, Reuil-Malmaison p.177. [...]
[...] doi : 10.2147/CIA.S38589. Byard, R.W., Langlois, N.E.I. (2019). Wandering dementia - a syndrome with forensic implications. Journal of Forensic Sciences,64(2), 443-445. doi :10.1111/1556-4029.13885 Caillol, M. (2019). The necessary objectivation in the caring practice. Cancer(s) and psy(s) 133-142. Doi :10.3917/crpsy.004.0133 Carthalade, C. (2021). Freedom and constraint of the ambulatory patient. Gerontological care 40-44. doi : 10.1016/j.sger.2020.10.009 Cohen-Mansfield, J., Werner, P., Marx, M.S. [...]
[...] They aim to protect people from falls, dangerous situations, and escapes. These devices are reactive, and caregivers can easily locate the person to provide assistance. They position themselves as tools that combine security and freedom for comings and goings within a limited radius. However, surveillance would be legitimate for security, but for some, it would lead to excessive surveillance and thus raises ethical questions. In 2022, the 'Alerte Errance' device was implemented by the Ubiquid company after a year of testing in six EHPADs. [...]
[...] S., Chiang, C., Kavanagh, J., Schneider, L. S.& Kales, H. C. (2015). Antipsychotics, other psychotropics, and the risk of death in patients with dementia: number needed to harm. JAMA Psychiatry,72(5):438-445. doi:10.1001/jamapsychiatry.2014.3018 Neubauer, N. A., Azad-Khaneghah, P., Miguel-Cruz, A. & Liu, L. (2018). What do we know about strategies to manage dementia-related wandering? A scoping review. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring,10:615-628. doi:10.1016/j.dadm.2018.08.001 Neubauer, N. [...]
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