Resident characteristics associated with wandering in nursing homes

Objectives. This retrospective cohort study examined the association between resident characteristics and the development of wandering behavior. Methods. Subjects included a total of 8982 residents from the states of Mississippi, Texas, and Vermont who had baseline and 3‐month follow‐up Minimum Data...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2000-11, Vol.15 (11), p.1013-1020
Main Authors: Kiely, Dan K., Morris, John N, Algase, Donna L
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Aged, 80 and over
Alzheimer Disease - diagnosis
Alzheimer Disease - psychology
Biological and medical sciences
Female
Geriatrics
Humans
Long-Term Care
Male
Medical sciences
Mental Disorders - diagnosis
Mental Disorders - psychology
Mental Recall
Miscellaneous
Nursing Homes
Orientation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Social Environment
wander
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Summary:Objectives. This retrospective cohort study examined the association between resident characteristics and the development of wandering behavior. Methods. Subjects included a total of 8982 residents from the states of Mississippi, Texas, and Vermont who had baseline and 3‐month follow‐up Minimum Data Set assessments between 1 January 1996 and 31 December 1997. Results. Residents who had a short‐term memory problem (Odds Ratio (OR) = 3.05), had pneumonia (OR = 3.15), asked repetitive questions (OR = 2.19), had a long‐term memory problem (OR = 2.06), exhibited dementia (OR = 19.4), constipation (OR = 1.82), expressed sadness or pain (OR = 1.65), and used antipsychotic medication (OR = 1.70), were at an increased risk for developing wandering behavior compared to residents without these characteristics. Residents with functional impairment (OR = 0.28) and women (OR = 0.61) were less likely to develop wandering behavior. Conclusions. Results of this study may be useful in constructing causal theories for the development of wandering behavior. Copyright © 2000 John Wiley & Sons, Ltd.
ISSN:0885-6230
1099-1166
DOI:10.1002/1099-1166(200011)15:11<1013::AID-GPS226>3.0.CO;2-X