Dementia Answers: Elopement and Wandering

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Video Transcript [Answer 1031]

Welcome, and thank you for joining me.

What Is Elopement?

At some point, a person living with Dementia may elope. Elopement is a dangerous situation where the person leaves a safe environment undetected. It's not necessarily wandering, as that implies a casual aimlessness. We prefer to call the behavior critical wandering, to differentiate it from enjoyable wandering or meandering, because it is serious and can lead to critical injury or death.

Often elopement happens when the person seeks a place of comfort from their distant past, like a favorite workplace, vacation spot, or childhood home. Another reason is feeling threatened or anxious in their current environment. Moreover, the person may not recognize their home and can mistake people they love as strangers or invaders.

What Are Ways to Reduce the Risks Associated With Elopement?

To reduce the risk, secure the home with difficult-to-open locks and simple motion or door sensors that sound off with activation. Consider getting an identification wristband for the person to wear, as it can help reunite the person with loved ones if found, especially if they are severely disoriented or can't express themselves clearly.

A structured daily routine can help prevent restlessness. Regular physical activity and engaging tasks may reduce the urge to elope. Maintaining proper hydration throughout the day and providing regular bathroom opportunities also help.

Anxiety and confusion may also lead to elopement, so maintain a calm environment and offer companionship. If the person tries to leave, avoid confrontation. Instead, redirect their focus to a familiar activity or conversation.

Keep house and car keys, large handbags and luggage out of sight, as they can trigger the desire to leave. Inform neighbors and local authorities so they can assist if needed. Having a response plan ensures quicker action if elopement occurs.

On behalf of the Dementia Society of America®, thank you for joining today. Stay informed, stay healthy, and take care.

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