The aim of the study was to examine the characteristics of wandering associated with preserved versus worsened activities of daily living (ADL) function.
Longitudinal prospective design. Twenty-two cognitively impaired residents of an assisted living facility with over 450 observations were followed up to 8 months.
Hierarchical linear modeling techniques examine how wandering activity (episodes, distance traveled, gait speed), measured by a real-time locating system, may affect ADL (the Barthel index, the Functional Independence Measure [FIM]).
Wandering episodes were associated with increased ADL (B = 0.11, p ≤ .05, FIM); wandering distance (B = −4.52, p ≤ .05, the Barthel index; B = −2.14, p ≤ .05, FIM) was associated with decreased ADL.
Walking an average of 0.81 miles per week with 18 or fewer wandering episodes is associated with decreased ability to perform ADL.
Tailored protocols that allow productive wandering with ongoing assessment for fatigue/other physiological needs to appropriately limit distance walked within wandering episodes are needed for this population.
1 The Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA
2 School of Nursing, University of Delaware, Newark, DE, USA
3 College of Nursing, University of South Florida, Tampa, FL, USA
Correspondence: Mary Elizabeth Bowen, PhD, School of Nursing, University of Delaware, 25 N College Ave., Newark, DE, USA. E-mail: firstname.lastname@example.org
Cite this article as: Bowen, M. E., & Rowe, M. (2019). Wandering behaviors and activities of daily living among older adults with cognitive impairment. Rehabilitation Nursing, 44(5), 282–289. doi: 10.1097/rnj.0000000000000148
Online date: April 3, 2018