Fact 14. Pacing and Wandering: The Restless Drive in Dementia
A rather puzzling and potentially dangerous behavior associated with dementia is pacing or wandering. Individuals may walk aimlessly, return to the same spot repeatedly, or seem driven by an indefinable urge to move.
This behavior likely arises from a combination of factors. Physical discomfort, boredom, or an attempt to cope with stress or confusion can contribute. In some cases, individuals may be searching for something or someone, driven by past routines, or trying to fulfill a perceived obligation.
Addressing this behavior involves ensuring the individual’s safety first and foremost. Installing alarms or safety locks can help prevent unsupervised wandering. Offering regular physical activity can help manage restlessness. Finally, creating a calm, structured environment can reduce confusion and anxiety.
This restlessness is yet another complex manifestation of the cognitive changes occurring in dementia. It’s a signal of internal turmoil and discomfort that’s challenging to articulate. By taking steps to address this behavior, caregivers can ensure safety, provide comfort, and offer a more serene living environment. (14)