Wandering in Dementia: The Top 10 Essential Facts

Fact 9: The Role of Physical Environment – Space Matters

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The Role of Physical Environment - Space Matters
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The physical environment plays a crucial role in wandering behavior. Poorly designed spaces can induce anxiety and confusion, sparking the desire to wander. Conversely, a well-designed environment can significantly alleviate wandering tendencies, offering comfort and ease to the individual with dementia.

Safety is the prime consideration when designing a space for a person with dementia. Simple measures like installing locks on doors and windows, placing gates at staircases, and removing tripping hazards can prevent dangerous wandering incidents. However, it’s essential to balance safety with the person’s need for independence and autonomy.

Visual cues can be of immense help. For instance, a poster of a stop sign on a door can discourage the person from exiting. Similarly, painting doors and door frames in contrasting colors can help the individual identify exits more easily. Creative use of visuals can guide the person’s movements and ease their navigation through the space.

Engaging sensory elements can create a soothing and stimulating environment that deters wandering. Gentle music, comfortable seating areas, and sensory gardens can offer the person different modes of interaction and engagement, satisfying their urge to explore in a safe manner.

Creating an environment that is accessible and familiar can help reduce confusion and the associated wandering. This could mean arranging furniture similarly to their previous home or incorporating elements that are familiar to them. By thoughtfully designing the physical environment, one can transform spaces into effective tools for managing wandering in dementia. (9)

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