Original Research Article
Prevalence of and Antecedents to Dementia-Related Missing Incidents in the CommunityBowen M.E.a · McKenzie B.a · Steis M.a · Rowe M.a, b
aVeterans Health Administration, James A. Haley Veterans Hospital, HSR&D/RR&D Center of Excellence, Tampa, Fla., and bCollege of Nursing, University of Florida, Gainesville, Fla., USA
Do you have an account?
- Rent for 48h to view
- Buy Cloud Access for unlimited viewing via different devices
- Synchronizing in the ReadCube Cloud
- Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00
Objective: The primary aim of this study is to examine the prevalence of and antecedents to missing incidents among community-dwelling persons with dementia. Methods: This prospective study used mailed surveys and telephone interviews. Results: The prevalence of having any incident was 0.46/year; the overall prevalence for missing incidents in this study was 0.65/year. Missing incidents had few antecedents and occurred largely when persons with dementia were performing everyday activities that they normally completed without incident. Conclusion: Given that a missing incident is relatively common among persons with dementia, health care professionals should assist caregivers with a missing incident plan early in the disease process. Also, as missing persons are found by persons other than the caregiver and caregivers underutilize identification devices, health care professionals may recommend the use of identification devices to facilitate a safe return.
© 2011 S. Karger AG, Basel
- Carr D, et al: Silver alerts and the problem of missing adults with dementia. Gerontologist 2010;50:149–157.
- McShane R, et al: Getting lost in dementia: a longitudinal study of a behavioral symptom. Int Psychogeriatr 1998;10:253–260.
- Rowe MA, Bennett V: A look at deaths occurring in persons with dementia lost in the community. Am J Alzheimers Dis Other Demen 2003;18:343–348.
- 2009 Alzheimer’s disease facts and figures. Alzheimers Dement 2009;5:234–270.
Rowe M, Glover J: Antecendents, descriptions and consequences of wandering in cognitively-impaired adults and the Safe Return (SR) program. Am J Alzheimer’s Dis Other Dement 2001;16:344–352.
- Hunt LA, Brown AE, Gilman IP: Drivers with dementia and outcomes of becoming lost while driving. Am J Occup Ther 2010;64:225–232.
- Walker AE, et al: Caregivers’ experience of risk in dementia: the LASER-AD study. Aging Ment Health 2006;10:532–538.
- Chung JC, Lai CK: Elopement among community-dwelling older adults with dementia. Int Psychogeriatr 2011;23:65–72.
- Yao L, Algase D: Environmental ambiance as a new window on wandering. West J Nurs Res 2006;28:89–104.
- Algase DL, Beattie ER, Therrien B: Impact of cognitive impairment on wandering behavior. West J Nurs Res 2001;23:283–295.
- Algase DL, et al: Mapping the maze of terms and definitions in dementia-related wandering. Aging Ment Health 2007;11:686–698.
- Tu MC, Pai MC: Getting lost for the first time in patients with Alzheimer’s disease. Int Psychogeriatr 2006;18:567–570.
- Kwok TC, et al: Getting lost in the community: a phone survey on the community-dwelling demented people in Hong Kong. Int J Geriatr Psychiatry 2010;25:427–432.
Boyatzis R: Transforming Qualitative Information: Thematic Analysis and Code Development. Thousand Oaks, CA Sage Publications, 1998.
- Bass E, et al: Expanding participation in Alzheimer’s association Safe Return by improving enrollment. Am J Alzheimers Dis Other Demen 2008;23:447–450.
- Chiu YC, et al: Conceptualization and measurement of getting lost behavior in persons with early dementia. Int J Geriatr Psychiatry 2005;20:760–768.
Koester RJ: The lost Alzheimer’s and related disorders subject: new research and perspectives; in: Response 98 NASAR. Chantilly, 1998.
Golledge RG (ed): Wayfinding Behavior: Cognitive Mapping and Other Spatial Processes. Baltimore, The Johns Hopkins University Press, 1999.
US Census Bureau: 2005–2009 American Community Survey 5-Year Estimates: Veteran Status 2010; available from: http://factfinder.census.gov/servlet/STTable?_bm= y&-geo_id=01000US&-qr_name=ACS_ 2009_5YR_G00_S2101&-ds_name=ACS_ 2009_5YR_G00_.
- Jorm AF, Jolley D: The incidence of dementia: a meta-analysis. Neurology 1998;51:728–733.
US Census Bureau, Table 12: Projections of the Population by Age and Sex for the United States: 2010 to 2050 (NP2008-T12). P. Division, Editor 2008.
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.