Scenario 8: managing daily challenges and changes in wandering

Scenario takeaway

  • Changed behaviours and daily challenges are common in dementia, such as wandering, repetition, sleeping related challenges, hallucination etc. The PRO can help Jane and your frontline care team with these.

  • They are set out slightly differently to other Topics, with an overarching Section containing general principles to managing all the subsections below it, followed by specific examples below.

  • It’s important to try to “prevent” (minimise chance of happening), rather than “treat” such changes after it has happened. This is a key reason why we encourage learning the content.

Tasks to complete

  1. Think of a client who is exhibited a changed behaviour or daily challenge

  2. Browse or search for that change and challenge to see how you can support him/her

  3. Share the relevant resource with him/her to support them, or use it to guide your frontline worker to develop skills to manage during home visits.

Woman helping an elderly man with shopping

Scenario notes

George, one of your frontline workers, had visited Bill (your client with dementia) recently. He mentioned to you that Bill keeps on wandering and wants to leave his house. The care worker doesn’t know what to do and this is making him a bit stressed. George also mentioned that Jane, Bill’s wife and carer is also struggling with this on a regular basis.

In this instance, you can pull up the Topic “Walking about and wandering with dementia” to go through it with them both.

 

In this example:

 

  • You can see this daily challenges and changes Topic is set out differently. There is an overarching Section with subsection underneath it. Each subsection focuses on a scenario of walking about and wandering

  • In this instance, you could discuss and share the subsection “Attempting to leave the premises or exit seeking”, which is what Bill is experiencing. It contains videos, links to practical suggestions, Carer and PRO Tips.

  • However, there are many principles that apply across all subsections. They are important as they are general approaches to managing all of the wandering scenarios/ sub-section, e.g. dementia friendly communication and environment, understanding the unmet need etc. You may consider exploring this with George and Jane. You can share the overarching section by checking the box next to its heading.

PRO_Scenario8.png

 

In addition, you could also reiterate to them that it’s important to try to learn enough to “stay ahead” in dementia care. It’s usually much better to try doing all the “right” things to prevent Bill wandering (or any other challenges) than trying to stop him from doing it after he has started. This is another key reason why we all should build our knowledge and learn the content within PRO.

Other daily challenges and changes

 

This is an area that we are continuously building on. You can view them at the bottom of the “Browse Topics” or search for them, e.g. sleeping difficulties, challenges with eating, repetition, wandering, challenges with personal hygiene, aggression, hallucination etc.

Note

  • The scenarios do not cover all of the content in My Dementia Companion, nor all the ways it could be used. Please keep exploring!

  • All the information is curated from reputable sources that are designed for people like Jane and Bill. So, assess and if relevant, share with confidence!

  • Handy user tips include: shortcuts, adding us to safe sender list, registration tipssharingextra tips and tricks

  • Contact us if you have any questions via the “Questions?” button or the chat icon within the tool, email us or sms/call us 0406 257 729 during business hours.​