A nurse is discussing home care of a patient with dementia with the patient's family. What should the nurse advise the family do to prevent the patient from wandering?
a. Apply a vest restraint to keep the patient in bed or in a chair.
b. Put locks on any doors that it would be dangerous for the patient to open (e.g., outside doors, medicine cabinet).
c. Have someone remind the patient at least every 2 hours that he or she must not go outside by him or herself.
d. Set up a reward system for the times the patient stays where the family has re-quested.
B
Patients with dementia must have the environment adapted to them rather than trying to adapt the patient to the environment. They usually forget things relatively quickly and will probably not remember what you have told them.
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