When a geriatric client is confused and wandering in and out of every door, The client is monitored by an ankle bracelet reflects the least restrictive alternative for this client.
The least restrictive alternative for this client would be monitoring by an ankle bracelet. The client does not pose a direct dangerous threat to self or others, so neither physical restraints nor seclusion would be justified.
One of the most challenging issues related to care of the resident with dementia is wandering behavior. It is estimated that dozens of mentally impaired elders die annually as a result of wandering.
The most dangerous form of wandering is elopement, in which the confused resident leaves the nursing home and possibly experiences injuries such as hypothermia, a serious fall, or is hit by a car. These injuries may even result in death.
The nursing home must provide an appropriate plan of care to prevent wandering, or manage it in a safe environment. When elopement happens, it is highly likely that the person has suffered from nursing home neglect.
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