Why Do Some People With Dementia Wander, and How Can It Be Managed Safely?

Wandering is one of the most concerning behaviors for families caring for someone with dementia. It can happen without warning, and in some cases, lead to dangerous situations. Understanding why wandering occurs can help caregivers take steps to reduce risk and support safety.
What Causes Wandering in Dementia?
Wandering is often a response to confusion, anxiety, boredom, or a need to find something familiar. A person may be trying to:
- Return to a former home or workplace
- Find someone they recognize
- Escape an unfamiliar or overstimulating environment
- Follow a remembered routine, like going to the store or taking a walk
Cognitive decline can impair a person’s sense of direction, time, or purpose. They may leave the house without realizing they cannot find their way back.
Warning Signs That Wandering May Occur
Caregivers should watch for:
- Restlessness, pacing, or repeated movement toward exits
- Asking about "going home" even when already at home
- Confusion about time of day or location
- Attempts to open doors or leave during the night
These behaviors suggest a person may be at risk and would benefit from additional supervision or routine adjustments.
Ways to Reduce Wandering Risk
- Establish consistent daily routines and mealtimes
- Ensure basic needs are met, including hunger and bathroom use
- Provide safe, enclosed walking areas or regular supervised outings
- Use door alarms or motion sensors for extra awareness
- Keep recent photos and emergency contact information readily available
Some families choose to register their loved one in a local wandering response program or use GPS tracking devices for added peace of mind.
Final Thoughts
Wandering is not a sign of stubbornness or misbehavior. It is often a reflection of confusion or a perceived need to act. With the right precautions, it is possible to manage wandering safely and help preserve dignity and independence for as long as possible.