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Dementia and wandering — DGM MCQ

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ModerateDementiaDementia and wanderingDGM

An 86-year-old man with dementia has started walking out of his care home in the evening. He becomes unsettled when bored and calms after a walk with staff. There is no infection, pain or aggression. Current medicines include memantine and paracetamol. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Personalised activity plan and environmental risk reduction

Wandering should be understood by triggers and needs, using activity, supervision and environmental risk reduction. Antipsychotics, locking in a room, sedatives and banning activity may breach rights and worsen distress. Risk management in dementia should be proportionate and person-centred.

Reference: NICE NG97; NICE NG189