Updated Care Plan for Risk of Elopement

Category / Primary Body System:

Safety / Cognitive and Behavioral Health

Problem:

The resident is at risk for elopement (wandering away from the facility).

Goal:

The resident will remain safe and feel secure in the facility.

Plan/Approach:

1. Elopement Risk Assessment:

   • Step: Assess for elopement potential.
   • Rationale: Identifying the resident’s risk factors for elopement allows for the implementation of targeted preventive measures.
   • Actions: Conduct a comprehensive elopement risk assessment upon admission and at regular intervals, documenting findings and updating the care plan accordingly.

2. Behavior Monitoring:

   • Step: Monitor for exit-seeking behaviors.
   • Rationale: Early detection of exit-seeking behaviors can prevent elopement and ensure timely intervention.
   • Actions: Observe the resident for signs of restlessness, agitation, or attempts to leave the facility. Document and report any incidents of exit-seeking behavior.

3. Redirection Techniques:

   • Step: Redirect the resident from exits.
   • Rationale: Using redirection techniques helps manage the resident’s exit-seeking behaviors and maintains their safety.
   • Actions: Engage the resident in meaningful activities, conversations, or familiar routines to distract them from attempting to leave. Ensure staff are trained in effective redirection techniques.

4. Location Monitoring:

   • Step: Monitor the resident’s whereabouts.
   • Rationale: Continuous monitoring ensures the resident’s safety and allows for prompt response if they approach exits.
   • Actions: Implement regular check-ins and visual checks, particularly during high-risk times. Use tracking systems if available.

5. Wanderguard Application:

   • Step: Attach a wanderguard device to the resident.
   • Rationale: Wanderguard devices alert staff if the resident approaches an exit, preventing elopement.
   • Actions: Securely attach the wanderguard device and check its functionality regularly. Ensure the device is comfortable for the resident and does not cause distress.

6. Wanderguard Monitoring:

   • Step: Monitor the placement and function of the wanderguard.
   • Rationale: Regular monitoring ensures the wanderguard is effective and working correctly.
   • Actions: Perform daily checks to confirm the wanderguard is in place and functioning. Replace batteries and maintain the device as needed.

7. Identification Photo:

   • Step: Keep a current photo of the resident on file.
   • Rationale: Having an up-to-date photo assists staff and authorities in quickly identifying the resident in case of elopement.
   • Actions: Take a clear, recent photo of the resident upon admission and update it periodically. Ensure the photo is accessible to all staff.

8. Staff Awareness:

   • Step: Alert staff to the resident’s elopement potential.
   • Rationale: Staff awareness and vigilance are crucial in preventing elopement and ensuring prompt intervention.
   • Actions: Communicate the resident’s elopement risk to all staff during handovers and meetings. Place alerts in the resident’s file and care plan.