Understanding the Risk of Wandering
Wandering is a common and serious behavioral symptom associated with dementia and Alzheimer's disease. A person may feel disoriented or confused and attempt to leave a familiar environment in search of something from their past, or simply walk aimlessly. This can lead to them getting lost, which poses risks from exposure to the elements, injury, and severe disorientation. The use of a reliable tracking device is a proven method for mitigating this risk by enabling caregivers to quickly locate their loved one.
Types of Tracking Devices for Dementia
The market offers a variety of GPS trackers, each with distinct features and form factors. The best option is often the one a person will wear consistently without agitation.
Wearable Trackers (Watches and Pendants)
These devices are worn on the wrist or around the neck, often designed to look like regular jewelry or a watch. The familiarity of this form factor can increase acceptance by the wearer.
- Smartwatches: Devices like Theora Connect offer a familiar watch-style form that is less conspicuous than a traditional medical alert pendant. They often include a step counter, weather app, and auto-answer capability for caregiver check-ins. Some require daily charging.
- Pendants: These are discreet and can be worn under clothing. They are typically lightweight and may have an SOS button for emergencies. Some are waterproof for use in the shower.
Discreet Trackers (Shoe Inserts and Clip-Ons)
For parents who may resist or remove wearable devices, discreet options can be more effective.
- GPS SmartSole: An in-sole tracking device that fits inside most shoes. This is an excellent solution for those who are used to wearing the same shoes every day and may otherwise refuse a visible tracker. It requires no action from the wearer.
- Clip-Ons: Small, lightweight GPS units that can be securely clipped onto a belt, pocket, or bag. AngelSense offers a clip-on device with non-removable pins for those who might try to discard it.
Enhanced Features and Services
Some trackers go beyond basic location monitoring to offer enhanced safety features.
- Two-Way Communication: Features like an auto-answer speakerphone allow caregivers to communicate with their parent in case of an emergency or disorientation. AngelSense is well-known for this feature.
- Professional Monitoring: Some services, like Medical Guardian, offer 24/7 professional monitoring. In an emergency, an agent can be contacted, who will then alert emergency services and use the device's location to dispatch help.
- AI and Routine Learning: AngelSense uses AI to learn a person's daily routines. If the routine is disrupted, it can send an alert to caregivers, providing a proactive layer of protection.
Key Factors for Your Decision
Choosing the right tracker requires careful consideration of several factors beyond just features.
Assessing Your Parent's Needs and Acceptance
Does your parent typically wear a watch? Is their wandering behavior predictable? Involving your parent in the decision-making process, if possible, can increase the likelihood of them accepting and wearing the device. The more a device resembles something they already use, the better.
Battery Life and Charging Convenience
Battery life is a crucial factor. Some devices last for several days, while others need daily charging. Consider your parent's routine and whether they will remember to charge the device. Some trackers include alerts to notify caregivers when the battery is low.
Geofencing and Alert Capabilities
Geofencing creates a virtual boundary around a safe area, such as the home or a neighborhood park. When the device crosses this boundary, an alert is sent to caregivers. The best systems allow you to customize the size and number of these safe zones.
Ethical Considerations and Consent
Before implementing any tracking technology, it is essential to have a conversation about privacy and autonomy. If your parent is in the early stages of dementia, discuss the device's purpose. Explain that it is a safety tool to help them maintain independence, not a surveillance device. As dementia progresses, this conversation may shift to a discussion with other family members or legal guardians, always prioritizing the person's best interests.
Comparison of Popular Dementia Trackers
| Feature | AngelSense | Tranquil GPS Watch | GPS SmartSole | Theora Connect Watch |
|---|---|---|---|---|
| Best For | Best for high-risk wandering, resistant wearers | Best stylish, long battery life wearable | Best discreet, no-fuss option | Best simple, two-way communication |
| Form Factor | Clip-on with locking pins | Watch with locking strap | Shoe insert | Watch with adjustable strap |
| Communication | Two-way with auto-answer | One-way call via SOS button | No voice communication | Two-way with auto-answer |
| Battery Life | Up to 24 hours | Up to 1 week | Up to 1 week | Up to 24 hours |
| Charging | Daily, via charging dock | Weekly, via charging cable | Weekly, via charging cable | Daily, via charging dock |
| Key Features | Non-removable, AI routine learning, runner mode for search | Water-resistant, discreet design, long battery | Completely hidden, waterproof, no interaction needed | Easy-to-use interface, step counter |
| Pros | Maximum security, responsive tracking, caregiver support | Stylish, durable, less likely to be removed | Unobtrusive, guaranteed to be with wearer | Familiar device, clear two-way audio |
| Cons | Daily charging, can cause anxiety, visible on clothing | Higher upfront cost, battery life varies with use | Requires parent to wear specific shoes, charging can be difficult | Daily charging, can be removed by wearer |
Implementing a Tracker: A Step-by-Step Approach
- Start the Conversation Early: If possible, discuss the possibility of a tracker when your parent is in the early stages of dementia. Frame it as a way to maintain their safety and independence. For more information on talking about these issues, visit the Alzheimer's Association website.
- Evaluate Needs and Routine: Consider your parent's mobility, cognitive stage, and risk of wandering. Do they resist new items? Are they forgetful with charging? This will guide your product choice.
- Choose the Right Device: Based on your evaluation, select the most appropriate type of tracker, whether a wearable, shoe insert, or dedicated GPS unit.
- Establish Clear Protocols: Set up the geofencing alerts and create a plan for how you will respond to a wandering alert. Ensure multiple family members or caregivers are on the alert list.
- Build It into Routine: Introduce the device gradually and make it part of the daily routine. For instance, put the tracker on when getting dressed and charge it at the same time each evening, like with other medications.
Conclusion: Making the Right Choice
The best tracker for parents with dementia is a personalized solution that balances safety with dignity. While a single device can’t solve all the challenges of dementia care, the right technology can provide a vital layer of security. By carefully considering your parent's personality, daily habits, and safety needs, you can choose a device that offers both peace of mind for you and enhanced safety for them.