One night, while I worked in a retirement home one lady walked out the front door in her nighty. This was a place for the seniors in our community who just didn't feel up to all the housework anymore. Most were alert and oriented, but some had early dementia or just forgot to take care of themselves. So this woman was usually OK, very dignified, well dressed and wouldn't leave her room unless she had her clothes on and make-up done.
Her family had asked that she be checked on during the night. She had been a bit combative with staff on evenings and was just not her normal, pleasant self. On the midnight check she was awake watching TV. At 0100 she was walking in the halls naked. She was redirected to her room and we put on her PJ's and tried to get her to get into bed. She didn't want to go to bed, so she turned on the TV and said she would rest for a while. Because of this, we were checking on her more often, but this really annoyed her. At 0200 she was no where to be found. There was only me and a CNA for 105 residents on 8 floors. So we look every where. Other residents' rooms if their doors weren't locked, all the common areas, etc...
While in the dinning room, the CNA looks out the window and sees her in the frozen and snow covered garden, looking at the plants. It's -40 below out there. She had no shoes, no housecoat. We rush out, get her back, call 911, as we didn't know how long she had been out there, but when it is that cold, 10 minutes can be fatal. We also called her son who lived 5 hours away and let him know what had been happening the day before and her little tour outside.
I had already mentioned in the doctor's book that she would need to be seen in the morning because of the changes in her mental status.
I got a call from the nurse at the hospital to clarify some information. Turns out, she had had a small stroke recently, and had big one on arrival to the hospital.
Freaked me out, but because she was at the hospital when it occured, she had a good outcome. Her odd behaviour is what saved her. Someone:angel2: was looking out for her!!!