I am preparing a dissertation for my post-registration BSc (Hons) Nursing Studies degree looking at risk management on an acute ward in those who exhibit wandering behaviour, for example, those with dementia or an acute confusional state/delirium. I would be interested to hear about how your Trust, hospital or ward minimises risks to older patients who wander. Do you have guidelines relating to bedrail usage, restraint, and the management of acute confusional state/delirium and/or specific guidelines relating to the management of patients who wander? Does your hospital use security staff for patients identified as at risk of wandering off the ward; do you have additional nursing staff to watch/ 'special' the patient or a patient sitter scheme? Do you have open access to your ward or do you have any system of door locking or twin handle devices? Do you use any alarmed systems such as pressure mats to alert you when the patient has moved? Are these measures effective? Thank you for your patience in reading this rather long message, I would be most grateful for any information you could share with me.