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When I push Find My on my devices, I can request the other device that I’m tracking to make a noise. If the person wearing it is in the house or even if the device is in the house and not being worn, I know that right away.
You can dial home on a smartwatch. You can also put identification and health info on it, such as records from the doctor’s office. Rescuers can call directly to 911, doctor or home from it.
Some bands are silicone and stretchy so that they’re easily slipped on and off. They are ordered to exactly fit a wrist size.
They wrote on her back in permanent ink her name, address, phone, etc. She could slip out of any kind of tracking device and this, while it seemed so silly, really made her family feel safer.
There are people on Amazon who make custom tags. You could put "John - Alz" with your phone # on iron-on tags.
Is he officially diagnosed by a doctor? ALZ is one form of dementia and has a different trajectory than the others. If he has not been seen by a doctor for his symptoms, please do so, since an accurate diagnosis is very important. Other medical and health issues can mimic dementia symptoms and these need to be discounted first.
Also, Teepa Snow videos on YouTube are very helpful and give lots of good advice on how to interact with our LOs with dementia.
There really is no safety once you move into this realm, and the reason many are in memory care is often just this situation, the wandering. Spouses often cannot sleep at night for worrying about this exact situation. Some facilities are now using a sort of intermediate between ALF and MC that is a ALF with locked cottages. I suspect this will become more common. Safety is a a maximum while costs kept more reasonable.
You can easily google the many tracking devices for dementia that are available, but the problem is not solved if device can be removed.
I did have a situation with an elder who left ALF to visit the local drug store across the street seaching out his "cocktails". He had a device available through the local police authorities that was much like a zip tie that wasn't removable. Problem with THAT is even with his device, he was crossing streets unsafely, and was in danger. Memory care proved the only answer.
I hope others have better suggestions.
Good luck. Will be following the thread to see recommendations. I would think this is a common problem.