The local fire/rescue people have experience with a number of commercial devices. None appeared to be particularly well suited to our environment. Our town is approximately 40 square miles with five "major" roads.
Thinking about placing monitoring units at the major intersections and at the individual patient homes as well as a portable unit for each caregiver. Sound an alarm if the patient gets separated from the caregiver. Monitor and track all patients as they travel within range of the permanent stations. If it works and is economically feasible we would add stations to the homes of the fire/rescue personnel.
Still a pipe-dream with a thousand details to resolve. Particularly difficult is what if the patient leaves the unit at home while taking a long walk.
Anyways, I will order a few development kits and give it a go. I have a dog who likes to roam so she will be the first test case.