Tag Archives: Ethical Dilemmas

Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four)

Posted on May 15, 2019 by Dementia and Elderly Care News

Summary An investigation into the role of big pharma in the international opioid crisis, from BBC Radio 4, touches upon questions about the ethics and suitability of pain management embedded semi-routinely in care for persons with dementia: Full Audio Link … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Management of Condition, Mental Health, Models of Dementia Care, NHS, Pain, Person-Centred Care, Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged Analgesic Misuse, Analgesic Treatments for People With Dementia, Availability of Opioid Painkillers, Avoidable Harm, BBC Radio 4, BBC Radio Four, BBC Radio Four File on 4, BBC Radio Four’s “File on Four” Programme, Behavioural and Psychological Symptoms of Dementia (BPSD), Big Pharma, Centre for Elderly and Nursing Home Medicine: University of Bergen, Department of Global Public Health and Primary Care: University of Bergen, Department of Health and Care (Bergen Norway), Department of Psychiatry: Harvard Medical School, Deprescribing, Distressed Behaviour, Ethical Dilemmas, Ethical Issues of Dementia Care, Evidence Uncertainties, Expert Opinion on Drug Safety (Journal), Fentanyl, Harvard Medical School, Impact of Opioids, McLean Hospital (Belmont USA), McLean Institute for Technology in Psychiatry and Geriatric Psychiatry Outpatient Services: McLean Hospital (Belmont USA), Medicines Optimisation Group: University of East Anglia, Morphine, NIHR CLAHRC East, NIHR CLAHRC Eastern, Norway, Opioid Addiction, Opioid Analgesics Dependency, Opioid Crisis, Opioid Deprescribing, Opioids, Optimising Prescribing and Deprescribing in Older Adults With Dementia, Over-Medication, Over-Prescribing, Pain Control and Dementia in the Acute Hospital, Pain Management, Pain Prevalence, Pain Relief, Painkillers, Patient Harm, Psychological and Behavioural Distress, Reducing Agitation and Distress, Reducing Avoidable Harm, Strong Opioids: First-Line Maintenance, Strong Opioids: First-Line Oral Opioids, Strong Opioids: First-Line Transdermal Patches, Tackling Over-Medication, Tramadol, Treatment of Pain to Reduce Behavioural Disturbances, University of Bergen, University of East Anglia, University of East Anglia Medicines Optimisation Group, University of Exeter Medical School, Untreated Pain, USA, USA Opioid Epidemic | Leave a comment

New Uncertainties Around Irreversible Brain Cell Death Following Oxygen Deprivation? (BBC News / Nature)

Posted on April 22, 2019 by Dementia and Elderly Care News

Summary Conventional medical wisdom holds that brain cells and working brain circuitry are prone to irreversible damage following merely minutes of interrupted blood flow and disrupted oxygen supply. Researchers at Yale University used an extracorporeal pulsatile-perfusion system to restore circulation in … Continue reading →

NICE Guidance on Best Interests Decision-Making and Mental Capacity: Theory and Practice? (NICE / British Journal of Psychiatry)

Posted on October 15, 2018 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) has released a guideline covering decision-making in adults, over 16 years of age, who may lack capacity. The aim to support people to exercise their own decision-making where they have the capacity, and … Continue reading →

Posted in NICE Guidelines, Universal Interest | Tagged Advance Care Planning (ACP), Best Interests Decision-Making, Bristol Medical School: University of Bristol, British Journal of Psychiatry, Decision-Making and Mental Capacity, Decision-Making and Mental Capacity: NICE Guideline NG108, Division of Psychiatry: University College London, Empowering Patients, Empowerment and Dementia, Engagement and Patient Preferences., Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Health Services Research: University of Exeter Medical School, Involvement of Patients With Dementia in Decisions on Medication Prescription, Involvement of Patients With Dementia in Decisions to Initiate Pharmacological Treatments, Lack of Empowerment, Later Life, Learning Disabilities, Medication Decisions in Dementia, Medication Decisions in Dementia: Assertions, Medication Decisions in Dementia: Offers, Medication Decisions in Dementia: Pronouncements, Medication Decisions in Dementia: Proposals, Medication Decisions in Dementia: Suggestions, Memory Clinics, Mental Health and Illness, National Institute for Health and Care Excellence (NICE), Neurological Disorders, Patient Acceptance, Patient Empowerment, Patient Involvement, Patient Preferences, Patient Satisfaction, Population Health Sciences: University of Bristol, SDM: Shared Decision Making, Shared Decision-Making, Supporting Decision-Making, Thinking Ahead - Advance Care Planning, Treatment Recommendation Coding Scheme, University College London, University of Bristol, University of Exeter, University of Exeter Medical School, Video-Recorded Dementia Diagnostic Meetings | Leave a comment

Recent Information on Restraint in Mental Health Trusts, Plus Statistics on Other Safeguarding Topics (BBC News / NHS Digital)

Posted on November 21, 2017 by Dementia and Elderly Care News

Summary Freedom of information requests made by the Liberal Democrats have revealed that the use of restraint by mental health trusts in England has increased yearly since 2013, despite repeated calls over recent years for restraint to be minimised. It … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, Standards, Stroke, UK, Universal Interest | Tagged Abuse, Abuse of Vulnerable Adults, Acute Care, Adult Safeguarding, Adult Safeguarding Concerns and Enquiries, Adult Social Care Analytical Hub, Avoidable Harm, Community and Mental Health Trusts, Councils with Social Services Responsibilities, Culture of Zero-Harm, De-Escalation Techniques, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Dr Sridevi Kalidindi: Royal College of Psychiatrists, Ethical Considerations, Ethical Dilemmas, Ethics and Decision-Making, Experimental Statistics, Face-Down Restraint, FOI: Freedom of information, Freedom of Information, Government Policy on Adult Safeguarding, Harm Free Care, Human Rights, Human Rights and Nursing, Identification and Reporting of Problems, Incident Reporting, Least Restrictive Principle, Liberal Democrat MP Norman Lamb: Former Health Minister (Coalition Government), Liberal Democrats, Making Safeguarding Personal (MSP), Medical Ethics, Mental Capacity, Mental Health Hospitals, Mental Health Trusts, Mental Healthcare, Mind, Neglect and Acts of Omission, NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS Digital: Annual Report for England (2016-17), NHS Digital: Safeguarding Adults Collection (SAC), NHS Mental Health Trusts in England, Norman Lamb MP, Openness and Transparency, Openness. Transparency, Physical Restraint, Physical Restraint in Hospital Settings, Physical Restraint in Mental Healthcare, Psychiatric Hospitals, Recording and Reporting, Reporting Culture in the NHS, Restraint, Restraint in Health and Adult Social Care, Restraint in Mental Health Trusts, Restrictive Practices, Safeguarding, Safeguarding Adults at Risk, Safeguarding Adults Collection, Safeguarding Adults Collection (SAC): Annual Report for England (2016-17), Safeguarding Adults Principles, Safeguarding Adults Reports, safeguarding Adults Reviews, Safeguarding Adults Reviews (SARs), Safeguarding Older People, Transparency, Transparency and Accountability, Unintended Consequences, Use of Reasonable Force, Vicki Nash: Mind | Leave a comment

Compulsory Community and Involuntary Outpatient Treatment for People With Mental Illness (JGCR / Cochrane Database)

Posted on June 30, 2017 by Dementia and Elderly Care News

Summary It remains uncertain whether compulsory community treatment for people with severe mental illness actually improves clinical outcomes and / or social functioning or reduces the level of usage of health services. A recent pilot study investigated old age psychiatrists’ … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Systematic Reviews, UK, Wales, Wolverhampton | Tagged Advance Care Planning (ACP), Ageing Population, Australia, Betsi Cadwaladr University Health Board, Birmingham and Solihull Mental Health NHS Foundation Trust, Canada, Care Planning, Centre for Ageing Studies: University of Chester, Cochrane Database, Cochrane Database of Systematic Reviews, Cochrane Schizophrenia Group’s Study-Based Register of Trials, Coercion, Community Treatment Orders (CTOs), Community Treatment Orders in Ageing Population, Compulsory Community Treatment (CCT), Compulsory Community Treatment (CCT) for People With Severe Mental Illness (SMI), Compulsory Community Treatment Versus Supervised Discharge, Confinement to Bedrooms, Consent to Treatment and CTOs, CTOs and Dementia, CTOs and Older Adults, Dalhousie University (Halifax; Canada), Department of Community Health and Epidemiology: Dalhousie University, Deprivation of Liberty, Deprivation of Liberty Safeguards (DoLS), Elderly Mental Health, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Faculty of Health and Social Care: University of Chester, Faculty of Old Age Psychiatry: Royal College of Psychiatrists, Geriatric Care and Research Organisation (GeriCaRe), Israel, Least Restrictive Practice, Making Our Care and Health Systems Fit for An Ageing Population, Mental Capacity, Mental Health Act and Citizenship, Mental Health Assessor (MHA), Mental Health Care, Mental Health Care and Treatment, Mental Health Care Pathways, New Zealand, Old Age Psychiatry: Betsi Cadwaladr University Health Board, Oxford Community Treatment Order Evaluation Trials (OCTETs), Princess Alexandra Hospital (Queensland), Pros and Cons of CTOs, Restraint, Restraint and Restrictions, Restraint in Health and Adult Social Care, Safe and Ethical Restrictive Interventions, School of Medicine: University of Queensland, Severe Mental Illness (SMI), Staffordshire University, Supervised Discharge, Systematic Reviews and Meta-Analyses, University of Chester, University of Queensland, Western University (Ontario) | Leave a comment

Under-Diagnosis of Dementia in the Community: an International Review (BMJ Open / JGCR)

Posted on February 8, 2017 by Dementia and Elderly Care News

Summary A literature review and meta-analysis of 23 international studies on the under-detection (i.e. the failure to achieve a diagnosis) of dementia identified a pooled rate of undetected dementia assessed to be 61.7%. The rate of under-detection was higher in … Continue reading →

Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Models of Dementia Care, Quick Insights, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust Authorial Affiliation, Statistics, UK, Universal Interest, Wolverhampton | Tagged Academic Institute of Medicine: University of Wolverhampton, Affluence and Health Inequalities, Age and Gender Differences in Diagnosis Rates, Agewell Foundation (India), Anhui Medical University, Assessment and Diagnosis, Australia, Australian National University, Barriers to Early Diagnosis, BMJ Open, BMJ Publishing Group Ltd, Case Finding, Case Finding for Patients with Dementia, Centre for Research on Ageing Health and Wellbeing: Australian National University, China, Cognitive Assessment Tools, Cognitive Impairment, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Collaborative Research Centre-Early Diagnosis and Prevention: Australian National University, Dementia Diagnosis, Dementia Screening, Dementia Screening Debate, Department of Practice and Policy: University College London, Department of Psychiatry: University of Liverpool, Department of Public Health: Wolverhampton City Council, Diagnosis and Referral, Diagnosis and Support, Diagnosis at Primary Care Level, Diagnosis Gap, Diagnosis of Dementia, Diagnosis Rates, Dignity Foundation (India), Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Effectiveness of Early Detection and Treatment, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Europe, Faculty of Education Health and Wellbeing: University of Wolverhampton, General Practice, Geriatric Care and Research Organisation (GeriCaRe), GPs, Health Inequalities, HelpAge India, India, Journal of Geriatric Care and Research (JGCR), Liverpool, Mental Health Inequalities, Mini Mental State Examination (MMSE), National Programme for the Health Care of the Elderly (NPHCE), New Cross Hospital: Royal Wolverhampton NHS Trust, North America, Post Graduate Academic Institute of Medicine: University of Wolverhampton, Reducing Health Inequalities, Research School of Population Health: Australian National University, Royal Wolverhampton NHS Trust, School of Health Administration: Anhui Medical University, Screening, Screening for Cognitive Impairment, Screening for Cognitive Impairment in Older Adults, Screening for Dementia, Screening Programmes, Screening Tests, Socio-Economic Differences in Diagnosis Rates, Timely Diagnosis, UK National Screening Committee (UK NSC), Under-Detection of Dementia, University College London, University of Liverpool, University of Wolverhampton, Wolverhampton City Council | 1 Comment

Driving With Dementia or Mild Cognitive Impairment (EBMH / The Mental Elf / Canadian Geriatrics Journal)

Posted on January 8, 2017 by Dementia and Elderly Care News

Summary A review the current guidelines and evidence relating to driving and dementia (and driving with mild cognitive impairment) which is intended to help clinicians offer advice and make decisions about driving safety. The assessment tools / strategies available are … Continue reading →

Posted in Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Patient Information, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Ageing, Ageing and Dementia, Ageing Population, BMJ Publishing Group Ltd, Canada, Centre for Family Medicine Memory Clinic (Kitchener Ontario), Centre for the Health of the Elderly: Northumberland, Cognitive Assessments / Screening Tools, Combinations of On-Road Tests With Clinical and Neuropsychological Assessments, Dementia and Driving Guidance, Department of Family Medicine: McMaster University, Department of Medicine Division of Geriatrics: Ottawa Hospital, Department of Psychiatry: University of Oxford, Depressive Mood Disorders, Difficult Conversations, Driver and Vehicle Licensing Agency (DVLA), Drivers With Dementia, Driving, Driving and Dementia, Driving Assessment Centres, Driving Cessation, Driving in Dementia: Useful Links, Driving Mobility Approved Assessment Centres: for Independent Assessments, DVLA, DVLA Guidelines on Dementia and Mild Cognitive Impairment, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Evidence Based Mental Health (EBMH), Evidence Based Mental Health (Journal), Factors Determining Decisions to Stop Driving, Faculty of Health Science: University of Ottawa, Faculty of Medicine: Ottawa Hospital, Frontotemporal Dementia (FTD), Hamilton, Impaired Neck Mobility, Loss of Driving Licence: Patient Impact, McMaster University, Medical Fitness-to-Drive Decisions, Montreal Cognitive Assessment (MoCA), Motor Vehicle Drivers With Dementia, Northumberland, Office of Continuing Professional Development: University of Ottawa, Older People's Services: Oxford Health NHS Foundation Trust, Ottawa Hospital, Oxford Health NHS Foundation Trust, Potential Loss of Driving Licence: Patient Impact Sensitivity, Sensitivity Concerning Patient Impact, The Mental Elf, Tyne and Wear NHS Foundation Trust, University of Ottawa, University of Oxford, Use of Cognitive Tests to Assess Driving Ability, Visual Impairment | Leave a comment

Tag Archives: Ethical Dilemmas

Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four)

New Uncertainties Around Irreversible Brain Cell Death Following Oxygen Deprivation? (BBC News / Nature)

NICE Guidance on Best Interests Decision-Making and Mental Capacity: Theory and Practice? (NICE / British Journal of Psychiatry)

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