Tag Archives: Ethical Issues of Dementia Care

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

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 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

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

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 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

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

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 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment

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

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 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Exploring the Morality and Efficacy of White Lies and Deception in Dementia Care (MHF)

Summary The Mental Health Foundation (MHF)’s “Dementia: what is truth?” report explores strategies for handling the different realities and beliefs held by persons with dementia. It concludes, perhaps realistically, that judicious use of non-truths and half-truths may be justified if … Continue reading

Posted in Acute Hospitals, Charitable Bodies, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Joseph Rowntree Foundation, Management of Condition, Mental Health, Mental Health Foundation, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Evidence Versus Mythology: Challenging Cherished Orthodoxies (British Journal of General Practice)

Summary A brief communication in the British Journal of General Practice points to recent evidence raising some interesting questions which many might prefer to duck. This “devil’s advocate”-style letter challenges readers to question some supposedly established axioms in modern dementia … Continue reading

Posted in Commissioning, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Driving and Dementia: Rights and Responsibilities (BBC News / BMA / DTSC / Alzheimers Australia)

Summary A review of the guidelines for GPs concerning advice given to patients about driving in the early stages of dementia is required, according to Dr Peter Holden speaking at the British Medical Association’s annual conference. A delicate balance has … Continue reading

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, Models of Dementia Care, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment