Tag Archives: Ethics and Decision-Making

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

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

Palliative Care in Advanced Dementia (Cochrane Database)

Posted on December 21, 2016 by Dementia and Elderly Care News

Summary A recent Cochrane review assessed the evidence concerning the effect of palliative care interventions in advanced dementia. As usually happens in rigorous studies of this nature, the authors of this review could find few high quality trials exploring palliative … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews | Tagged Advance Care Planning, ALOIS: the Cochrane Dementia and Cognitive Improvement Group, Assisted Feeding Treatments, Avoidable Hospital Admissions, Care Planning, Care Planning and Proxy Decision Making, Cochrane Database, Cochrane Database of Systematic Reviews, Death in Hospital, Decision-Making at End of Life, Easing Decision-Making, Ethics and Decision-Making, Feeding Assistance, Feeding Discussions, Home Palliative Care Services, Hospital Admissions, HRB Primary Care Clinical Trials Network Ireland, Ireland, NUI Galway, Palliative Care, Palliative Care in Advanced Dementia, Palliative Care in Older People With Dementia, Palliative Care Intervention, Palliative Care Planning, Palliative Care Teams, Palliative Care Teams in Acute Hospitals, Palliative Care Teams Versus Usual Care, Personalised Care Planning, Shared Decision-Making, Specialist Palliative Care Teams, Surrogate Decision-Making | Leave a comment

National Screening for Dementia Not Recommended (UK NSC / AHRQ / Annals of Internal Medicine / Epidemiology / International Journal of Epidemiology)

Posted on January 19, 2015 by Dementia and Elderly Care News

Summary The UK National Screening Committee (UK NSC) has upheld previous recommendations against screening people aged 65 and over for dementia. This decision follows an extensive review of the evidence. The UK NSC has concluded that tests for dementia, which … Continue reading →

Screening to Identify People at Risk of Dementia (JRCPE)

Posted on April 11, 2014 by Dementia and Elderly Care News

Summary This article in the Journal of the Royal College of Physicians of Edinburgh presents a balanced account of both sides of the argument with regards to whether screening for dementia might be beneficial, and concerning the recent controversy on … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, Patient Care Pathway, Quick Insights, Scotland, UK, Universal Interest | Tagged Best Interest Decisions, Best Interests, Best Interests of Patients, Blood Pressure, Cardiovascular Risk, Cardiovascular Risk Factors and Cognitive Decline, Case Finding for Patients with Dementia, Cochrane-Registered Prevention Reviews, Complex Best Interests Decision Making, Conflicts of Interests, Continuum of Cognitive Impairment, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Diagnosis, Dementia Screening Debate, Diagnosis and Referral, Diagnosis and Support, Diagnosis of Dementia, Diagnosis Rates, Diagnosis Rates (Regional UK), Diet, Difficult Conversations, Doctor-Patient Relationships, Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Exercise, General Practice, GPs, Improving Diagnosis, Incentive Payments, Incentives, Journal of the Royal College of Physicians of Edinburgh, JRCPE: Journal of the Royal College of Physicians of Edinburgh, MCI: Mild Cognitive Impairment, Medical Ethics, Mild Cognitive Impairment (MCI), Misdiagnosis, Modifiable Risk Factors, Montreal Cognitive Assessment (MoCA), NAPC, National Association of Primary Care, National Association of Primary Care (NAPC), NHS Health Check, NHS Health Checks Programme, Norwich Medical School, Obesity, Over-Diagnosis, Perverse Incentives, Physical Activity, Physical Exercise, Post-Diagnosis Support, Post-Diagnostic Dementia Support, Post-Diagnostic Support, Potential Harms of Diagnosis, Pre-Dementia (MCI), Preventable Dementia (Public Health England), Preventative Care, Prevention, Preventive Care, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Regular Exercise, Risk Factors, Screening, Screening for Dementia, Smoking, Target-Driven Priorities, Timely Diagnosis, University of East Anglia, Vascular Risk Factors, Vested Interests, Watling Medical Centre (UK), Western University: London Health Sciences Centre | Leave a comment

The Dementia Case-Finding Debate Continues (BBC News / BMJ)

Posted on April 2, 2014 by Dementia and Elderly Care News

Summary Fewer than half of the estimated 670,000 people with dementia typically receive a formal diagnosis, and the government has the well-intentioned aspiration to increase dementia diagnosis rates in England to two-thirds by 2015. A GP writing in the British … Continue reading →

Posted in Alzheimer's Society, BBC News, Commissioning, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged BBC Health News, Best Interest Decisions, Best Interests, Best Interests of Patients, Binscombe Medical Centre: Godalming [Surrey], BMJ, Breaking Bad News, British Medical Journal (BMJ), Case Finding for Patients with Dementia, Complex Best Interests Decision Making, Conflicts of Interests, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Diagnosis, Dementia Screening Debate, Diagnosis and Referral, Diagnosis and Support, Diagnosis Gap, Diagnosis of Dementia, Diagnosis Rates, Diagnosis Rates (Regional UK), Difficult Conversations, Doctor-Patient Relationships, Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Former Health Secretary Jeremy Hunt, General Practice, GPs, Health and Social Care Integration, Herefordshire Clinical Commissioning Group, Improving Diagnosis, Incentive Payments, Incentives, MCI: Mild Cognitive Impairment, Medical Ethics, Mild Cognitive Impairment (MCI), Misdiagnosis, NHS Herefordshire CCG, Over-Diagnosis, Perverse Incentives, Post-Diagnosis Support, Post-Diagnostic Dementia Support, Post-Diagnostic Support, Potential Harms of Diagnosis, Pre-Dementia (MCI), Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Quality Premium Payments, Screening, Screening for Dementia, Target Culture, Target-Driven Behaviour, Target-Driven Priorities, Timely Diagnosis | Leave a comment

NICE Drugs Policy and the Elderly (NHS Choices)

Posted on February 24, 2014 by Dementia and Elderly Care News

Summary News of a Department of Health consultation, which involves asking the National Institute for Health and Care Excellence (NICE) to consider “wider societal benefits” (in addition to the burden of illness and the impact a disease has on patients) … Continue reading →

Posted in Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS Digital (Previously NHS Choices), NICE Guidelines, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest | Tagged Age and Ageing, Age Discrimination, Age Equality, Ageing and Society, Ageing Policy in the UK, Ageing Population, Ageism, Behind the Headlines, Benefits from Treatments, Burden of Disease, Capacity to Benefit from Treatments, Cost Analysis, Cost-Effectiveness, Cost-Effectiveness in Health Care, Cost–Benefit Analyses, Daily Express, Daily Mail, Daily Telegraph, Disease Burden, Economic Contribution, Equality, Equality and Human Rights, Ethical Considerations, Ethics and Decision-Making, Ethics and Society, Everyone Counts, Health and Quality of Life, Justice, Moral Principles, National Institute for Health and Care Excellence (NICE), NHS Constitution, NICE Drugs Policy, Non-Maleficence and Beneficence, QALY, Quality of Life, Quality-Adjusted Life-Year (QALY), Respect for Autonomy, Societal Contribution, Value for Money, Value of Quality Adjusted Life Years (QALYs), Wider Societal Benefits, Wider Societal Burden, Wider Societal Costs | Leave a comment

Royal College of Nursing Consultation on Restraint in Health and Adult Social Care (RCN)

Posted on January 10, 2014 by Dementia and Elderly Care News

Summary The Royal College of Nursing (RCN) has been commissioned by the Department of Health to review and develop guidance on positive behaviour support (PBS) and the minimisation of restrictive practices across health and adult social care. The consultation closes … Continue reading →

Posted in Acute Hospitals, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Mental Health, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged Abuse, Abuse of Vulnerable Adults, Acute Care, Adult Safeguarding, Adult Social Care, Attitudinal Change, Avoidable Harm, Behaviour Support Plans, Best Practice in PBS, Chemical Restraint, Culture of Zero-Harm, De-Escalation Techniques, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, East Kent Hospitals University NHS Foundation Trust, Ethical Considerations, Ethical Dilemmas, Ethics and Decision-Making, Harm Free Care, Least Restrictive Principle, MCA: Mental Capacity Act 2005, Mechanical Restraint, Medical Ethics, Mental Capacity, Mental Capacity Legislation, Northern Ireland, Openness and Transparency, Openness. Transparency, Physical Restraint, Physical Restraint in Hospital Settings, Physical Restraint in Mental Healthcare, Positive Behaviour Support (PBS), Proportionality in Safeguarding, Proportionality: Human Rights and Mental Capacity Legislation, Respect, Respecting Persons with Dementia, Responsible Commissioning, Restraint, Restraint in Health and Adult Social Care, Restrictive Practices, Royal College of Nursing (RCN), Safeguarding, Safeguarding Adults at Risk, Safeguarding Adults Principles, Safeguarding Older People, Scotland, Transforming Care, Transparency, Transparency and Accountability, Use of Reasonable Force, Wales, Winterbourne View Hospital | Leave a comment

Suicide Risk in Dementia Patients (Nursing Standard)

Posted on November 28, 2013 by Dementia and Elderly Care News

Summary Attempted suicide is not unknown among people with dementia but there is a lack of evidence to guide professional practice. This article explores risk management strategies and the ethics of suicide / assisted suicide by taking one specific patient … Continue reading →

Posted in Acute Hospitals, Community Care, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, Models of Dementia Care, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Scotland, Standards, UK, Universal Interest | Tagged Adult Support and Protection (Scotland) Act 2007, Advance Care Planning (ACP), Assisted Suicide, Assisted Suicide for Dementia, Autonomy and Choice, Breaking Bad News, Choice, Disclosure, Disclosure of Diagnosis, Dundee, Dundee College, Emotions (Upon Disclosure of Diagnosis, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Ethics and Society, Euthanasia, Euthanasia Versus Palliation, Fear (Upon Disclosure of Diagnosis, Five Wishes (Aging with Dignity 2013), Frustration (Upon Disclosure of Diagnosis, Loss (Upon Disclosure of Diagnosis, Mental Capacity Act 2005, Nursing Standard, Palliative and End of Life Care, Palliative Care, Patient Choice, Preferred Priorities for Care, Pro-Choice Campaign, Risk Management, Standards of Conduct Performance and Ethics for Nurses and Midwives (NMC 2008), Suicide, Suicide Risk in Dementia, Truth Telling, VIPS Framework of Dementia Care | Leave a comment

Two Sides of the Dementia Case-Finding Debate (BMJ)

Posted on June 21, 2013 by Dementia and Elderly Care News

Summary The UK government is introducing incentives for general practitioners to check for dementia in patients aged 75 and older, with the intention that timely diagnosis facilitates earlier support for patients with dementia. Critics of this policy allege that this … Continue reading →

Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Models of Dementia Care, National, NHS, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest | Tagged BMJ, British Medical Journal (BMJ), Case Finding for Patients with Dementia, Commissioning for Quality and Innovation (CQUIN) Indicators, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Commissioning for Quality and Innovation (CQUIN), Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Ethical Issues of Dementia Care, Ethics and Decision-Making, General Practice, GPs, Head to Head Debates, Incident Dementia, Mandate to the NHS Commissioning Board, MCI, MCI: Mild Cognitive Impairment, Mental Health Care, National Dementia CQUIN, National Screening Committee, NHS Mandate, Prime Minister's Challenge on Dementia, Screening, Screening for Dementia, Timely Diagnosis, UK National Screening Committee | Leave a comment

Tag Archives: Ethics and Decision-Making

Palliative Care in Advanced Dementia (Cochrane Database)

National Screening for Dementia Not Recommended (UK NSC / AHRQ / Annals of Internal Medicine / Epidemiology / International Journal of Epidemiology)

Screening to Identify People at Risk of Dementia (JRCPE)

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