Tag Archives: Medical Ethics

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

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

Posted on October 1, 2015 by Dementia and Elderly Care News

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 ALSOVA 3-Year Follow-Up, Beck Depression Inventory (BDI), Brent Memory Service, British Journal of General Practice, Caregiver’s Level of Coping, Caregiver’s Mental Health, Caregivers' Health-Related Quality of Life (HRQoL) and Well-Being, Carers' Health-Related Quality of Life (HRQoL) and Well-Being, CDR Scale Sum of Boxes (CDR-sb), Clinical Dementia Rating (CDR), Consortium to Establish a Registry for Alzheimer's Disease Neuropsychological Battery (CERAD-NB), Dementia and Geriatric Cognitive Disorders Extra, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Crusade (sic), Dementia Diagnosis, Dementia Policy, Dementia Research Priorities, Dementia Screening Debate, Department of Primary Care and Population Health: University College London, Diagnosis and Referral, Drug Discovery Programmes, Early Diagnosis, Early Psychosocial Interventions for Dementia, Early Screening, Ethical Considerations, Ethical Issues of Dementia Care, Evidence Versus Mythology, Evidence-Based Medicine, Evidence-Based Policy, Evidence-Based Practice (EBP), General Health Questionnaire (GHQ), General Practice, Generalized Estimating Equations (GEEs), Gnosall Project, GPs, Incentive Payments, Incentives, International Journal of Geriatric Psychiatry, International Psychogeriatrics, Journal of Geriatric Psychiatry and Neurology, Kuopio ALSOVA Study, London, MCI: Mild Cognitive Impairment, Medical Ethics, Memory Clinics, Mild Cognitive Impairment (MCI), Misdiagnosis, Multiple Projectitis, Neuropsychiatric Symptoms of Alzheimer’s Disease, Over-Diagnosis, Overdiagnosis (Speculative Concept), Perverse Incentives, PLoS One, Post-Diagnosis Support, Post-Diagnostic Dementia Support, Potential Harms of Diagnosis, Prevalence of Dementia, Prevention Agenda, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Primum Non Nocere, Quality of Life Research, Quality Premium Payments, Referral to Memory Clinics: Assessment, Risk of Overdiagnosis Associated With Screening, Screening, Screening for Dementia, Sense of Coherence (SOC), Short Version of the CERAD Neuropsychological Battery, Spousal Caregivers (SCs), Steve Iliffe: Professor of Primary Care for Older People; University College London, Target-Driven Behaviour, Target-Driven Priorities, Timely Diagnosis, University College London | Leave a comment

Conflicts of Interest in Dementia Diagnosis Incentive Payments? (BBC News / Alzheimer’s Society)

Posted on October 22, 2014 by Dementia and Elderly Care News

Summary Family doctors in England are to be paid £55 for each diagnosis of dementia, NHS England has decided. This ruling is broadly compatible with the national dementia strategy and the Prime Minister’s Challenge on Dementia, whereby NHS England is … Continue reading →

Posted in Alzheimer's Society, BBC News, Charitable Bodies, Commissioning, Community Care, Department of Health, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Patients Association, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Barriers to Early Diagnosis, BBC Health News, Case Finding for Patients with Dementia, Conflict of Interests, Conflicts of Interest, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Coding, Dementia Diagnosis, Dementia Diagnosis Incentive Payments, Dementia Diagnosis Rates, Dementia Enhanced Service, Diagnosis, Diagnosis and Assessment, Diagnosis and Referral, Diagnosis and Support, Diagnosis at Primary Care Level, Diagnosis-Related Payments, Dr Martin McShane: NHS England’s Director for People With Long Term Conditions, Early Diagnosis, Enhanced Services from GPs, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics, Ethics and Society, General Practice, GPs, Incentive Payments, Medical Ethics, Post-Diagnostic Dementia Support, Prevalence of Dementia, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Professional Standards and Ethics, Support for Improving Dementia Diagnosis Rates, Timely Diagnosis | Leave a comment

Miscellaneous International Care of the Elderly-Related Guidelines

Posted on June 19, 2014 by Dementia and Elderly Care News

James, PA. Oparil, S. [and] Carter, BL. [et al] (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. February 5th 2014; … Continue reading →

Posted in Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Models of Dementia Care, Pain | Tagged Age and Ageing, American Association on Intellectual and Developmental Disabilities, American Heart Association, Amyloid Imaging, Amyloid Imaging Task Force: Alzheimer’s Association and Society for Nuclear Medicine and Molecular Imaging, Archives of Cardiovascular Diseases, Association of Anaesthetists of Great Britain and Ireland, Atherosclerotic Cardiovascular Disease, Atrial Fibrillation, Atrial Fibrillation (AF), Blood Pressure, British Geriatric Society (BGS), Canadian Journal of Neurological Sciences, Cardiovascular Disease, Care of the Elderly-Related Guidelines, CVD: Cardiovascular Disease, Ethical Considerations, Ethical Dilemmas, Ethics, European Forum for Good Clinical Practice Geriatric Medicine Working Party, French Society of Cardiology, French Society of Geriatrics and Gerontology, Head Injury, Hypertension, Imaging, Journal of Nutrition Health and Aging, Mayo Clinic Proceedings, Medical Ethics, Medical Research, Mild Traumatic Brain Injury, Pain Management, Pain Relief, Peri-Operative Care of the Elderly, Scandinavian Neurotrauma Committee (SNC), Traumatic Brain Injury (TBI) | Leave a comment

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

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

Sexualities and Dementia Education Resource (Dementia Training Study Centres)

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

Summary The Dementia Training Study Centres (created by the Australian Government in 2006) has produced an online resource designed to help health professionals understand and develop acceptable approaches to sexual matters and the need for intimacy on the part of … Continue reading →

Posted in Acute Hospitals, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Management of Condition, Models of Dementia Care, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Universal Interest | Tagged Adult Safeguarding, Aged Care Early Intervention Management Program: Queensland Health, Alzheimer’s Australia, Australia, Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, Autonomy and Solidarity, Avoiding Exploitation, Awareness of Potential Risks, Awareness of Relationships, Barriers to the Expression of Sexuality, Classifications of Sexual Behaviour, Cognitive Capacity and Consent, Dementia Behaviour Management Advisory Service, Dementia Training Study Centres, Dementia-Related Sexual Expression, Disinhibition, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Expressions of Intimacy, Griffith Health Institute, HammondCare: New South Wales, Inappropriate Sexual Behaviour, Intimacy, Latrobe University, Medical Ethics, Needs-Based Approaches, New South Wales, P-LI-SS-IT Model of Care, Personhood, Personhood (‘Now’ vs. ‘Then’), Privacy Rights, Psychological Needs-Based Approaches, Queensland Dementia Training Study Centre, Research Centre for Clinical and Community Practice: Griffith Health Institute, Responding to Sexual Advances, Risk Management, Safeguarding, Safeguarding Older People, Sexual Behaviours, Sexualities and Dementia Education Resource, Sexualities and Dementia Policy, Sexuality, Sexuality and Dementia, Sexuality Assessment Tools, Sexuality in Care Settings, South Australia, South Australia & Northern Territory Dementia Training Study Centre | Leave a comment

First Recorded UK Case of Assisted Suicide for Dementia (BBC News / JRCPE)

Posted on June 2, 2013 by Dementia and Elderly Care News

Summary The first case has been reported of a British person electing to end his own life at the Dignitas facility in Zürich (Switzerland) after being diagnosed as having the early stages of dementia. The 83-year-old was assessed to be mentally competent to make the decision. Reactions … Continue reading →

Posted in Alzheimer's Society, BBC News, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, Patient Care Pathway, Quick Insights, UK, Universal Interest | Tagged Alzheimer’s Disease Biomarkers, Assessment and Diagnosis, Assisted Dying, Assisted Dying and the Law: International Comparisons, Assisted Suicide, Assisted Suicide for Dementia, BBC Health News, Belgium, Biomarkers, Canada, Care Not Killing Alliance, Colombia, Conversion to Dementia From Prodromal Disease, Declaration of Helsinki, Dementia Diagnosis, Diagnosis of Alzheimer's Disease, Diagnosis of Dementia, Diagnosis Rates, Dignitas (Zurich), Dignity in Dementia, Disclosure of Diagnosis, Dutch Regional Review Committees, Early Dementia Diagnosis: Risk of Suicide and Euthanasia, Early Diagnosis, Ethical Dilemmas, Ethics and Decision-Making, Euthanasia and the Law: International Comparisons, Experiences of Diagnosis, Living and Dying with Alzheimer's (BBC Stories), Luxembourg, Medical Ethics, Netherlands, Post-Diagnosis Support, Pre-Emptive Suicide, Pre-Symptomatic Diagnosis of Alzheimer’s Disease, Pre-Symptomatic Diagnosis of Dementia, Prodromal Alzheimer's Disease, Protection of Research Participants, Rational Suicide, Rational Suicide and Dementia, Recent Diagnosis, Safeguarding, Safeguarding of Vulnerable Adults (SOVA), Safeguarding Older People, Stigma, Suicide, Unintended Consequences, University of New South Wales, World Medical Association: WMA Declaration of Helsinki | Leave a comment

Ethics Tool Kit (BMA)

Posted on April 10, 2013 by Dementia and Elderly Care News

Summary The British Medical Association (BMA) has produced a tool kit of information summary “cards” which introduce the core issues concerning common ethical problems and provide practical approaches to those problems / issues. “The tool kit is structured around a number … Continue reading →

Posted in Acute Hospitals, Community Care, For Doctors (mostly), National, Practical Advice, Quick Insights, UK, Universal Interest | Tagged Autonomy and Choice, Best Interests Test, BMA Guidance, British Medical Association (BMA), Capacity and Capability, Communication, Confidentiality, Consent, Cultural Relativism, Decision-Making Capacity, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Ethics Tool Kit (BMA), General Medical Council, Medical Electives, Medical Ethics, Mental Capacity, Mental Capacity Act 2005, Moral Relativism, People With Dementia Who Lack Capacity, Self-Determination, Social Media | Leave a comment

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Screening to Identify People at Risk of Dementia (JRCPE)

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