Risk management and decision-making in dementia care.

ALZHEIMER'S disease diagnosis; RISK assessment; NURSES; CAPACITY (Law); PATIENT safety; RISK-taking behavior; OCCUPATIONAL roles; PROFESSIONAL practice; ALZHEIMER'S disease; MENTAL health; INTERPROFESSIONAL relations; SOCIAL factors; LEGISLATION; DIGNITY; COMPASSION; AUTOMOBILE driving; DECISION making; FAMILIES; CONFIDENCE; PATIENT care; CAREGIVERS; PATIENT-centered care; SOCIAL case work; HARM reduction; SELF-mutilation; DEMENTIA; SOCIAL support; DEMENTIA patients; PSYCHOLOGY of nurses; PATIENT abuse; SOCIAL isolation; LAW; SYMPTOMS

Why you should read this article: • To better understand the areas of risk that may become apparent across the life course of dementia • To recognise the ethical issues posed by trying to eliminate the risk of harm for people living with dementia • To consider how the principles of safeguarding apply to risk management in dementia care. What constitutes a risk for a person living with dementia may be perceived and prioritised differently by nurses from varying clinical backgrounds. Furthermore, risk may be perceived differently according to the context. This article outlines some of the social, psychological and physical risk factors relevant to people living with dementia across the life course of the condition. It is important that nurses understand their role in identifying, assessing and managing risk and are aware of the resources, policies, legislation and processes designed to support decision-making and minimise the risk of harm to people living with dementia, their families and carers. The authors hope that this article will support nurses to become more confident in identifying risk while encouraging them to adopt a proactive and person-centred approach to risk assessment and management. [ABSTRACT FROM AUTHOR]