risk managment for people with dementia
TRANSCRIPT
‘Nothing ventured, nothing gained’:risk management for people with dementia
MAKING THE CASE FOR THE SOCIAL SCIENCES 11: DEMENTIAJO MORIARTY & JILL MANTHORPE
Making the Case for the Social Sciences 11: Dem
entia
2Context
Asked by Department of Health to prepare a practice guide that combined: Research evidence ‘Practice wisdom’ (including views of people with
dementia and family carers Fits into wider policy aim of evidence informed
policy and practice Document to be relevant across health and social
care
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Making the Case for the Social Sciences 11: Dem
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3Most often presented in terms of ‘risk of’ developing dementia
• ‘Link between heavy smoking and Alzheimer’s suggested’
Cigarettes
• ‘Heavy drinking may be to blame for one in four cases of dementia’
Alcohol
• ‘Obesity may be linked to dementia’
Food intake
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Making the Case for the Social Sciences 11: Dem
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4Realities of everyday life
Impact of Mental Capacity Act 2005Focus on ‘big’ decisions
Moves to residential care Decisions about end of life care and advance care
plansWhat about daily life?
Giving up driving Cooking a meal or going out on one’s own
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Making the Case for the Social Sciences 11: Dem
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5Iterative process
Contrasts traditional literature reviewsWay of making content clear and
relevantRecognises multiple expertise
Help from Simon Ricketts
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6
Making the Case for the Social Sciences 11: Dementia
Risk ‘heat map’Maximise safety
enhancement and risk management - protect
the individual and manage the activity
Carefully balance safety enhancement and
activity management to protect the person
Minimal safety enhancement necessary - carry out with normal
levels of safety enhancement
Substitute - can the same personal benefit
be delivered in a different way - seek different activities?
Carefully balance safety enhancement and
activity management to protect the person
Minimal safety enhancement necessary - carry out with normal
levels of safety enhancement
Find alternatives - level of risk is not related to the benefit/value to the
person - find alternatives
Challenge real value of the activity to the individual - seek
alternatives that are more attractive and
lower risk
Undertake the activity or seek alternatives that
may provide a better relationship with their
needs
High
LowHigh Medium Low
Contribution to quality of life
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7Taking it forward
Links with Making Research Count and other training Adapted for staff working
with people with a learning disability
Advances in dementia care Coping styles, life history
suggest dementia is often about a process of adaptation
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Making the Case for the Social Sciences 11: Dem
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8Disclaimer
The Social Care Workforce Research Unit receives funding from the Department of Health Policy Research Programme. The views expressed here are those of the authors and not the Department of Health
Thanks to Claire Goodchild who was responsible for developing and leading on this work
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