Clinical Decision-Making In Dementia Care

965 Words4 Pages
What is Clinical Decision Making? Week 1, Session 2 Informing Decision Making in Dementia Care Outline What is Clinical Decision Making? Examine concepts that inform the course conceptual framework Define clinical decision making skills in a practice context. Present an overview of dementia as a syndrome. Introduce positioning theory. Course Aims To assist with greater competence, confidence and capability in clinical decision making when working with people who have dementia and their families across a range of settings. To consider the impact of ethical and legal decision making To challenge the student to engage in analysis, synthesis and application of evidence based research about ethical and legal aspects of decision making…show more content…
Communication – A person’s behaviour is driven by meaning and language. What a person says and does in social situations reveals meaning-driven behaviour and evaluative capacity. Dementia causes an inevitable loss of language. We need to spend time with the person with dementia to allow us to understand their behaviour and language. Legal – process and capacity of making decisions and the ability to carry out evaluative action diminishes with the progressive nature of dementia. Ethical & Cultural – Self-identity is communicated through life long-held values and concerns that should be reflected in the process of decision-making following the person’s diagnosis. Clinical Practice & Family – A person can be globally amnesic and still retain an intact Self, a social identity. One cannot construct a particular social identity without the cooperation of another person. Cooperation with the person with AD in the construction of a valued social identity is vital. Clinical and family foci should be on positive attributes not defective…show more content…
Memory loss about recent events may obscure the presence of intact long-term memory, personality and values that can inform decision making. Health care professionals need to be mindful of their legal, moral and ethical responsibilities towards the person with dementia, and To work collaboratively towards maintaining dignity and quality of life through effective clinical decision making. Negative Positioning … Similar to malignant social psychology (Kitwood 1998; Kitwood & Bredin 1992). Actions such as depersonalising, ignoring, treating them as infants and labelling are examples of malignant social psychology. Such positions result in the person with dementia having a reduced sense of personal worth and can compound his or her feelings of loss, cause embarrassment and humiliation. Positioning Theory Positioning theory explains how the persona of a person with dementia is constructed by others on the basis of their diagnosis. For example, whether a person with dementia is seen as a valued social being or perceived as a problem can place the person with dementia in either a positive or negative

More about Clinical Decision-Making In Dementia Care

Open Document