Dementia And Decision Making

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2 How dementia affects decision-making Dementia is the umbrella term for a number of conditions which cause damage to the brain cells. The most common form is Alzheimer’s disease which has a gradual progression. The next most common type is vascular dementia which has a step-like progression. About one in four people with Parkinson’s disease also develop dementia. Short-term memory loss, disorientation and loss of concentration are common symptoms. There are other less common types of dementia such as Lewy Body dementia and Frontol Temporal dementias (including Picks Disease) which affect the parts of the brain which control social behaviour. Whatever type of dementia the person has, it eventually affects their ability…show more content…
In England and Wales the equivalent law (for individuals aged 16 and over) is called the Mental Capacity Act 2005. Although the provisions in both laws differ, the principles or rules for proxy decision-makers are similar (although Lasting Powers of Attorney in England and Wales only apply to people aged 18 or over). These are set out in the Codes of Practice (see Resource list). It is important to have a copy of the relevant code of practice as a point of reference or to have access to it on the internet as the law requires you to follow the rules set out in the Code (unless you can show very good evidence as to why you have acted differently in the specific circumstances). Top priority - know the principles/rules In England, the Mental Capacity Act 2005 was introduced five years after the Adults with Incapacity (Scotland) Act 2000 and built on the principles in the Scottish law. The principles aim to help you, and others with duties under the law, to balance the rights of the person to self-determination…show more content…
Aids such as voice recorders or simple written notes could be used to support the person’s memory and record their responses. You may need to talk to the person several times to go over the information to see if their response is consistent (even though they may not remember that you asked them before). If the response is consistent, this may be taken as the person having sufficient capacity to understand. Lack of memory does not equal lack of capacity Is the person susceptible to ‘undue pressure’? The person may be susceptible to the pressures and influences of others seeking to take advantage of them for their own gain. For example, the person may allow a distant family member to live in the house for free and use their pension to live on. When assessing if the person has capacity to make a decision in their own interests, it will be important to determine whether they are being influenced by such undue pressure from others. In circumstances where you have good reason to suspect that the 16 About this guide This practical guide aims to help family members, partners

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