Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Risk management and decision-making in dementia care

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.

Using therapeutic lies – an ethical challenge for nurses when caring for people with dementia

Using therapeutic lies – an ethical challenge for nurses

White lies' can be useful when caring for people with dementia, but is it ethical to use them?

Exploring whether a diagnosis of severe frailty prompts advance care planning and end of life care conversations

Severe frailty diagnosis: advance care planning and end of life care conversations

People with severe frailty may be disadvantaged in terms of receiving appropriate end of life care

Exploring the professional nurse advocate role and restorative clinical supervision

Exploring the professional nurse advocate role and restorative clinical supervision

The role aims to provide clinical, educational and well-being support to nurses

Supporting shared decision-making in medicines use with people living with dementia and their carers

Supporting shared decision-making in medicines use with people living with dementia

Shared decision-making may help support people to make informed decisions about their treatment

Open access
Equipping the healthcare workforce to meet the complex health needs of older people in the community: a skills-led approach

Equipping the healthcare workforce to meet the needs of older people in the community

Explore the benefits of a versatile, multiskilled workforce for the wider healthcare system

Aesthetic ways of knowing: exploring mental health nurses’ experiences of delirium superimposed on dementia

Nurses’ experiences of identifying delirium superimposed on dementia

How aesthetic ways of knowing people can enhance patient assessment

Setting up a journal club for healthcare professionals in an older people’s residential care setting

A journal club for healthcare professionals in an older people’s residential setting

Such clubs can help develop staff members’ critical thinking and presentation and communication skills

Implementing music therapy interventions in a dementia inpatient unit: reflections and practicalities

Music therapy interventions in a dementia inpatient unit: reflections and practicalities

Learning points from therapy sessions including engaging individuals and staff, timing and benefits

Foot ulcers in older people with diabetes mellitus: prevention and management

Diabetic foot ulcers in older people: prevention and management

How to avoid the potentially devastating effects of foot ulcers

Who am I? Identity, person-centred care and dementia

Who am I? Identity, person-centred care and dementia

Actively seeking a person’s concept of self can help nurses deliver personalised care

Introducing a group-based psychoeducation intervention for older people in an inpatient mental healthcare setting

A psychoeducation intervention for older people in an inpatient mental healthcare...

Such interventions may support patients to develop expertise regarding their own emotional well-being

Exploring staff’s views on the introduction of intergenerational playgroups in care...

Intergenerational playgroups are low-cost interventions with benefits for residents and the...
Open access

Dementia in care homes: increasing the diagnosis rate among undiagnosed residents

How a project created a transferable model of good practice on dementia assessments of care...

Ethical administration of as required antipsychotics to people with dementia in care...

Ethical theories and frameworks can help nurses to analyse the potential benefits and risks

Promoting resilience among older people in prisons

Interventions, practices and processes that can be used by healthcare professionals

Reflections on an interprofessional student placement initiative in care homes

Reflections on an interprofessional student placement initiative in care homes

Assessing and managing agitation as a symptom of dementia

Interventions for agitation in dementia, often confused with emotion or unmet needs

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