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
White lies' can be useful when caring for people with dementia, but is it ethical to use them?
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
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
Shared decision-making may help support people to make informed decisions about their treatment
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
Nurses’ experiences of identifying delirium superimposed on dementia
How aesthetic ways of knowing people can enhance patient assessment
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
Music therapy interventions in a dementia inpatient unit: reflections and practicalities
Learning points from therapy sessions including engaging individuals and staff, timing and benefits
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
Actively seeking a person’s concept of self can help nurses deliver personalised care
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