HEALTH AND SOCIAL CARE MANAGEMENT For Adults with Dementia

HEALTH AND SOCIAL CARE MANAGEMENT HEALTH AND SOCIAL CARE MANAGEMENT Name of the student Name of the university Authors note Research Title: 2 Research questions 2 Introduction 2 Background 4 Aim and Objectives 5 Theoretical Literature Review 6 Issues faced by adults with Dementia 6 Safeguarding activities performed by healthcare service users 8 Types of safeguarding services available for patients with dementia 9 Literature Gap 10 Research Rationale 10 Methodology 11 Mental Perspective 11 Research method 12 Data collection method 13 Sampling Method 14 Data Presentation and Analysis 15 Limitations 16 Time Frame 17 Ethical consideration

Running head: HEALTH AND SOCIAL CARE MANAGEMENT
HEALTH AND SOCIAL CARE MANAGEMENT
Name of the student
Name of the university
Authors note

1HEALTH AND SOCIAL CARE MANAGEMENT
Table of Contents
Research Title:.................................................................................................................................2
Research questions...........................................................................................................................2
Introduction......................................................................................................................................2
Background......................................................................................................................................4
Aim and Objectives.........................................................................................................................5
Literature Review............................................................................................................................6
Issues faced by adults with Dementia..........................................................................................6
Safeguarding activities performed by healthcare service users...................................................8
Types of safeguarding services available for patients with dementia.........................................9
Literature Gap............................................................................................................................10
Research Rationale....................................................................................................................10
Methodology..................................................................................................................................11
Theoretical Perspective..............................................................................................................11
Research method........................................................................................................................12
Data collection method..............................................................................................................13
Sampling Method.......................................................................................................................14
Data Presentation and Analysis.................................................................................................15
Limitations.....................................................................................................................................16

2HEALTH AND SOCIAL CARE MANAGEMENT
Time Frame....................................................................................................................................17
Ethical consideration.....................................................................................................................17
Reference list.................................................................................................................................18

3HEALTH AND SOCIAL CARE MANAGEMENT
Research Title:
Evaluation of the effectiveness for safeguarding vulnerable adults with Dementia in
Brentwood borough
Introduction
Dementia is an emerging psychological issue amongst the elder adults in UK. According
to data obtained in the year 2018, the total number of individuals suffering from dementia in UK
is estimated to be as high as 850,000. In England alone, the number of individuals suffering from
dementia is as high as 676,000 people. Amongst this the percentage of elder adults, that is
individual aged above 60 years is approximately 83 present. The mentioned psychological
disease includes a group of symptoms which are related to declining, the functionality as well a s
physical heath of an individual’s brain. This decline in the psychological function of an
individual makes him or her highly vulnerable. the mentioned pshycolgical disease is
characterized by memory loss, reduced mental agility an thinking speed, language difficulties
along with lower level of understanding accompanied by inefficient judgemental abilities.
Dementia often changes the personality of an individual. They find it difficult to control their
emotion and may appear to be more self-centred. Since a good number of patents with dementia
suffers from hallucination often their care giver, friends and family misunderstand them to make
false claim.
Considering the fact that this disease is mostly common in elder adults lack of effective
physical strengths makes the elderly people suffering from dementia more vulnerable in the
society. Frequent report of both mental as well as physical abuse against elderly residents of the

4HEALTH AND SOCIAL CARE MANAGEMENT
nation suffering from dementia is there. While the physical abuse include causing physical
injury or herm, demonstrating act of neglect like not providing food, clothing or shelter, lack of
medical care and confinement, the mental abuse includes verbal assaults, harassment or
intimation. The fact that adults with dementia also lack the capability to report their assault
makes them more vulnerable to such abusive acts. Thus safeguarding elderly adults who are
suffering from dementia is found to be highly crucial. Safeguarding adult patents with dementia
refers to protecting them from suffering from abuse both mental and physical. Healthcare service
providers needs to have effective training sessions so that they can reduce as well as eliminate
the risk of abuse or neglect of the patient by identifying and eliminating any potential causes of
the same. Considering the fact that the number of patients suffering from dementia is high in the
Borough of Brentwood, the purpose this study is to evaluate the effectiveness for safeguarding
vulnerable adults with Dementia in Brentwood borough. A detailed review of literature along
with conducting qualitative data collection and analysis will be performed in this research.
Definition of terms
Dementia: a chronic disorder of the psychological processes that is caused by brain disease as
well as injury and results in memory disorders, impaired reasoning and personality changes.
Safeguarding: protect from harm or damage with an appropriate measure
Elder adults: individuals above the age of 60 years
Physical Abuse: Intentional act that leads to injury or trauma to another individual or animal by
way of bodily contact

5HEALTH AND SOCIAL CARE MANAGEMENT
Mental Abuse: Abuse resulting in psychological trauma, including anxiety, chronic depression,
or post-traumatic stress disorder
Background and rationale
When it comes to dementia, dementia is considered to be a growing challenge not only in the
Brentwood Borough Council but also in England. According to NHS England (2020), as the
population of the country is aging due to higher mortality rate, dementia in elderly adults has
become one of the most crucial issues that are being faced by the nation.As per the data obtained
frombrentwood.gov.uk (2020), in the Borough of Brentwood, London, 1 out of 4 individuals are
suffering from mental health issues, dementia being one of them. Considering the enhanced
number of psychological disorder including dementia in the elder adults, Brentwood has been
selected for this study as the area to be researched on. When it comes to the Borough council of
Brentwood, London, the increasing number of elderly adults suffering from dementia has
resulted in several unfortunate incidents. For instance, in the month of April, 2019, police of the
Brentwood Borough Council have found one elderly individual suffering from dementia that had
gone missing from the Borough’s Senior living center. The police have found John Manjack in
helpless condition near a church. Though no physical or mental abuse has been reported from the
individual, it can be clearly understood that being lost in a country with a serious issue like
dementia can be fatal for the elderly adults. The fact that elderly adults suffering from dementia
are at greater risk when it comes to suffering from physical as well as mental abuse cannot be
avoided. However in order to prevent such incidents as well as to ensure effective safeguarding
of the elderly residents of the Borough, policies and procedures have been established by the
Basildon& Brentwood CCG Governing Body. The aim of the mentioned policy is to ensure
welfare of the adults, maximizing the choice of the people and working with partnership with

6HEALTH AND SOCIAL CARE MANAGEMENT
others in order to safeguard vulnerable adults. In spite of the well-established polices and
procedure, it has been found that a good number of adults are getting victimized of the mental
and physical abuse. Considering the fact that while a good number of researchers has been
conducted on the impact of dementia on elderly adults and the importance of safe guarding the
same, highly limited amount of researchers has been conducted on investing the the effectiveness
for safeguarding vulnerable adults with Dementia in Brentwood borough. Considering the fact
that dementia in elderly adults is becoming a severe issue that needs to be tacked in the
Brentwood Borough, this topic and area has been selected by the researcher for the study.
Conducting this research will help the healthcare workers of the Brentwood Borough to detect
the major loopholes associate with the current safeguarding techniques. Not only this, they will
be able to develop strategies to improve their service. This research will also be beneficial for the
local government since thy will be able to detect the loopholes associated with their service.
Finally, this research paper will be beneficial for the future researchers who would like to
conduct research on effectiveness for safeguarding vulnerable adults with Dementia in
Brentwood borough.
Aim and Objectives of the Research
The aim of this research is to assess the effectiveness for safeguarding vulnerable adults with
Dementia in Brentwood borough.
The objectives of the research are as follows:
 To identify the purpose of safeguarding elderly adults suffering from Dementia.

7HEALTH AND SOCIAL CARE MANAGEMENT
 To identify and analyze the types of safeguarding services that should be available for
adults who fund their own care.
 To evaluate the safeguarding concern for adults living with Dementia
 To assess if the police can interview staff as part of safeguarding enquiry
 To make recommendation about when should advocate be used in safeguarding
Research questions
 What is the purpose of safeguarding?
 What safeguarding services should be available for adults who fund their own care?
 What safeguarding concern for adults living with Dementia?
 Can the police interview staff as part of safeguarding enquiry?
 When should advocate be used in safeguarding?
The research questions has been designed in order to effectively evaluate the research question
and thus analyze the degree of efficiency of the healthcare service users as well as local
government to safeguard elder adults suffering from dementia.
While conducting the research, the researcher will demonstrate effective communication skills to
conduct the interview as well as skills to collect and analyze the information efficiently. Apart
from that for ethically conducting the action research in health and wellbeing improvement, the
researcher will implement all the ethical considerations while conducting the research.

8HEALTH AND SOCIAL CARE MANAGEMENT
Literature Review
Issues faced by adults with Dementia
Dementia can be defined as a mental issue that results in deterioration of the thought process,
memory, behavior as well as the ability to perform in everyday activities. According to
Davoudkhani et al.(2019), while healthcare service users suffering from dementia are vulnerable,
the degree of their vulnerability highly depends on the stage as well as severity of the condition.
The term vulnerable adults refers to the elderly residents who are lacks the capability to take care
of themselves and are unable to protect themselves in case of physical as well as metal abuse.
According toHolle, Turnquist and Rudolph (2019), dementia is considered to be a burden for
both the patients suffering from dementia as well as their family members. For elderly healthcare
service users suffering from dementia, it leads to behavioral as well as psychological
complications along with cognitive and functional deterioration. This in turn results in enhanced
use of health and social services, complicated clinical management as well as increased risk for
ethical complications like delirium, falls, motor vehicle crashes, incontinence, fractures, and
infections. An abruptenhancementof financial costs for providing effective treatment to patients
suffering from dementia can be noticed. Specially, when it comes to lower middle class
population of the society, increment in investment for treating patient with financial issue often
isconsidered to be burden for the family.As per healthaffairs.org (2020), for family care givers,
dementia can lead to a higher level of depression and anxiety leading to considering the older
patients with dementia as a burden. The consideration of elderly patient with dementia as a
burden often leads to physical and mental abuse. In England, the prevalence of abusive behavior
toward older adults with dementia who live in the community range from 5.4 percent to
62.3 percent. Lack of initiative for safeguarding the patient, lack of initiative to provide the

9HEALTH AND SOCIAL CARE MANAGEMENT
patient with appropriate amount of food, social isolation of the patients, poor hygiene and in
some cases conducting physical injures on the patients like bruises and cuts can be pointed out to
be some of the chief signs and symptoms of physical abuse conducted on elderly heath care
service users.
Nishida et al.(2019) have pointed out older adults suffering from dementiaoften possess
psychological as well as behavioral symptoms that includes agitation as well as aggression that
possess the potential to satisfy the caregiver-recipient conflicts along with resulting in elder
abuse. It has been found that lower level of cognitive function is directly associated with
enhanced risk for elder abuse along with self-neglect in both prospective and cross sectional
studies. Pei-Chao et al. (2019) have pointed out the types of mental abuse that are being
evidenced by older patients suffering from dementia. Elderly adults suffering from dementia
often are subjected to mistreatment as well as abuse in the community as well as in care home
and hospitals. This often includes verbal abuse resulting in depression, anxiety, social isolation
as well as other psychological issues.
Safeguarding activities performed by healthcare service users
Considering the fact that elderly patients suffering from dementia are highly vulnerable to risks
and abuse, it is highly crucial for both the family members of the patients as well as the
healthcare service providers to protect the elderly patents from any kind of harm along with
preventing them from experiencing any kind of abusing act. According toscie.org.uk (2020), it is
highly crucial for the both the family as well as healthcare service users to treat dementia patents
with dignity while maintaining their human right along with ensuring that appropriate safeguards
has been put in place for protecting them in their home as well as from abuse.

10HEALTH AND SOCIAL CARE MANAGEMENT
According to Ceccofiglio et al.(2019) considering the fact that majority of the patients suffering
from dementia lacks the potential to report physical or mental abuse, the first step of
safeguarding for the health care service providers is to identify signs of physical harassment
faced by the patient. While general signs of abuse may include argument between caregiver and
the healthcare service users as well as changing personality and behavior of the patients, major
signs of physical abuse includes inuy , bruising and bleeding. Hence, it is highly crucial for the
nurse to look doe signs of sexual and physical abuse on the patients. Signs associated with
neglect of the family members or healthcare organization generally includes, weight loss and
poor personal hygiene. Weng et al. (2019) have pointed out several factor associated with
dementia that include enhanced apathy, reduced taste or appetite and others can possess
underlying causes that must be explored by the healthcare service providers.
Types of safeguarding services available for patients with dementia
In order to ensure effective safeguarding of the patents, a good number of healthcare homes
provide safeguarding services to the elderly patients with dementia. According to
alzheimers.org.uk (2020), the Care Act 2014, and states that safeguarding includes protecting the
right to live in safety of the adults, free from neglect and abuse. It includes family members,
NGOs as well as healthcare organizations working together for preventing both the risks as well
as experience of abuse and neglect, while at the same time ensuring that the wellbeing the patient
is being promoted on the basis of their views, wishes, feelings and beliefs in deciding on any
action.
Gingold-Belfer et al. (2017) stated that that several safeguarding services are there that are
provided to patients suffering from Dementia in UK. The residence of the elderly patients
suffering from dementia, if not maintained in an effective way, may enhance the risk of physical

11HEALTH AND SOCIAL CARE MANAGEMENT
injury. In order to prevent this, health care service providers provides personalized care to the
patients at their home. According to Sánchez et al. (2016) majority of the adults suffering from
dementia and conducts self-funded treatment are found to be preferring to like in their own house
instead of getting admitted in the hospital for treatment and care. Major health hazards in home
that are faced by elderly patients suffering from dementia include tripping over poorly fitted or
due to poor lighting condition. Forgetfulness can also result in health hazards from tap left
running or cooker being left on for a prolonged period. Care service is provided at home by care
workers in order to safeguard elderly patients in their own home. The chief services provided by
the healthcare service users at home includes taking care of the households like removing ill
fitted mats, putting on lights to enhance visibility, installing simple devices, fitting smoke alarms
as well as ensuring that fireguards are placed is front of open fires.
Peluso et al. (2018) stated that along with home care services, safeguarding services are provided
by nurses in healthcare homes. The chief steps followed by the healthcare professionals in order
to detect any kind of healthcare related hazard includes identification of any kind of abuse,
providing medication and treatment in case of any kind of physical abuse, prevention of any kind
of risks. 24 hours services are provided to the healthcare service users with dementia in order to
ensure effective prevention of any kind of risks. Residential care homes as well as rehabilitation
centers are also there that are stipulated to provide effective care giving as well as safeguarding
of patents suffering from dementia.
Literature Gap
While conducting research for literatures that are relevant to the research topic, a good
number of articles has been found on impact of dementia on the elderly patients as well as the
importance of safeguarding patients suffering from dementia however, highly limited number of

12HEALTH AND SOCIAL CARE MANAGEMENT
studies has been found on evaluation of the effectiveness of safeguarding elderly patients with
dementia in England. Along with that lack of information about the safe guarding services
practiced in England as well as in the Brentwood Borough council has been noticed.
Research Rationale
Considering the fact that highly limited amount of research has been conducted on the
effectiveness of safeguarding services available in the Brentwood Borough Council, London.
This research will aim to provide an overview of the same to the audience. The research is
expected to be highly beneficial for the researchers who are aiming to understand the quality of
the safe guarding services available at the Brentwood council (Wawruch et al. 2017). Along with
this, this research will also be helpful for the government since it will help the same to
understand the loopholes detected, if any, that are hindering the quality of safeguarding practices
in the Brentwood Borough council. Finally, this research paper will act as guidance for the future
researchers who would like to explore the effectiveness of safeguarding elderly patients with
dementia in the Brentwood Borough Council, London.
Methodology
Methodology can be defined as the systematic, theoretical analysis of the method applied to
conduct a research paper. The chief purpose of the methodology section of a research proposal is
to provide a detailed overview of the method including the theoretical perspective, research
design, data collection method, sampling method and data presentation and analysis method that
will be used for the research paper.

13HEALTH AND SOCIAL CARE MANAGEMENT
Theoretical Perspective
For this research, the researcher will use interpritivism for qualitative research. Interpretivism
also known as interpretavist includes researcher for interpreting elements of the research
methods. Thus it can be clearly understood that interpretisvism integrates human interests with
the research paper. In social sciences, the emergence of interpretivist theory is based on the
criticism of positivism (Hammersley 2018). Therefore, qualitative analysis over quantitative
analysis is illustrated in this philosophy. Interpretivism "is related to the philosophic position of
idealism and is used to put together various approaches, including the philosophy of Social
Constructivism, Phenomenology and Hermeneutics; approaches which condemn the objectivistic
view that the importance lies in the universe without being informed."
It is important to understand the differences between social factors according to an interpretivist
approach as a social actor. In addition, the studies of interpretativism usually focus on context
and can use multiple methods for reflectingthe various aspects of the issue. The interpretative
approach is based on the naturalistic methods like interviews and interpretations of data
collection (Rahi 2017). In interpretative theory, secondary data analysis is also common.
Significances usually emerge towards the end of the research process in such studies.
Considering the fact that the aim of this study is to evaluate the effectiveness of the safeguarding
strategies used for elderly patients suffering from dementia in Brentwood borough, the research
aims to collecting data from a smaller sample size and interpret the same from different
perspective. Considering the fact that the Interpretivism research philosophy is apt for
conducting this the same has been selected for this research,

14HEALTH AND SOCIAL CARE MANAGEMENT
Research method
For this research qualitative research method will be used. Qualitative research method
can be defined as research method that is focused on obtaining the data with the help of open
ended conversational communication. According to researchers, the qualitative research methods
are designed in a way that it helps the researcher to reveal the perception as well as behavior of a
target audience keeping reference to a specific topic. Thereexist different types of qualitative
research methods that includes in depth interviews, focus groups, ethnographicresearch, case
study, content analysis there are used on a usual basis. For this research paper, the qualitative
data collected method selected includes unstructured interview for data collection. Considering
the fact that the target population for this study includes elderly patients with dementia
interviewing them will not be fruitful since they lack the capability to provide the necessary
information since they themselves are suffering from the issue (Wilson, Mandichand
Magalhães2016).
For analyzing the data, content analysis will be used as the qualitative method to be
conducted on. Content analysis refers to a research method that is used for identifying patterns in
recorded communication. For conducting a content analysis, the researcher needs to collect data
from a set of texts in a systematic basis, thatcan be written, oral, or visual Books, newspapers
and magazines, speeches and interviews. In case of this research paper data will be collected
from the interview.
Data collection method
For this study, the data collection method that will be followed includes primary data
collection. Primary data collections refer to the information that is collected by the researcher
specifically for a particular research. Unlike secondary data that are collected from already

15HEALTH AND SOCIAL CARE MANAGEMENT
conducted research papers and reports, primary data are first-hand information. Some of the
major examples of primary data collection method include surveys, interviews, focus group or
observations. The data collection method is always selected by the researcher on the basis of
research topic. Considering the fact that the topic of the research involves exploring, identifying
as well as analyzing the effectiveness of safeguarding vulnerable adults with Dementia in
Brentwood borough, for this research, interview will be used as the data collection method.
According to researchers, the interview method of data collection is used for collecting data from
a smaller group of subjects on a broad range of issues. Both structured as well as unstructured
interviews are used by the researchers or collection data depending on the research topic.
Structure interviews include a comparable questionnaire with same questions in similar order for
each subject and with multiple choice answers (Rahi 2017). On the other hand, unstructured
interview includes questionaries’ that are different for different interview an d are developed on
the basis of the information that needs to collected specifically from each of the interviews. For
this study, the researcher will conduct unstructured interview.
Considering the fact that the chief aim of this study will be collect information that will help the
research to analyze the effectiveness of safeguarding of the dementia affected elderlies of the
Brentwoodborough, interviews will be selected from diffident professional backgrounds like
physicians, nurses as well as government officers. Considering the fact the type of information
collected by them will vary, the questionnaire designed for each of the interview will be
different. Thus conducting an unstructured survey will help the researcher to develop an in-depth
understanding of the research issue.

16HEALTH AND SOCIAL CARE MANAGEMENT
Sampling Method
For this research, non-probability convenience sampling will be conducted. The term non
probability sampling can be defined as the sampling method where the samples for a particular
research are gathered on the basis of the process that does not provide all the individuals in the
population an equal chance of being selected. The convenience sampling is defined as a non-
probability sampling technique where the samples are selected from the population since they
were conveniently available for the researcher (Wilson, Mandichand Magalhães2016). The
Consent form of the research clearly stating the purpose of the research will be sent to the
Geriatric care homes, Social care organizations, and residential care giving organizations through
email. From the organizations who will revert back to us and show interest in our study by
signing the consent form, two Geriatric care homes, one social care organizations, and one
residential care giving organizations will be selected. One nurse leader from each of the geriatric
care homes, one RN from social care home and one from residential care home will be
interviewed. The interviewees will be selected on the basis of their record of providing care to
elderly patients with dementia. Along with this, one police officer of the Brentwood Borough
will be interviewed.
Data Presentation and Analysis
In order to conduct the data presentation and analyses, the researcher will use content analysis
method. Content analysis is defined as a research method that is used for identifying the patterns
for recording communication. The process of content analysis for analyzing the data collected by
the researcher can be used for both qualitative as well as quantitative research method. The chief
reason behind using content analysis is to find out the major factors associated with the research
issue. One of the chief reasons behind using the content analysis method is that this research

17HEALTH AND SOCIAL CARE MANAGEMENT
analyzing process will help the researcher to quantify the occurrence of certain phrases, words,
concepts as well as subjects. Some of the chief reasons behind selecting content analyzing
method are that the researcher will be able to analyze the collected data without direct
involvement of the participants (Wilson, Mandichand Magalhães2016). Not only this, this data
analysis method is not only transparent and replicable but is also highly flexible.
For data presentation, the researcher will firstly prepare the transcript of each interview
collected. From the transcript, the chief variables associated with the research question will be
selected for coding. Next, a set of rules for coding will be developed. Coding includes organizing
the units of meaning into the previously defined categories. Next, on the basis of the variables
direct quotes from the interview transcript will be categorized. Once the coding is completed, the
collected the data that has been collected will be examined for finding patterns and drawing
conclusion in response to the research issue. Statistical analysis will be used for finding the
trends or correlation, for discussing interpretation of what is meant by the result as well as for
making interferences about the context, audience as well as creators of the texts.
Limitations
The limitation of a particular research paper can be defined as its flaws as well as shortcoming
that could be the result of limited sample size, unavailability of the resources, lack of time,
flawed methodology as well as others. The fact that no study can be completely flawless cannot
be ignored. Considering the fact that the time allocated for this research is 3 months, lack of
time can be considered as one of the major limitations of this research. One of the chief
limitations that will be faced by the researcher while conducting the research is lack of
availability of the secondary resources. Considering the fact that a specific area that is

18HEALTH AND SOCIAL CARE MANAGEMENT
Brentwood Borough Council has been selected for conducting the research, limited number of
research articles that has been conducted on the particular area has been found. Not only this,
limited number of relevant research article has been found on the effectiveness of safeguarding
adults suffering from dementia in England. Another major research issue that has been detected
includes small sample size. Considering the budget as well as the time constraints of the
research, only 5 individuals from different fields will be interviewed for this research. According
to researchers, smaller sample size automatically denotes lower number of samples. Thus there
remains a risk of biasness in the research paper. Therefore lower sample size can be considered
as another major limitation of the research paper. Another possible limitation of this research
paper includes the beliefs and opinions of the participles that they hold can be proved wrong
when they themselves get involved into the scenario. Apart from this,no other major limitation
has been observed.
Ethical consideration
Ethical consideration in a particular research can be considered as one of the most crucial parts
of a research paper. For conducting this research, the researchers willfollow all the ethical
considerations. First of all no individual will be pressured to participate in the research. All the
interested participants will be provided with the consent form (Holle, Turnquist and Rudolph
2019). Each consent form will have detailed information about the purpose of the research and
its aims and objectives. Individuals who will sign the consent form will be allowed to participate
in this research. No participants will be pressurized to continue with the research. Participants
can leave the research at any point of time and they will not be stipulated to provide justification.
Additionally, while conducting the interview no personal questions or questions that are
completely irrelevant with the research topic will be asked to the participant. The researcher will

19HEALTH AND SOCIAL CARE MANAGEMENT
ensure that no participant is subjected any mental or physical harm during the interview session.
Demonstration of respect to the dignity of the research articles will be prioritized. The protection
of the privacy of the research participants will be ensured. Additionally, adequate level of
confidentiality as well as the anonymity of the participants and the organization will be ensured.

20HEALTH AND SOCIAL CARE MANAGEMENT
Reference list
alzheimers.org.uk., 2020. Safeguarding and dementia. [online] Alzheimer's Society. Available
at: https://www.alzheimers.org.uk/get-support/legal-financial/safeguarding [Accessed 18 Feb.
2020].
brentwood.gov.uk., 2020. Leisure, Arts and Community - Healthier Brentwood - Mental H....
[online] Brentwood.gov.uk. Available at: https://www.brentwood.gov.uk/index.php?cid=1809
[Accessed 19 Feb. 2020].
Ceccofiglio, A., Fumagalli, S., Mossello, E., Mussi, C., Bo, M., Martone, A.M., Bellelli, G.,
Nicosia, F., Riccio, D., Langellotto, A. and Tava, G., 2019. P4133 Atrial fibrillation in elderly
patients with syncope and dementia: clinical insights from a large multicenter Italian
registry. European Heart Journal, 40(Supplement_1), pp.ehz745-0705.
Cho, M.H., Shin, D.W., Chang, S.A., Lee, J.E., Jeong, S.M., Kim, S.H., Yun, J.M. and Son, K.,
2018. Association between cognitive impairment and poor antihypertensive medication
adherence in elderly hypertensive patients without dementia. Scientific reports, 8(1), pp.1-7.
Davoudkhani, M., Kormi-Nouri, R., Javidan, A.N., Sharifi, F., Younesi, F., Zendehbad, A.S. and
Noroozian, M., 2019. The Validity and Reliability of a Persian Version of the Brief Community
Screening Instrument for Dementia in the Elderly Patients with Dementia in Iran. Archives of
Neuroscience, 6(3).
Gingold-Belfer, R., Weiss, A., Geller, A., Sapoznikov, B., Beloosesky, Y., Morag-Koren, N.,
Niv, Y., Boltin, D., Issa, N. and Schmilovitz-Weiss, H., 2017. Increasing serum albumin level

21HEALTH AND SOCIAL CARE MANAGEMENT
shortly after gastrostomy tube insertion predicts longer survival in elderly patients with
dementia. Journal of clinical gastroenterology, 51(4), pp.339-344.
Hammersley, M., 2018. Routledge revivals: The dilemma of qualitative method (1989): Herbert
Blumer and the Chicago Tradition. Routledge.
healthaffairs.org., 2020. Elder Abuse And Dementia: A Review Of The Research And Health
Policy | Health Affairs. [online] Healthaffairs.org. Available at:
https://www.healthaffairs.org/doi/10.1377/hlthaff.2013.1261 [Accessed 18 Feb. 2020].
Holle, C.L., Turnquist, M.A. and Rudolph, J.L., 2019, April.Safeguarding older adults with
dementia, depression, and delirium in a temporary disaster shelter. In Nursing forum (Vol. 54,
No. 2, pp. 157-164).
Jensen-Dahm, C., Palm, H., Gasse, C., Dahl, J.B. and Waldemar, G., 2016.Postoperative
treatment of pain after hip fracture in elderly patients with dementia. Dementia and geriatric
cognitive disorders, 41(3-4), pp.181-191.
NHS England (2020). NHS England » Dementia. [online] England.nhs.uk. Available at:
https://www.england.nhs.uk/mental-health/dementia/ [Accessed 19 Feb. 2020].
Nishida, Y., Otagiri, N., Yoshifuku, S., Misawa, K., Ko, K., Sasahara, K., Kishimoto, H.,
Mishima, O. and Tauchi, K., 2019. Dementia in elderly patients undergoing early
cholecystectomy for acute cholecystitis: a retrospective observational study. BMC
surgery, 19(1), p.71.

22HEALTH AND SOCIAL CARE MANAGEMENT
Pei-Chao, L.I.N., Pi-Ling, C.H.O.U., TSENG, H.C., HSIEH, M.H. and Li-Chan, L.I.N., 2019.
Psychometric Evaluation of the Chinese Version of the Knowledge and Beliefs About Pain in
Elderly Patients With Dementia Questionnaire. Journal of Nursing Research.
Peluso, S., De Rosa, A., De Lucia, N., Antenora, A., Illario, M., Esposito, M. and De Michele,
G., 2018. Animal-assisted therapy in elderly patients: Evidence and controversies in dementia
and psychiatric disorders and future perspectives in other neurological diseases. Journal of
geriatric psychiatry and neurology, 31(3), pp.149-157.
Rahi, S., 2017. Research design and methods: A systematic review of research paradigms,
sampling issues and instruments development. International Journal of Economics &
Management Sciences, 6(2), pp.1-5.
Sánchez, A., Marante-Moar, M.P., Sarabia, C., de Labra, C., Lorenzo, T., Maseda, A. and
Millán-Calenti, J.C., 2016. Multisensory stimulation as an intervention strategy for elderly
patients with severe dementia: a pilot randomized controlled trial. American Journal of
Alzheimer's Disease & Other Dementias®, 31(4), pp.341-350.
scie.org.uk (2020). Safeguarding people with dementia - SCIE. [online] Scie.org.uk. Available
at: https://www.scie.org.uk/dementia/after-diagnosis/support/safeguarding.asp [Accessed 18 Feb.
2020].
Wawruch, M., Zatko, D., WimmerJr, G., Luha, J., HricakJr, V., Murin, J., Kukumberg, P., Tesar,
T., Hloska, A. and Shah, R., 2017. Patient‐related characteristics associated with non‐persistence
with statin therapy in elderly patients following an ischemic stroke. Pharmacoepidemiology and
drug safety, 26(2), pp.201-207.

23HEALTH AND SOCIAL CARE MANAGEMENT
Weng, C.F., Lin, K.P., Lu, F.P., Chen, J.H., Wen, C.J., Peng, J.H., Tseng, A.H. and Chan, D.C.,
2019.Effects of depression, dementia and delirium on activities of daily living in elderly patients
after discharge. BMC geriatrics, 19(1), p.261.
Wilson, J., Mandich, A. and Magalhães, L., 2016. Concept mapping: A dynamic, individualized
and qualitative method for eliciting meaning. Qualitative Health Research, 26(8), pp.1151-1161.

24HEALTH AND SOCIAL CARE MANAGEMENT
Appendices
Letter to the manager
To
The manager
XYZ organization
Dear Sir,
The purpose of writing this letter is to bring to submit my request for obtaining the permission
for conducting research on my research topic which is Evaluation of the effectiveness for
safeguarding vulnerable adults with Dementia in Brentwood borough. In order to collect data for
the mentioned research, I will need to interview 4 RNs from 4 organizations, who are associated
with providing care to elderly patients suffering from dementia. I, as the researcher, would like to
interview one of your organizations Registered Nurses who possess the experience of dealing
with elderly patients suffering from dementia.
I will be highly obliged if you granny me the permission to conduct an interview session with the
RN so that I can proceed with my research. I will be waiting for your response.
Regards
Participant’s consent form
Purpose of the research: Evaluation of the effectiveness for safeguarding vulnerable adults with
Dementia in Brentwood borough

25HEALTH AND SOCIAL CARE MANAGEMENT
I consent to participate in the research project and the following has been explained to me:
 the research may not be of direct benefit to me
 my participation is completely voluntary
 my right to withdraw from the study at any time without any implications to me
 the risks including any possible inconvenience, discomfort or harm as a
consequence of my participation in the research project
 the steps that have been taken to minimise any possible risks
 public liability insurance arrangements
 what I am expected and required to do
 whom I should contact for any complaints with the research or the conduct of the
research
 I am able to request a copy of the research findings and reports
 security and confidentiality of my personal information.
In addition, I consent to:
 audio-visual recording of any part of or all research activities (if applicable)
 publication of results from this study on the condition that my identify will not be
revealed.
Name:___________________________________________________________
Signature:____________________________________________________________________
Date:_________________________

26HEALTH AND SOCIAL CARE MANAGEMENT
Questionnaire for RN’s of Geriatric care, Residential care and Social Care organizations
1. What types of safeguarding services are provided by the organization/
2. Do are chief concerns you face while safeguarding adults dealing with Dementia?
3. What are some of the factors that adversely affect your safeguarding capabilities?
4. Do you think that the current safeguarding techniques are effective enough in order to
ensure efficient safeguarding of the adults? Please explain your answer.
5. What according to you are the loopholes that can be mended to enhance the effectiveness
of safeguarding of adults suffering dementia?
Questionnaire for Police lead of Brentwood Borough, London
1. Do you think the safeguarding techniques are effective enough to prevent any kind of
accidents or abuse faced by adults with dementia?Please explain your answer.
2. What according you is the current condition of elderly adults who are suffering from
Dementia in the Brentwood borough?
3. What according to you are the loopholes that can be mended to enhance the effectiveness
of safeguarding of adults suffering dementia?
4. What measures can be implemented in order to mend the loopholes associated with
safeguarding elderly adults suffering from the issue of dementia?

27HEALTH AND SOCIAL CARE MANAGEMENT
Gantt chart
WBS Activity 1-Mar
16-
Mar
31-
Mar
15-
Apr
30-
Apr
15-
May
30-
May
14-
Jun
29-
Jun 14-Jul
1Forming Research Proposal
1.1Finding Topic
1.2Framing Aim and objectives
1.3Conducting Background research
1.4Research proposal submission
2Literature review
2.1exploring resources
2.2data synthesis
2.3conducting theoreticalframework
3Developing methodology
3.1Selecting Research Design
3.2Developing data collection tool
3.3conducting data collection
3.4Analyzing the data
4Final submission
4.1developing Final draft
4.2submission of the dissertation