Contemporary Nursing: Decision-Making in Dementia Patient Care

This report provides a comprehensive nursing assessment focusing on the decision-making processes and risk management strategies for individuals with dementia, using Mrs. Jones as a case study. It explores the importance of patient rights, the involvement of family carers, and the implementation of person-centered approaches to ensure the best healthcare services. The report delves into the complexities of risk management within dementia care, discussing the need for negotiated partnerships and the impact of dementia on daily activities and self-maintenance. It highlights the significance of the biomedical approach, ethical considerations, and the role of surrogate decision-makers, referencing relevant legislation and research to support its findings. The report emphasizes the importance of effective communication between healthcare practitioners, the individual with dementia, and family carers to facilitate informed decision-making and ensure the well-being of the patient. It underscores the need for early detection, diagnosis, and policy support to address the increasing demands on social care agencies.

Nursing assessment

Contents
INTRODUCTION...........................................................................................................................3
Background..................................................................................................................................3
MAIN BODY..................................................................................................................................3
Dementia and risk........................................................................................................................3
CONCLUSION................................................................................................................................6
References........................................................................................................................................7

INTRODUCTION
Many countries develop their prominent laws to patients regarding their rights to participate
in the decision-making process regarding their healthcare. As people who are suffering from
dementia does not assume it to be incapable for decision making on the grounds of their
diagnosis as they also have retained cognitive abilities (Lynn and et. al., 2019, November).
Background
The present report is based on the contemporary nursing issue considering decision-making
process of individual (aged 75) who is living with dementia named as Mrs. Jones. Basically,
Mrs. Jones is dealing withmoderate dementia and this essay will be considering the decision-
making process within contemporary nursingregarding the variability and terms of participation.
MAIN BODY
Dementia and risk
According to Clark and et. al., (2010), risk management within dementia care from the
perspective of the individual who is dealing with dementia, practitioners, family carers and so on
is something that is required to be understood in a detailed manner. Over the years, there are
many investigations which has already been performed by various scholars and practitioners
about risk related with dementia, that has helped in gaining knowledge in the same subject. In
context with Mrs Jones, it can be said that considering her in decision making and also her
family carers would aid in delivering the best and suitable health care services. This is where
negotiated partnerships within risk management is developed which mayaid in focusing on the
number of risks associated with the individual dealing with dementia (Clare, 2017). As Mrs
Jones was going through dementia there were it has been analysed to that there are ample
number of constructions embedded with everyday events.If it is critically analysed then, the
given information by the authors and the particular article was outlining friendship going out
from smoking coma domestic arrangements, daily activities, and actions which are considered to
be the territories that may be helpful and carry a purpose of sense making, claiming, maintenance
of self, creation of purpose in one's life and so on. But, in the case of Mrs. Jones who was
alreadyreached at the age where, there was nothing can be done by her and she started depending
on other individuals like her family cares this impacted negatively on risks which were required
to be managed linking with dementia. The particular person centred approach which was utilised

may become helpful in developing effective relations that will help in contributing towards
maintaining the individual sense of self and purpose.It has been analysed that, across the
boundaries, individuals who are experiencing dementia tends to increase at a very rapid rate and
such a rise is undoubtedly place additional demand on the social care agencies and demand of
help needs to increase in terms of policy which is available for the earlier detection and diagnosis
of dementia. In context to Mrs. Jones it can be said that considering person centred approach
what directly help practitioners towards developing and effective forest management plan there
they can take right decisions communicating with Mrs Jones and the family carers (Lynn and et.
al., 2019, November).
Moreover, the biomedical approach focuses on money considering the course of dementia
concert in the process of diagnosis assessment andtreatment. As the experience of living with
dementia that has been postulated for being socially describe the personal meaning and
adjustment. In relation with this individual who are suffering from dementia tends to identify the
prominent assess of strategies analysis that are selected prominently in order to make sure the
range of significant arrangements. It leads to describe reflection regarding the scope nature and
direction for the interview and clarification of several points at the discussion and after that
consider various parts in order to explore and allow with research team to consider the continuity
of front and back interviews.Moreover, every individual with the problem like dementia was
invited regarding the healthy participation into interviews as the recognition is essential for
trusted relationship and useful in collecting prominent data. Therefore, in case of Mrs Jones, it
can be said that development of a trusted relationship betweencarers, practitioners and Mrs.
Jones who is dealing with dementia may effectively take right decisions in correct time towards
managing the risks through considering them in decision making process (Rodgers, 2018).
According to Fetherstonhaugh and et. al., (2016), For individuals living with dementia, the
ability to settle on significant choices about themselves lessens as their condition progresses.
Thus, significant choices (influencing way of life, clinical treatment and end of life) become the
obligation of another person, as the substitute chief. This examination researched how surrogate
chiefs settle on significant choices in the interest of an individual living with dementia.In the
case of Mrs. Jones the particular disease i.e. dementia is the current issue which emerges like
shadow as the involvement of society for people tends to increase effective constriction in order
to develop new and healthy relations. As mentioned in the article, where Investigation uncovered

three fundamental topics related with the cycle of surrogate decisions in dementia: knowing the
individual's desires; talking with others and finding some kind of harmony. Most members
detailed that there was not a development care plan set up for the individual living with
dementia. In any event, when the earlier wishes of the individual with dementia were known, the
cycle of decision making was regularly full of multifaceted nature. In regard of the aim of this
research is aimed to invest regarding the qualitative information of people who are living with
dementia in order to inform the proper development to work with people with dementia to
empower them. For this the result supports the prominent care and cooperative Endeavour in
terms of promoting the inclusion of people who live with dementia. In terms of this the
prominent designs tends to include the cycles in order to present interpret and interpret the data
and findings to multiple stakeholders.
Also, it can be said that decisions taken by surrogate decision makers for an individual
living with dementia is regularly a troublesome process. In the case of Mrs. Jones was also
dealing with dementia decisions considered by surrogate decision makers may not pull out
favourable outcomes becausethey might not know about the history and daily routine purchase
being followed by her. Advance consideration arranging can assume a significant part in
supporting this cycle. Medical care experts can perceive the difficulties that surrogate chiefs who
will be taking decisions may face and backing them through development care arranging such
that suits their requirements and conditions.
As mentioned by Gainotti and et. al., (2010), Individuals with dementia regularly need
intellectual ability and hence need help with their dynamic. Exploration including people with
bargained mental capacity can be morally testing as the absence of limit may restrict their
capacity to give free and educated assent. The need to receive uncommon alerts in research
including people with traded off limit has been featured by the most pertinent revelations on
research morals, similar to the Nuremberg Code and the Declaration of Helsinki.
The Nuremberg Code of 1947 embraced a prohibitive methodology towards support of
bumbling patients in research, expressing that: “The willful assent of the human subject is
significant. This implies the individual included ought to have lawful ability to give assent”. In
the year of 1964 variant of the Declaration of Helsinki the chance of “substitute” or
“intermediary” assent defeated the “prevention” from support in exploration of patients: “in the
event of lawful inadequacy, educated assent ought to be gotten from the legitimate gatekeeper as

per public enactment”. From that point, following the primary variant of the Declaration of
Helsinki, other applicable presentations on research morals have affirmed the adequacy of
substitute or intermediary assent accordingly authorizing the moral agreeableness of cooperation
of bumbling grown-ups in research, given that more securities be offered to these subjects.
The 2008 form of the Declaration of Helsinki expresses that potential exploration subjects
who are awkward “must not be remembered for an examination study that has no probability of
advantage for them except if it is proposed to advance the strength of the populace spoke to by
the expected subject, the exploration can’t rather be performed with able people, and the
examination involves just negligible danger and insignificant weight”. Therefore, in the caves of
MRS Jones it is much needed to take into consideration of all the legislations that are been
formulated by government of United Kingdom because then only appropriate decisions can be
made with the help of effective communication among the person dealing with dementia,
healthcare practitioners and family carers (Prince and et. al., 2016).
CONCLUSION
With the help of above mentioned report, it can easily be said that risk management is not an
easy process to perform in the case of individuals living with dementia. In order to do so of, it is
must for practitioners, the person who is dealing with dementia and family carers would required
to develop effective relationship with each other with the help of efficient communication as this
will only make them able to take right decisions in correct time after involving each other in the
same.

References
Books and Journals
Lynn, J. D., Ryan, A., McCormack, B., & Martin, S. (2019, November). Examining Technology
in Supported Living Environments for People living with Dementia. In Joint Public
Health Conference.
Clare, L. (2017). Rehabilitation for people living with dementia: a practical framework of
positive support. PLoS medicine, 14(3), e1002245.
Lynn, J. D., Ryan, A., McCormack, B., & Martin, S. (2019, November). Innovative Methods for
Engaging People Living with Dementia in Public Health Research. In Joint Public Health
Conference.
Rodgers, P. A. (2018). Co-designing with people living with dementia. CoDesign, 14(3), 188-
202.
Prince, M., Comas-Herrera, A., Knapp, M., Guerchet, M., & Karagiannidou, M. (2016). World
Alzheimer report 2016: improving healthcare for people living with dementia: coverage,
quality and costs now and in the future.
Online
Clark and et. al., (2010). [Online]. Available through: <
https://www.researchgate.net/publication/229897233_Dementia_and_risk_contested_terri
tories_of_everyday_life>.
Fetherstonhaugh and et. al., (2016). [Online]. Available through: <
https://jme.bmj.com/content/43/1/35>.
Gainotti and et. al., (2010). [Online]. Available through:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886844/>.