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Decision making

Quality statement

People with dementia, while they have capacity, have the opportunity to discuss and make decisions, together with their carer/s, about the use of :

Quality measure

Structure

Evidence of local protocols on the discussion of advance decision making.

Process

Proportion of people with dementia, while they have capacity, and their carer/s, who are given the opportunity to discuss with health and social care professionals about the use of:

  • advance statements
  • advance decisions to refuse treatment
  • Lasting Power of Attorney
  • Preferred Priorities of Care.

Numerator: the number of people who are given the opportunity to discuss advance decision making.

Denominator: the number of people with dementia.

Numerator: the number of carers who are given the opportunity to discuss advance decision making.

Denominator: the number of carers of people with dementia.

Description of what the quality statement means for each audience

Service providers ensure staff are appropriately trained to provide information on advance statements, advance decisions to refuse treatment, Lasting Power of Attorney and Preferred Priorities of Care.

Health and social care professionals offer the person with dementia, whilst they have capacity, the opportunity to discuss and make decisions together with their carer/s about the use of:

  • advance statements
  • advance decisions to refuse treatment
  • Lasting Power of Attorney
  • Preferred Priorities of Care.

Commissioners ensure that local arrangements for assessment and care planning specifically include advance decision making.

People with dementia and their carers can expect the opportunity to discuss and make a decision on the use of advance statements, advance decisions to refuse treatment, Lasting Power of Attorney and Preferred Priorities of Care.

Data source

Structure

Local data collection.

Process

Local data collection.

Dementia
Appropriately trained staff
Memory assessment services
Written and verbal information
Assessment and personalised care plan
Decision making
Emotional, psychological and social needs of carers
Non-cognitive symptoms and behaviour that challenges
Liaison services
Palliative care needs
Respite services for carers

This page was last updated: 18 November 2010

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.