What are the shared decision‐making experiences of adult children in regard to their parent/s’ health care in residential aged care facilities?

Author(s):  
Ainslie Monson ◽  
Joyce Hendricks ◽  
Deborah Sundin
Dementia ◽  
2020 ◽  
pp. 147130122092915
Author(s):  
Nadine Cameron ◽  
Deirdre Fetherstonhaugh ◽  
Michael Bauer

Care staff in residential aged care facilities (nursing homes) in Australia are obligated, under the Australian National Framework for Action on Dementia 2015–2019, to support residents to exercise choice and make decisions. Research indicates, however, that care staff are often given little guidance regarding which residents’ decisions should be supported or how to make decisions on their behalf. This lack of guidance can result in a denial of residents’ rights and inconsistent treatment by staff, placing residents’ wellbeing at risk. Through providing an analysis of the responses of staff at RACFs in Victoria and Queensland to two case scenarios, this study seeks to provide some understanding of the difficulties staff face in supporting residents’ self-determination and their own need for greater organisational support.


Dementia ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1364-1380 ◽  
Author(s):  
Nadine Cameron ◽  
Deirdre Fetherstonhaugh ◽  
Michael Bauer ◽  
Laura Tarzia

This paper considers the significance of how staff in residential aged care facilities interpret the non-verbal communication and behaviour of residents vis-a-vis their assessments of residents’ preferences and ability to participate in decision-making. It highlights the risks associated with staff members’ failure to interpret residents’ non-verbal communication and behaviour with reference to residents’ backgrounds and prior experiences. It also considers how non-verbal communication implemented by staff may impact residents’ emotional state and, as a consequence, decision-making abilities. Drawing on interview data with aged care staff from Queensland and Victoria, it demonstrates that care staff in residential facilities appear to rely heavily on non-verbal signals in assessing the decision-making capacity and preferences of residents with dementia. It also indicates that many staff fail to consider residents’ non-verbal communication and behaviour with due consideration of residents’ individual histories.


Gerodontology ◽  
2018 ◽  
Vol 35 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Amy R. Villarosa ◽  
Sally Clark ◽  
Ariana C. Villarosa ◽  
Tiffany Patterson Norrie ◽  
Susan Macdonald ◽  
...  

2014 ◽  
Vol 201 (10) ◽  
pp. 574-574 ◽  
Author(s):  
Ching Jou Lim ◽  
Megan W‐L Kwong ◽  
Rhonda L Stuart ◽  
Kirsty L Buising ◽  
N Deborah Friedman ◽  
...  

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