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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
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Decision-making tips for patients with dementia.

Roger P Worthington1, Richard Tunnell2, Amit Arora1

  • 1Department of Postgraduate Medical and Dental Education, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.

The Clinical Teacher
|January 24, 2022
PubMed
Summary
This summary is machine-generated.

This study introduces a 12-point framework to guide multidisciplinary teams in making ethical

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Area of Science:

  • Medical Ethics
  • Dementia Care
  • Clinical Decision-Making

Background:

  • Patients with advanced dementia often lose decision-making capacity.
  • Clinicians, multiprofessional teams, and families typically determine 'best interests' decisions.
  • Ethical and legal norms guide these determinations.

Purpose of the Study:

  • To develop a framework for multidisciplinary approaches in dementia care education and practice.
  • To assist healthcare teams and educators in navigating 'best interests' determinations for incapacitated patients.
  • To provide a scaffold for case-based workshops.

Main Methods:

  • A UK multiprofessional workshop in 2020 focused on ethical and legal issues in advanced dementia care.
  • Delegates discussed anonymised, real-life cases in small groups.
  • Feedback and best practices were synthesized into a 12-point framework.

Main Results:

  • A 12-point plan was developed to aid healthcare professionals and educators.
  • The framework addresses difficulties in making 'best interests' determinations.
  • The framework is intended for wider dissemination and use in training.

Conclusions:

  • Enhanced understanding of ethics and law in 'best interests' decisions benefits patients and families.
  • The framework can potentially reduce court cases.
  • Case-based workshops utilizing the framework can promote good clinical practice in dementia care.