title: Impediments to applying the 'dignity of risk' principle in residential aged care services.
abstract: This discussion paper identifies four core factors currently impeding the application of the dignity of risk principle in residential aged care settings in Victoria, Australia: the fluctuating decision-making ability of residents; multiple participants in decision-making; discordance between espoused values and actions; and confusion and fear around legal responsibilities of care providers. Potential solutions identified include a conceptual shift in approach and consensus between key stakeholders, as well as more tangible solutions such as education and point-of-care decision support tools.
authors.affiliation: Department of Forensic Medicine, Monash University, Melbourne, Victoria, Australia.
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Ibrahim
authors.forename: Marie-Claire
authors.initials: MC
authors.lastname: Davis
mesh_terms: D000367:Age Factors; D000375:Aging / Q000523:psychology*; D001291:Attitude of Health Personnel; D002755:Choice Behavior; D003071:Cognition; D005239:Fear; D007722:Health Knowledge, Attitudes, Practice; D006707:Homes for the Aged; D006801:Humans; D033183:Interdisciplinary Communication; D009735:Nursing Homes; D010348:Patient Care Team; D028723:Personhood; D011788:Quality of Life; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D014739:Victoria
keywords: decision-making; dignity of risk; residential aged care