Innovations In Clinical Neuroscience

MAR-APR 2017

A peer-reviewed, evidence-based journal for clinicians in the field of neuroscience

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Page 43 of 45

Innovations in CLINICAL NEUROSCIENCE [ V O L U M E 1 4 , N U M B E R 3 – 4 , M A R C H – A P R I L 2 0 1 7 ] 44 R I S K M A N A G E M E N T effects to look for. In addition to putting instructions in writing, consider providing copies of medication information sheets such as those available via the United States Food and Drug Adminstration (FDA )website, • Have at hand a list of resources for caregivers that may be available through a local hospital or elsewhere in the community. • Even if the patient's disease has progressed to the point where he or she can no longer effectively communicate treatment wishes, always make an effort to direct comments to both the patient and the caregiver. It can be extremely upsetting for the caregiver and the patient when the patient is not included in the conversation and is talked about as if he or she were not present. • Even if the patient has not given his or her permission to speak to a family member, do not ignore calls from family members or friends who may have concerns about the patient. Although you may not have permission to speak to others, remember you can always listen. Caring for elderly patients creates a unique set of challenges but, with careful attention to potential areas of risk, can also bring a unique set of rewards. REFERENCES 1. Appelbaum PS. Assessment of patients' competence to consent to treatment. N Engl J Med. 2007;357(18):1834–1840. 2. Appelbaum PS, Roth LH. Clinical issues in the assessment of competency. Am J Psychiatry. 1981;138(11):1462–1467. 3. National Resource Center on Psychiatric Advance Services site. Accessed 30 April 2017. 4. American Psychiatric Association site. The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia. /10.1176/appi.ajp.2015.173501. Accessed 30 April 2017. 5. Violence prevention. Elder abuse: definitions. United States Centers for Disease Control and Prevention site. erabuse/definitions.html. Accessed 30 April 2017. 6. Read SL. The four categories of elder abuse: evaluation approaches. January 11, 2016. Psychiatric Times site. geriatric-psychiatry/four-categories- elder-abuse-evaluation-approaches. Accessed 30 April 2017. AUTHOR AFFILIATION: Ms. McNary is Senior Risk Manager at PRMS, Inc. in Arlington, Virginia. ADDRESS FOR CORRESPONDENCE: Donna Vanderpool, MBA, JD, Vice President, Professional Risk Management Services, Inc., 1401 Wilson Blvd., Suite 700, Arlington, VA 22209; E-mail:

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