Shared decision-making Resources

There are many challenges in providing palliative and end-of-life care to people with dementia; some of which may be reduced through advance care planning (ACP) to support the person with the diagnosis to have a greater influence on their care at end-of-life.
Advance care planning has been defined as a process of discussing and recording wishes, values, and preferences for future care and treatment held between an individual, family members and their care provider(s) that takes effect when the person loses capacity. This
paper considers some of the barriers and enablers to lead to better support of ACP in families affected by dementia.

Historically, wounds have been treated within the medical model with a paternalistic approach where healthcare professionals assess the aetiology and condition of the wound bed, identify any modifiable patient risk factors which may impact on healing, and then implement evidence-based treatments to promote healing (Lusher, 2020). This article discusses the challenges in implementing both shared decision-making and self-care and reviews some of the innovative initiatives which have been developed to encourage patient self-care for wounds. The theories underpinning self-care and the advantages and disadvantages of self-care and shared decisionmaking are also discussed from both healthcare professionals and patients/carers’ perspectives.