Dementia affects a person's ability to undertake previously achievable tasks which can present risks. The assessment and management of risk can differ and inclusion of the person's view is not always apparent.
This literature review aimed to explore current knowledge concerning key areas relevant to risk assessment and management. This included the contribution of occupational therapy functional assessment. It revealed that knowledge tended to be practice based, rather than research based, and that there was no specific research on functional assessment of risk. Issues of how risk was established by those involved and consideration of the person's view were raised.
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References
1.
Alzheimer's Disease Society (1994) Safe as houses. Living alone with dementia — a resource booklet to aid risk management. London: Alzheimer's Disease Society.
2.
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association.
3.
AskhamJMurphyD (1989) Study of home support schemes. In: MortonJ, ed. Enabling elderly people with dementia to live in the community. Proceedings of an Ageing Update conference. London: Age Concern Institute for Gerontology.
4.
BaumCEdwardsDF (1993) Cognitive performance in senile dementia of Alzheimer's type: the kitchen task assessment. American Journal of Occupational Therapy, 47 (5), 431–36.
5.
BaumCM (1995) The contribution of occupation to function in persons with Alzheimer's disease. Journal of Occupational Science, 2 (2), 59–67.
6.
BjørnebyS (1994) Beyond the safety alarm concept? Discussion of technological options for providing welfare for disorientated people.Presentation 10th International Conference of Alzheimer's Disease International Edinburgh. (Available from Dementia Services Development Centre, University of Stirling.).
7.
BloomM (1993) The role of the general practitioner and other professionals in the management of Alzheimer's disease. In: WilcockGK, ed. The management of Alzheimer's disease. Petersfield: Wrightson Biomedical Publishing.
8.
BriggsR (1993) What can be treated in Alzheimer's disease? in: WilcockGK, ed. The management of Alzheimer's disease. Petersfield: Wrightson Biomedical Publishing.
9.
CarswellACarsonLJWalopWZgolaJ (1992) A theoretical model of functional performance in persons with Alzheimer's disease. Canadian Journal of Occupational Therapy, 59 (3), 132–39.
10.
CarswellADulbergCCarsonLZgolaJ (1995) The functional performance measure for persons with Alzheimer's disease: reliability and validity. Canadian Journal of Occupational Therapy, 62 (2), 62–69.
11.
ConroyMC (1996) Dementia care: keeping intact and in touch. Aldershot: Avebury.
12.
DavidsonG, ed (1992) Chambers pocket dictionary. Edinburgh: Chambers.
13.
DavisLE (1991) Aiding the Alzheimer's dementia patient to live in safety and security. Caring Magazine, 10 (12), 36–42.
14.
DavisR (1993) My journey into Alzheimer's disease. Amersham-on-the-Hill: Scripture Press.
15.
FeldmanRBKocinMZ (1991) Caring for disorientated clients with Alzheimer's disease at home. Journal of Home Health Care Practice, 3 (4), 40–47.
16.
Friel-McGowinD (1993) Living in the labyrinth – a personal journey through the maze of Alzheimer's. San Francisco: Elder Books.
17.
GoldsmithM (1996) Hearing the voice of people with dementia – opportunities and obstacles. London: Jessica Kingsley.
18.
GordonD (1996) Eurodem prevalence rates and tables in AS/AD. Putting quality first. Edinburgh: Alzheimer Scotland/Action on Dementia.
19.
HEBS (1994) Keeping safe – a guide to safety when someone with dementia lives alone. Edinburgh: Health Education Board for Scotland.
20.
HEBS (1995) Facing dementia – useful information for people with dementia. Edinburgh: Health Education Board for Scotland.
21.
HEBS (1996) Coping with dementia – a handbook for carers. Edinburgh: Health Education Board for Scotland.
22.
HeyingLM (1985) Research with subjects having senile dementia. In: AllenCK, ed. Occupational therapy for psychiatric diseases: measurement and management of cognitive disorders. Boston: Little, Brown.
JosephssonSBackmanLBorellLNygardLBernspångB (1995) Effectiveness of an intervention to improve occupational performance in dementia. Occupational Therapy Journal of Research, 15 (1), 36–49.
25.
LachHWReedATSmithLJCarrDB (1995) Alzheimer's disease: assessing safety problems in the home. Geriatric Nursing, (16)4, 160–64.
26.
LayCWoodsB (1996) Caring for the person with dementia – a guide for families and other carers. London: Alzheimer's Disease Society.
27.
Lothian and Borders Fire Brigade (1994) Statistics: casualties from fires by age, sex, and location in UK. Edinburgh: LBFB.
28.
MathiowetzV (1993) Role of physical performance component evaluation in occupational therapy functional assessment. American Journal of Occupational Therapy, 47 (3), 225–30.
29.
National Health Service and Community Care Act (1990) London: HMSO.
30.
OakleyFSutherlandTHillJLPhillipsSLMakahonREbnerJD (1991) The daily activities questionnaire: a functional assessment for people with Alzheimer's disease. Physical and Occupational Therapy in Geriatrics, 10 (2), 67–81.
31.
PynoosJRussellJO (1991) In-home interventions for persons with Alzheimer's disease and their caregivers. Physical and Occupational Therapy in Geriatrics, 9 (3/4), 83–92.
32.
TonerH (1992) What do we mean by assessment? in: HaxbyD, ed. Diagnosis and assessment. Stirling: Dementia Services Development Centre.
33.
Wynne-HarleyD (1991) Living dangerously: risk taking and older people. London: Centre For Policy on Ageing.
