Person-centered risk assessment framework: assessing and managing risk in older adults living with dementia

• Published in: Neurodegenerative disease management Vol. 9; no. 1; pp. 47 - 57
• Main Authors: Lee, Linda, Hillier, Loretta M, Lu, Stephanie K, Martin, Sharon Dillon, Pritchard, Sarah, Janzen, Jennifer, Slonim, Karen
• Format: Journal Article
• Language: English
• Published: London Future Medicine Ltd 01-02-2019
• Subjects: Aging; caregiving; Chronic illnesses; Clinics; Collaboration; Dementia; Geriatrics; Institutionalization; Memory; memory clinics; Older people; Patient safety; Primary care; Professional development; Quality of life; Risk assessment; Teams
• ISSN: 1758-2024; 1758-2032
• DOI: 10.2217/nmt-2018-0031

This study pilot-tested the person-centered risk assessment framework (PCRAF), a framework for managing risk among persons living with dementia (PLWD) in primary care.
Healthcare providers (N = 7) piloting the PCRAF completed a survey, rating their satisfaction with the tool, and an interview to gather their perceptions of the PCRAF. PLWD and care partners (N = 12) completed a survey, rating their satisfaction with safety planning.
Care providers were very satisfied with the tool; however, patient or care partner inability to perceive or understand safety risks was a challenge. Use of the PCRAF was perceived as an opportunity to empower self-management, gather PLWD and care partner perspectives, reduce burden for care partners and increase understanding of potential risks. Patients and care partners were very satisfied with the way in which they were included in the risk discussion.
The PCRAF is a promising new tool to reduce risks associated with dementia.