Are the lives of people with dementia being enhanced by risk enablement?

Grove, Janine (2016) Are the lives of people with dementia being enhanced by risk enablement? Honours thesis, University of Southern Queensland. (Unpublished)


Abstract

Dementia is a debilitating disease that significantly impacts the person with the diagnosis, their carers, and society, as well as the country’s economy. Due to an aging population, the prevalence of dementia is projected to increase sharply in the future. Previous risk avoidance methods have been shown to disempower the person with dementia, and increase the rate of disease progression. Conversely, recent risk management changes have identified risk enablement as a means to slow progression and improve the quality of life. A systematic literature review was undertaken to ascertain the distribution of, and quality and availability of risk enablement methods. The search accepted grey literature as well as empirical and peer-reviewed publications in English from seven databases, dated 1997 to 2015. A total of 1045 publications were initially identified, with 47 retained after screening processes. The literature search revealed risk enablement, as operationalised through positive risk taking, is occurring predominantly throughout the United Kingdom, and is being encouraged by the United Kingdom Government. Although care organisations and facilities acknowledge the benefits of positive risk taking, the lack of practical guidance and a fear of litigation have inhibited risk enablement application. The literature search also revealed carers have a tendency to avoid risks even though the person with dementia them self is inclined towards positive risk taking. Although risk enablement has been identified as a means to assist people with dementia, there has been limited up-take of this method of risk management world-wide, and there are ongoing and significant translation issues.


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Item Type: Thesis (Non-Research) (Honours)
Item Status: Live Archive
Additional Information: Current UniSQ staff and students can request access to this thesis. Please email research.repository@unisq.edu.au with a subject line of SEAR thesis request and provide: Name of the thesis requested and Your name and UniSQ email address
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Supervisors: Leander Mitchell
Qualification: Bachelor of Science (Honours)
Date Deposited: 20 Aug 2025 04:09
Last Modified: 20 Aug 2025 04:09
Uncontrolled Keywords: risk enablement ; positive risk taking ; dementia
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified
Fields of Research (2020): 52 PSYCHOLOGY > 5299 Other psychology > 529999 Other psychology not elsewhere classified
URI: https://sear.unisq.edu.au/id/eprint/52369

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