Dementia and values-based practice – a case of facts, evidence, rights or values?

Williamson, Toby (2025) Dementia and values-based practice – a case of facts, evidence, rights or values? Doctoral thesis, University of West London.

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Abstract

Dementia is a progressive, terminal health condition affecting millions of people globally, for which there is no cure, and available treatments are of limited efficacy.
Values-based practice (VBP) is a theoretical and practical framework that aims to support practitioners and people using health and social care services in situations where particular disagreements arise. These disagreements involve situations where the evidence base for care or treatment interventions is limited, disputed or non�existent, and there are conflicting values held by people regarding the best course of action to take. To date, dementia has not featured significantly in VBP literature or activities. Using evidence from twenty of my published works, I show in this thesis the relevance of values relating to dementia and dementia care to VBP. In particular,the publications highlight the relevance of values expressed through the lived experience of dementia. They also highlight the interaction of dementia care practice with values underpinning or expressed in different legal frameworks, especially involving mental capacity, social care and the social model of disability. The thesis presents an important and original narrative based on my published works that
challenges VBP but also offers new ways in which it could develop in the future

Item Type: Thesis (Doctoral)
Identifier: 10.36828/thesis/13690
Subjects: Medicine and health > Clinical medicine > Dementia
Depositing User: Marc Forster
Date Deposited: 23 May 2025 09:13
Last Modified: 23 May 2025 09:30
URI: https://repository.uwl.ac.uk/id/eprint/13690

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