No abstract

This study explores perceptions of risk commonly shared by children and young people living in care system in Romania. The original data, reported here, were gathered through direct interviews with children and young people living in public and private care. In undertaking the research, the authors wanted to challenge dominant, largely media created, representations of the care system in Romania. The aim was to explore the real risks that young people face arising out of their daily experiences. Research data were gathered using a narrative interview approach. Specific forms of risk are identified including: risks arising out of peer and staff relationships, care system policy and practice, external perceptions and beliefs and young people's fear of the future.

No abstract

Introduction: The syndromes of mild cognitive impairment (MCI) or mild neurocognitive disorder (MiND), often prodromal to dementia (Major Neurocognitive Disorder), are characterized by acquired clinically significant changes in one or more cognitive domains despite preserved independence. Mild impairment has significant medicolegal consequences for an affected person and their care system. We review the more common etiologies of MiND and provide a systematic review of its medicolegal implications. Methods: We conducted a systematic review of the peer-reviewed English literature on medicolegal aspects of MCI or MiND using comprehensive search terms and expanding our review to include sources cited by these reports. Results: Impairment of memory, executive function, social cognition, judgment, insight or abstraction can alter an individual’s abilities in a variety of areas that include decision making, informed consent, designation of a surrogate decision-maker such as a health care proxy, understanding and management of financial affairs, execution of a will, or safe driving. Conclusion: Even mild cognitive impairment can have significant behavioral consequences. Clinicians can assist care partners and persons with MCI or MiND by alerting them to the medicolegal concerns that often accompany cognitive decline. Early recognition and discussion can help a care system manage medicolegal risk more effectively and promote thoughtful advance planning.

No abstract