Self-neglect and pressure ulcers

Kulvant Sandhu, Joanne Beresford

Research output: Contribution to journalArticle


As healthcare professionals, our purpose is to deliver treatments and interventions to patients to aid recovery and prevent deterioration in health. But what does that look like when patients do not wish to follow advice, do not want treatment or interventions, even if that means significant consequences such as loss of limbs, sepsis or death — where do we legally stand in these situations and how do we work with patients to achieve the best possible outcomes for them? Over years of clinical experience, the authors have found that working with those who self-neglect can be complex. This is due to a range of factors, such as risks to the individual and sometimes others. Other issues involved include healthcare professionals’ views and moral conflict between respecting patient autonomy and their duty of care, challenges in trying to engage patients who may not want services involved, attempting to assess and being clear on the patient’s mental capacity, working within task-orientated systems which may not always be conductive to building rapport, and working with the patient’s socio-economic factors which impact upon their health
Original languageEnglish
Pages (from-to)23- 30
Number of pages8
JournalJournal of Community Nursing
Issue number1
Publication statusPublished - 1 Feb 2023


Dive into the research topics of 'Self-neglect and pressure ulcers'. Together they form a unique fingerprint.

Cite this