Dignity of risk is a term used to describe the principle that individuals, including elderly persons receiving care, have the right to make choices, even if they carry a potential for harm or danger. It recognises that everyone has the right to take risks and make mistakes as a natural part of life, as long as they are not endangering others. This concept is rooted in the belief that autonomy and self-determination are essential for maintaining a fulfilling and meaningful quality of life.

Historically, the emphasis in aged care has shifted towards empowering older individuals to make informed decisions about their care and support, rather than imposing restrictive or paternalistic approaches. This shift reflects a growing recognition that older individuals have the capacity and desire to exercise control over their own lives, even as they may face age-related limitations or challenges.

By embracing the principle of dignity of risk, aged care providers can foster a culture that supports older individuals’ independence, promotes their sense of self-worth, and enhances their overall well-being. This approach recognises that older individuals are not passive recipients of care, but rather active participants in their own lives who deserve to be treated with respect and dignity.

Importance of dignity of risk

Respecting dignity of risk in aged care involves empowering older individuals to make independent choices. This approach promotes independence, autonomy, and quality of life for elderly individuals.

Research suggests that allowing older individuals to make choices over their daily lives can have significant benefits for their physical and mental well-being, as it can enhance their sense of purpose, reduce feelings of isolation, and improve overall life satisfaction.

Making decisions in everyday life involves an element of risk. Everyone has a right to make their own choices.

Balancing risk and safety

While it’s important to respect dignity of risk, it is also equally important to ensure the safety of elderly individuals. This delicate balance requires a careful assessment of individual circumstances, the development of personalised care plans, and the implementation of appropriate safety measures. By effectively managing risks, aged care providers can empower older individuals to make informed choices while minimising potential hazards.

It is essential to address common misconceptions about dignity of risk, such as the fear of liability or the assumption that all risks must be eliminated. Instead, the focus should be on creating a safe and supportive environment that enables older individuals to live independently and with dignity.

Legal and ethical considerations

Aged Care providers must ensure customers’ rights are protected and that their decisions are made voluntarily and with informed consent. They must follow specific legal and ethical rules when helping older people make decisions. These rules include:

• Making sure people understand the risks and benefits of their choices
• Assessing their mental ability to make decisions
• Acting in their best interests.

Sometimes, it can be difficult to decide what is best for an older person, especially when their wishes don’t seem to be in their best interest. In these cases, providers should talk to other professionals, like doctors or social workers, to get help.

Many legal cases explain how these rules should be followed. For example, one case shows how important it is to get a person’s permission before doing something to them. Another case shows the importance of protecting people from harm, even if it means limiting their freedom. By understanding these rules, providers can make sure older people are treated fairly and with respect.

Supporting risk of dignity in practice

At HomeMade, we believe that you are the ultimate decision-maker for your own care. If you wish to undertake an activity that involves some risk, we will work collaboratively with you to understand the potential consequences and develop strategies to mitigate those risks. This approach empowers you to make informed choices while ensuring your safety and well-being.

Under the Aged Care Quality Standards we are required to recognise and respect your unique identity, culture, social connections, wellbeing and needs. To support dignity of risk, HomeMade fosters open communication, to build trust, and empower clients to make informed decisions. We document and communicate potential risks associated with a client’s choices, establish regular review processes, and collaborate with clients to develop personalised risk management plans. By adopting a person-centered approach, we prioritise your preferences, values, and goals, while also promoting your safety and well-being. This ensures that your care is tailored to your unique needs and circumstances, fostering a sense of independence, autonomy, and dignity.

For example, if you choose to stay at home, we will work with you to assess the potential risks and develop a care plan that addresses your specific requirements. This may involve providing additional support, installing safety features, or exploring alternative living arrangements. Our goal is to enable you to live independently and with dignity, while also ensuring your safety and well-being.

At HomeMade, we believe that dignity of risk is essential in aged care, promoting autonomy and quality of life. While respecting this principle, safety is paramount. By balancing these factors, we create a supportive environment for older individuals. As aged care evolves, HomeMade remains committed to upholding the principles of dignity of risk and person-centred care, striving for a more inclusive and empowering society.

More information

Refer to Quality Standard 1: Consumer dignity and choice
My Aged Care Home Care Package Manual