When working with a client who has advanced stage dementia, the social work principle employed is:

In the context of working with a client who has advanced stage dementia, the emphasis on acting on behalf of the client to safeguard their best interests and rights is paramount. Clients with advanced dementia may not fully comprehend their situation or be able to articulate their needs and preferences. Therefore, social work professionals have a responsibility to advocate for these clients, ensuring that their rights are upheld and their best interests are prioritized, especially when they are unable to advocate for themselves.

This principle is rooted in the ethical obligation that social workers have to ensure that vulnerable populations, such as individuals with cognitive impairments, receive necessary support and care that reflect their rights and dignity. It encompasses actions like making treatment decisions, facilitating communication with healthcare providers, and ensuring a safe and supportive environment for the client.

While respecting the individual, promoting social justice, and maintaining professional obligations are important tenets of social work practice, in this scenario, the most critical aspect is the active advocacy and intervention on behalf of the client to safeguard their well-being and rights. This advocacy is particularly essential in advanced stages of dementia, where individuals may not be able to engage in their own advocacy.