Term
| what is shared decision making |
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Definition
The process of discussing and exploring the benefits, harms, and risks of each health care option. This can be achieved through meaningful dialogue and gaining understanding of what is important to the patient.
-typicallyappliedfor patients who are already committed to or are considering change; patient-centered approach |
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Term
| motivational interviewing |
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Definition
| more fitting for approaching patients who are ambivalent; patient- centered approach |
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Term
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Definition
| very one sided, clinicianis providing information regarding possible risks and outcomes to the patient to agree with |
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Term
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Definition
| clinicianprovidesinformation regarding the treatment plan without patient input |
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Term
| shared decision making along with motivational interviewing |
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Definition
| – When working with a patient who is ambivalent about a lifestyle change needed to reduce blood pressure, the clinician may first draw upon motivational interviewing and once the decision to change has been established, shared decision making can be used to work through the details of the change |
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Term
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Definition
-seek your pt's participation
-help your pt explore and compare treatment options
-assess your patient's values and preferences
-reach a decision with your patient
-evaluate your patient's decision |
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Term
| Seek Your Patient’s Participation |
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Definition
• Most patients want more information than they are routinely given regarding their health care
• Most patients want to be involved in their health care decision making
• Many patients are unaware that they can be an active participant in their care plan or how standard treatments can differ between individuals
Communicate that a choice exists -> invite patient participation |
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Term
| Seek Your Patient’s Participation |
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Definition
– Summarize the health problem
– Ask your patient to participate
– Include family and caregivers in decisions
– Remind your patient that their participation is important
Making the informed decision to not be an active participant is still a choice and should be respected by the provider |
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Term
| Help Your Patient Explore and Compare Treatment Options |
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Definition
• Build trust through evidence based discussion
• Assess the patient’s baseline knowledge
• List and describe options in plain language
• Clearly define each option
• Bring up important topics/questions that haven’t been asked by the patient
Outline the benefits, harms and risks of each option
• Remember health numeracy:
– Provide estimates rather than ‘low risk’
– Use a consistent denominator
– Use absolutes numbers rather than relative risks – Use visual aids
• Teach-back to ensure understanding
• Look for decisional conflict:
– Verbalized uncertainty, wavering between choices, delaying, signs of distress or tension |
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Term
| Assess Your Patient’s Values and Preferences |
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Definition
• Encourage your patient to reflect on their values
• Actively listen and ask open-ended questions
• Acknowledge patient values and preferences and agree upon plan |
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Term
| Reach a Decision With Your Patient |
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Definition
• Establish whether or not a decision has already been made
• Understand how this decision was made and if more information is wanted
• Verify if the patient is ready to make decision or if more time is wanted
• Outline next steps including appointments |
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Term
| Evaluate Your Patient’s Decision |
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Definition
• Patient buy-in is key
• Continue to monitor plan implementation
• Discuss possible barriers and ways to overcome |
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