WWA # Ch 11 Shared Decision Making
Shared Decision Making
collaborative process that recognizes a patient's right to make decisions about their care once fully informed about their options
Characteristics
develop a partnership with patient
establish patient preferences
Elicit and respond to patient ideas, concerns, and expectations
identify choices and evaluate research evidence
Help patient reflect on and assess impact of alternative decisions
develop periodontal care plan in partnership with patient
document agreed upon care plan and complete arrangements for follow up
clinician's expertise
patient's expertise
prognosis
treatment options
disease etiology
outcome probabilities
diagnosis of condition :
attitude to risks
circumstances (finances, family values)
values
preferences
experience of condition
poor decision quality
patients: unaware of treatment options and outcomes
clinician: unaware of patient's circumstances and preferences
SHARE approach
ASSESS your patient's values and preferences
REACH a decision with your patient
HELP your patient explore and compare treatment
EVALUATE your patient's decision
SEEK your patient's participation
Patient Decision Aids
treatment and self-management options and outcome probabilities
what's known from the evidence and not known
likely prognosis with and without treatment
most frequent complications of the treatment options
description of the condition and symptoms