Health decision making and cancer Flashcards
What are the 4 questions to ask when in a health decision scenarios?
- feeling sure
- know the benefits
- which benefits and risks matter the most
- have enough support
What is client centered care?
providing care that is respectful of and responsive to individual patient preferences, needs and values
What are the implications of decision making?
- resource access/ planning
- family health
- quality of life
- financial
- symptom management
What is a nurses role in client centered care?
- involved clients in decision making
- provide structured decision support using patient decision aids and decision coaching
What are the treatments related to CKD?
- renal replacement modality
- renal transplant
- vascular access
What is the advance care planning and lifestyle changes for people with CKD?
withholding/ withdrawing dialysis
- scheduling of treatments
- adherence to care plans
- preferred participation in self care
- place of treatment
What factors influence patient decision making?
- interpersonal relationships
- other experiences
- preservation of current well-being, normality, quality of life
- need for control
- timing of information
Decisional conflict - What are some innate contributing factors of decision making?
- 2 or more outcomes
outcomes: risky/ uncertain
value tradeoff: benefits versus harms
anticipated regrets: missed benefits from not choosing option
What are the modifiable contributing factors?
- knowledge and expectation
- values clarity
- support and resources
What is the biggest consequence of decisional conflict?
most of the time people are likely to change their mind (59 times)
What are the patient decision aids that are adjacent to counseling?
- be informed
- clarify values
- support
What are the 3 parts of the ottawa decision support framework?
- decisional needs
- decision quality
- decision support
How are patient decision plans better that the standard care?
- improved decision quality
- reduced decisional conflict helps undecided to decide
- patients are 40% less passive in decisions
what are the challenges to implementation?
- mismatch and lack of incentives
- disruption to establish workflows
- lack of confidence
What is cancer?
uncontrolled growth, spread of abnormal cells
