Shared decision making

Question 1

What is shared decision making?

Answer 1

the process of engaging clients in the process of deciding about diagnosis, treatment or follow-up when more than one medically reasonable option is available.
Useful for preference-sensitive decisions where there is no ‘best’ strategy

Question 2

What are the steps involved in shared decision making

Answer 2

1. Define or explain problem
2. Present options (neutral)
3. Discuss pros and cons (benefits/risks/costs)
4. Assess clients’ values or preferences
5. Discuss client ability or self-efficacy (practicalities)
6. Provide information or recommendations
7. Check or clarify understanding
8. Make or explicitly defer decision (thinking time, talk to family)
9. Arrange follow-up.

Question 3

What information should be included when discussing options of treatment with owners

Answer 3

rate and likelihood of return to normal function
aftercare required
costs (time and money)
probability of complications

Question 4

What are the benefits of shared decision making?

Answer 4

Decisions tailored to the individual client and patient
Informed consent
Greater client + vet satisfaction
Improved treatment adherence
Improved outcome for patient
Strengthens vet-client relationship
Fewer repeat consultations
Less likely to ask for second opinion
Complaints less likely

Question 5

What are the disadvantages of shared decision making?

Answer 5

More time consuming

Question 6

what is informed consent?

Answer 6

Informed consent, which is an essential part of any contract, can only be given by a client who has had the opportunity to considera range of reasonable treatment options(including euthanasia), with associated fee estimates, and had the significance and main risks explained to them…