Shared Decision Making Flashcards
Define shared decision making. (1)
Collaborative process where clinician supports patients to reach decision about their care.
What is the main aim of shared decision making? (1)
Improved health outcomes for disadvantaged people through personalised approach.
What is the system for a good shared decision making? (4)
Prepared public
Supportive systems/processes
Trained team
Commissioned services
Explain how to support people to shared decision making. (4)
Understand care, treatment and support options available now and in the future. (+/-)
Decide on course of action. (Evidence based/personal preference)
Empower people to make decisions.
Doesn’t mean choosing non-evidence based treatment.
Explain how to communicate to people their diagnosis and options a way they understand. (5)
Health literacy (clear language, avoiding medical jargon and explaining technical terms.)
Communication adaption and adjustments to px needs.
Check understanding throughout.
Communicate with people involved in the patient’s care.
Adapt for remote consultations.
What is considered before a consultation? (1)
Provide information on appointment, resources and seek additional support where required.
What happens during a consultation? (9)
Explain agenda and encourage px participation.
Deliver information in manageable chunks.
Explain healthcare aims of each option and discuss how they align with px aims, priorities and wider goals.
Discuss +/i and consequences of each action.
Clarify what person hopes to gain from a treatment or intervention and discuss any misconceptions.
Set aside enough time to answer Qs and ask the px if they like a further opportunity to discuss options.
Accept px personal views and beliefs.
Make a joint decision on tx.
What is covered at the end of a consultation? (4)
Summarise decisions made and follow up.
Allow opportunity to contact for further concerns.
Produce resources in preferred format.
Offer additional support to people who need extra support.
