NURS 6052 Discussion Week 11 Patient Preferences and Making Decisions

NURS 6052 Discussion Week 11 Patient Preferences and Making Decisions

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

By Day 6 of Week 8

Respond to at least two of your colleagues on two different days and offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared.

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10 months ago

Jessica Whitlow

Initial Discussion – Week 8

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NURS6052
Discussion Week 8 Module 5
Patient Preferences and Making Decisions

There have been many instances in my ten years as a nurse where I felt that the patient’s personal preferences and experiences

could be beneficial to their treatment.  Shared decision making is the process of clinician and patient jointly participating in a

health decision after discussing the options, the benefits and harms, and considering the patient’s values, preferences, and

circumstances ( Hoffman, Montori, & Del Mar, 2014). I have had many providers listen to the patient’s input. I have also had many

providers ignore the patient and do what they felt was best. One such case was a young lady with severe anxiety and panic attacks.

The patient had tried many different medications through-out the years and felt as if she knew what was completely ineffective.

She also had not been able to find a coping skill that was enough to prevent a panic attack. The provider in this case ordered

sedating medication, which the patient had expressed made her “a zombie” as well as coping skill education. The patient was

unable to participate in coping skills education as she quickly became so somnolent that all she did was sleep. She was not having

panic attacks however sleeping all day is not helpful. I believe that had the provider listened to the patient in the first place,

valuable time would not have been loss on ineffective treatment. Utilizing coping skills was eventual removed from her plan of

care as it did not work for her. A focus that incorporates all three facets of evidence based practice helps ensure solid footing for

effective decisions (Laureate Education, 2018). Patient preferences were not taken in to account in this instance. I chose the

decision aid, panic disorder: Should I take medicine? The patient decision aid would be useful in the particular situation as well as

similar situation because it allows the patient to make decisions in a step by step matter. First with education regarding the

diagnosis, what to expect, and why your provider may order what they do. I feel that a start to finish visual guide such as this

would ease the patients stress regarding treatment and improve their experience. I would definitely use these aids as a provider for

the before mentioned reasons.

References

Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

Laureate Education (Producer). (2018). Evidence-based Decision Making [Video file]. Baltimore, MD: Author.

The Ottawa Research Hospital Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/Azsumm.php?ID=1060 https://decisionaid.ohri.ca/Azsumm.php?ID=1060

 

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10 months ago

Constance Cooper Walden Instructor Manager

RE: Initial Discussion – Week 8

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Jessica, I agree we need to listen to the patient’s experiences and what the outcomes have been with various treatments. Today with the Internet there is quite a bit of information that is helpful and some that are harmful or inaccurate. It is important as a provider to converse with the patient to see what their knowledge base is.