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NURS-6052 DISCUSSION- PATIENT PREFERENCES AND DECISION MAKING

NURS-6052 DISCUSSION- PATIENT PREFERENCES AND DECISION MAKING

Various decisions must be made by the doctor in medical treatment for the sake of the patient’s health and well-being. However, in some cases, patients are involved in the decision-making process in order to achieve the desired results in the long run. A good experience that emphasized patient participation in treatment decisions was with an asthmatic patient. In asthma cases, a physician must devise a treatment plan for the patient, and in this case, decisions such as treatment adjustment via a personalized asthma action plan had to be made. The patient had to be involved in the development process in order to come up with such a plan. As a result, the patient was fully involved throughout the process of developing the plan, and by the end of the treatment, the patient’s incorporation played a critical role.

This experience demonstrated that encouraging patients to participate actively in their treatment, support, and care can improve the patient experience and outcome. It not only improves the patient’s outcome, but it also has the potential to save the health system money by providing more support and personalized commissioning to people to live well and manage their condition. In this case, the doctors were completely honest with the patient. One effect on patient involvement was that the patient-physician relationship improved (McAllister, 2016). A better understanding of patient values and preferences regarding health and health care resulted from the two parties’ improved relationship. For example, the patient was able to share his previous medical history without hiding anything. The excellent relationship was critical in preventing the patient from developing psychological problems, which are primarily caused by the physician-patient relationship. The inclusion of the patient in the treatment plan also assisted physicians in avoiding some health errors during the treatment process. Some asthma medications, for example, can react against the body, resulting in some side effects. Physicians were able to remove the medication from the treatment plan by incorporating patients into the treatment. If the patient had not been involved in the treatment plan decision, the medication would have been administered, causing further harm to the body rather than curing the disease.

In such a trajectory situation, including the patient’s values and preferences is critical because it improves the quality of health care provided by physicians. In general, illness is a social as well as a biological process, and physicians must understand the cultural and social factors that influence patient health care. Involving the patient’s family and friends, as well as other caregivers, leads to more effective and efficient health care (Shay & Lafata, 2014). Patient preferences and values had an impact in this case because they confirmed and disproved some explanatory models of the disease in the patient.

The impact of online tutorial patient decision aid on patient preferences and values in treatment decisions is that physicians can learn more about how to improve involving the patient in their treatment plan and the importance of involving them in the treatment plan. They will be able to improve the quality of healthcare services in this manner. The decision-aid inventory can be used to search for specific health topics that are important in the patient’s decision-making process.

References

McAllister, M. (2016). Shared decision-making, health literacy, and patient empowerment. Shared Decision Making in Health Care, pp. 234–238. doi:10.1093/acprof:oso/9780198723448.003.0036

Shay, L. A., & Lafata, J. E. (2014). Where Is the Evidence? A Systematic Review of Shared Decision Making and Patient Outcomes. Medical Decision Making, 35(1), 114-131. doi:10.1177/0272989×14551638

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Question 


To Prepare:

  • Review the Resources and reflect on a time when you experienced a patient being involved in (or not being involved in) a decision regarding their treatment plan.

    Patient Preferences and Decision Making

    Patient Preferences and Decision-Making

  • 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 11

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.