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
Discussion: Patient Preferences and Decision Making
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.
- 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.
Resources to be used:
1.Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
2. 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. Retrieved from https://jamanetwork.com/
4. Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.
Excellent 45 (45%) – 50 (50%) Good 40 (40%) – 44 (44%) Fair 35 (35%) – 39 (39%) Poor 0 (0%) – 34 (34%)
Main Post: Timeliness–
Excellent 10 (10%) – 10 (10%) Good 0 (0%) – 0 (0%) Fair 0 (0%) – 0 (0%) Poor 0 (0%) – 0 (0%)
Excellent 17 (17%) – 18 (18%) Good 15 (15%) – 16 (16%) Fair 13 (13%) – 14 (14%) Poor 0 (0%) – 12 (12%)
Excellent 16 (16%) – 17 (17%) Good 14 (14%) – 15 (15%) Fair 12 (12%) – 13 (13%) Poor 0 (0%) – 11 (11%)
Excellent 5 (5%) – 5 (5%) Good 0 (0%) – 0 (0%) Fair 0 (0%) – 0 (0%) Poor 0 (0%) – 0 (0%) Total Points: 100
Significance of Incorporating Patient Preferences
In my care setting, a patient came to the hospital complaining of dizziness. She was diagnosed with HBP. The nurse in charge of the patient included her in the assessment and treatment of the illness. After diagnostic results came out, the nurse discussed with the patient the results, and together they developed a treatment plan. Incorporating patient values and preferences profoundly helped the nurse tailor intervention for the disease. For instance, the nurse and the patient agreed that the patient would be exercising a least thrice a week and eat a balanced diet in a move to curb the disease. Engaging the patient in the treatment plan increased her satisfaction towards the nurse and the intervention.
The patient’s values and preferences impacted the course of this situation. The first impact of the incorporation of the preferences into treatment plan is improved quality of clinical intervention. The nurse was able to develop a response that enhances the patient outcome (Kon et al., 2016). Another impact is about the efficiency of the treatment. The patient happily followed the prescribed medication because she was consulted before the prescriptions given to her. Lastly, she took long to come back to the hospital with regards to HBP. In other words, the strategy reduced hospital readmission (Schroy et al., 2014).
The decision aid used in this scenario was the Ottawa Personal/Family Decision Guides (OP/FDG). This model was valuable because it helped the nurse together with the patient to make either social or heath decision (Melnyk & Fineout-Overholt, 2018). The tool was also helpful because it helped the patient decide the next step about their health. I can use this tool in my professional development by planning goals.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x
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