Patient Preferences and Decision Making Assignment Discussion

Patient Preferences and Decision Making Assignment Discussion

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? Patient Preferences and Decision Making Assignment Discussion

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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 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. Patient Preferences and Decision Making Assignment Discussion

Description of the Situation

A woman reported to the hospital for surgery. She chose to have general anesthesia and was, therefore, unconscious during the surgery. Her husband is with her in the hospital room and can make decisions for her if she is unable to do so. After the surgery, the woman began to feel lightheaded and dizzy. She asked her husband to call a doctor, but he said she was just feeling a little sick and should wait until the feeling passed. The woman’s husband did not believe she needed to see a doctor and refused to call for one. Later that night, the woman began to experience seizures. Her husband called me asking to talk to a doctor. The doctor diagnosed her with a brain aneurysm and sent her to surgery immediately. If the husband had not called for a doctor, the woman would have died from her aneurysm.

If the husband had not called for a doctor, the woman would have died from her aneurysm. Her husband’s decision to call for a doctor saved her life. In this case, incorporating patient preferences and values played a critical role in the outcome of the treatment plan. By consulting with the woman about her wishes for treatment, her husband was able to make an informed decision about whether to call for a doctor. This decision ultimately saved the woman’s life. Patient Preferences and Decision Making Assignment Discussion

Including patient preferences and values might impact the trajectory of the situation by helping to ensure that patients receive the treatment they desire and need. Although the husband was unwilling to call a doctor, he had to call the doctor as the woman had instructed, and this saved the woman’s life. This shows the importance of listening to patients and considering their decisions when developing treatment plans.

When the woman’s husband called, I acted fast to inform the attending doctor. According to Hoffman et al. (2014), nurses have a responsibility to be proactive and ask questions that will help the clinician make better decisions. In this case, I was able to provide important information about the patient’s health and preferences in a way that helped inform the doctor’s decision-making. By doing so, I was able to improve the patient’s outcome and demonstrate the value of using an effective patient decision aid. Effective communication is crucial when deciding on the patient’s treatment plan, and in this case, my ability to pass the information as quickly as possible helped the doctor to attend and save the life of the woman (Kon et al., 2016). The patient decision aid I selected is referred to as the “Patient Preference Form” and is designed to help patients communicate their healthcare preferences. This document can be filled out by patients before they come into the hospital or anytime during their hospital stay (Hartono et al., 2017). By gathering this information, the hospital can better understand and meet the needs of its patients. Additionally, by knowing what patients want and need, the hospital can reduce confusion and anxiety during their stay. Patient Preferences and Decision Making Assignment Discussion

Use of Decision-Aid Inventory in my Professional Practice or Personal Life

Nurses play an important role in patient care by informing and assisting clinicians with decisions about patient care. As a nurse, I would use this decision-aid inventory to help me make better decisions when interacting with patients. By understanding their preferences and health conditions, I can provide the best possible care for them. In addition, I would recommend this tool to family and friends who are also dealing with health issues. By understanding the information on the decision-aid inventory, they can make informed decisions about their treatments as well.

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References

Hartono, E., Putra, S. & Malinta, U. (2017). Use of Patient Preference Form to Evaluate Patients Satisfaction of OBGYN Outpatient Service in Dr. Wahidin Sudirohusodo Hospital Makassar – Indonesia. https://www.sciencepublishinggroup.com/journal/paperinfo?journalid=254&doi=10.11648/j.ajcem.20170502.16

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

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 Patient Preferences and Decision Making Assignment Discussion