Discussion: Patient Preferences and Decision Making
Discussion: Patient Preferences and Decision Making
Discussion: Patient Preferences and Decision Making
Discussion: 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. Discussion: Patient Preferences and Decision Making
ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS
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,” thenBrowse 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. Discussion: Patient Preferences and Decision Making
Editor: We get many patients suffering from mental illness who are constantly readmitted for other medical illnesses such as heart failure for example, due to the fact that they are discharged without sufficient mental health treatment or outpatient follow up. This is something I’ve personally experienced and have tried to explain to the docs. Although, more extensive mental health (outpatient) needs to be available to the public. This may be something you can draw from possibly.
| Excellent | Good | Fair | Poor | ||
| Main Posting | 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors. |
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style. |
|
| Main Post: Timeliness | 10 (10%) – 10 (10%)
Posts main post by day 3. |
0 (0%) – 0 (0%) | 0 (0%) – 0 (0%) | 0 (0%) – 0 (0%)
Does not post by day 3. |
|
| First Response | 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives. Discussion: Patient Preferences and Decision Making
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
|
| Second Response | 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English. |
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
|
| Participation | 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days. |
0 (0%) – 0 (0%) | 0 (0%) – 0 (0%) | 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days. |
|
| Total Points: 100 | |||||
Solution
Patient Preferences and Decision Making
In the modern day, access to information has been enabled by advanced technology and ease of accessing information. Medical technology has also facilitated the same by introduction of tele health applications, where patients can critically evaluate themselves before presenting to the physician. This has aided disease diagnosis in medical centres, and improved confidence of patients as they meet their physicians.
Patient assisted decision making is a very crucial method of disease diagnosis, treatment and management, mainly involving a health professional, patient and mostly the caregiver. Patients more frequently prefer shared decision making than physicians predict (Bruera et al.,2001). There is evidence that shared decision making may result in improved patient satisfaction and lead to better compliance and health outcomes (Greenfield et al., 1985).
Mental illness is a disease across all ages caused by several factors or other conditions like heart disease, Alzheimer’s disease, Parkinson’s disease, heart failure or stroke in adults. The disease can also occur following chronic depression and apnea. According to the Ottawa diagnostic aid, proper decision making for disease diagnosis and treatment incorporates a patient assisted diagnosis because of the nature of the disease, to ascertain development due to an underlying cause. Discussion: Patient Preferences and Decision Making
In a case study, a client who presented themselves without an assisted caregiver turned out to be mentally ill after a mental examination using a computer assisted diagnosis. Treatment plan was offered for the mental illness only, since the patient could not remember any other previous conditions due to the cognitive impairment associated with the disease (Bature et al.,2017).
After the successful treatment plan was offered, patient was diagnosed months later with chronic heart failure. In most mental illnesses, patient assisted diagnosis helps in identification of underlying conditions and early treatment before their progression. However, it requires a trusting patient physician shared relationship for a proper patient assisted diagnosis (Kraetschmer et al, 2004), which could be difficult for such patients.
ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS
Incorporating a patient assisted diagnosis as part of shared decision making model for mental health patients provides enough diagnostic evidence for the treatment plan, because of the following reasons (Perestelo et al,2011):
- Both people receiving and delivering care can understand what’s important to the other person.
- People feel supported and empowered to make informed choices and reach a shared decision about care.
- Health and social care professionals can tailor the care or treatment to the needs of the individual.
- Health care professional can ascertain other underlying conditions in the patient due to more information presented on clinical symptoms.
References
Bature, F., Guinn, B. A., Pang, D., & Pappas, Y. (2017). Signs and symptoms preceding the diagnosis of Alzheimer’s disease: a systematic scoping review of literature from 1937 to 2016. BMJ open, 7(8). https://content.iospress.com/articles/journal-of-alzheimers-disease-reports/adr180064
Bruera, E., Sweeney, C., Calder, K., Palmer, L., & Benisch-Tolley, S. (2001). Patient preferences versus physician perceptions of treatment decisions in cancer care. Journal of clinical oncology, 19(11), 2883-2885. https://ascopubs.org/doi/full/10.1200/JCO.2001.19.11.2883
Greenfield, S., Kaplan, S., & Ware Jr, J. E. (1985). Expanding patient involvement in care: effects on patient outcomes. Annals of internal medicine, 102(4), 520-528. https://www.acpjournals.org/doi/abs/10.7326/0003-4819-102-4-520
Kraetschmer, N., Sharpe, N., Urowitz, S., & Deber, R. B. (2004). How does trust affect patient preferences for participation in decision‐making? Health Expectations, 7(4), 317-326. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1369-7625.2004.00296.x
Perestelo-Perez, L., Gonzalez-Lorenzo, M., Perez-Ramos, J., Rivero-Santana, A., & Serrano-Aguilar, P. (2011). Patient involvement and shared decision-making in mental health care. Current clinical pharmacology, 6(2), 83-90. https://www.ingentaconnect.com/content/ben/ccp/2011/00000006/00000002/art00004. Discussion: Patient Preferences and Decision Making
