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Respond to each posts below by offering 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.
100-150 words on each post. APA Format 2 references and 2 intext citation
Loveth post
Integrating patient preferences into treatment plans is essential in promoting patient-centered care. During a recent clinical encounter, I saw a patient with a chronic kidney disease who was requiring dialysis. The patient was not included in the decision-making process on her course of treatment. The healthcare team used clinical competence and guidelines, which did not consider patient choices and values. They arranged post-hospital treatment, like places to go for dialysis, without asking the patient about their preference. However, this patient needed to be more engaged in the decision-making process, which means she cannot agree with treatment that has undesirable results. The lack of patient involvement resulted from the management team’s incapacity to effectively handle social determinants of health, such as patient financial status and neighborhood settings. To guarantee the best possible outcome for the patient, healthcare practitioners should include the patient in the plan of care to promote compliance (Engle et al., 2021).
I chose the Ottawa Hospital Research Institute’s Decision Aid Inventory, which has a specific section for chronic issues. Hospital Decision Aid Inventory and patient decision aids are instruments used to help patients participate in their healthcare decisions (Ottawa, 2023). This decision support functioned as an instructional tool. It provided patients with tangible treatment options and associated risks and benefits, allowing them to make decisions that matched their preferences and values (Witteman et al., 2021). This is also a helpful consideration when examining the social determinants of health.
I picked one of the decision aids from the Decision Aid Inventory of the Ottawa Hospital Research Institute, which is mainly for chronic problems. This decision aid also served as an educational measure since it offered concrete treatment modalities and related risks and benefits, enabling patients to make choices aligned with their values and preferences (Witteman et al.,2021). A helpful section of the decision aid that addressed the financial outcome of various treatment options was included while examining the socioeconomic determinants of health. This section offered more information about patient care. This decision support allowed patients to actively engage in decision-making processes that could have positively impacted the quality of their health outcomes as part of the patient care plan.
Employing the instance mentioned in this manner is a crucial choice for a patient’s decision aid in my professional practice in the future. These tools support a patient-centered strategy focused on uniqueness and socioeconomic variables contributing to health dysfunction and encouraging patients.
Reference
Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care: Doing both well.
Health care management review,
46(3), 174–184.
to an external site.
Nutbeam, D., & Lloyd, J. E. (2021). Understanding and responding to health literacy as a social determinant of health.
Annu Rev Public Health,
42(1), 159-73.
Ottawa Hospital. (2024).
Decision Aid Summary; Kidney Failure: What type of Dialysis should I have?
to an external site.
Witteman, H. O., Maki, K. G., Vaisson, G., Finderup, J., Lewis, K. B., Dahl Steffensen, K., & Volk, R. J. (2021). Systematic development of patient decision aids: an update from the IPDAS collaboration.
Medical Decision Making,
41(7), 736-754.
Daniel post
During a recent incident at the emergency department, a patient arrived with sudden and severe pain in the abdomen. After examination, it was determined that the patient had appendicitis, and needed immediate an immediate appendectomy. During the preparation for the surgical intervention, the patient exhibited resistance by expressing concerns regarding probable complications and the recovery process. The attending physician and I, acknowledging the significance of integrating patient preferences into the treatment plan, participated in a collaborative decision-making process. Aids from the Ottawa Hospital Research Institute’s could have been used, particularly the “Decision Aid for Appendectomy,” the team could have engaged in a thorough conversation with the patient, providing information on the potential risks, advantages, and alternative choices (Ottawa Hospital Research Institute, n.d.). The team did take into account the patient’s values and concerns and addressed both the medical and psychosocial consequences of the treatment.
The integration of patient preferences and values, along with an understanding of social determinants of health, had a substantial influence on the result of the treatment plan. The team specifically addressed the patient’s apprehension of postoperative problems and the potential consequences on their career and family responsibilities. Furthermore, acknowledging the patient’s unreliable transportation and restricted access to postoperative treatment in their area, appropriate measures were taken to arrange for home health services and follow-up appointments that are more conveniently located near the patient’s domicile. This comprehensive strategy not only increased the patient’s experience but also bolstered compliance with the treatment plan and mitigated the likelihood of negative outcomes (Raphael, Bryant, & McKenzie, 2020). The appendectomy decision aid aided this process by offering organized information and promoting patient involvement, ultimately resulting in a more knowledgeable and tailored decision (O’Connor et al., 2009). By incorporating decision aids into professional practice, healthcare providers can effectively navigate intricate medical decisions while taking into account the unique requirements and circumstances of each patient. This approach promotes patient-centered care and enhances health outcomes.
Refernces
O’Connor, A. M., Bennett, C. L., Stacey, D., Barry, M. J., Col, N. F., Eden, K. B., . . . & Holmes-Rovner, M. (2009). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, (3).
to an external site.
Ottawa Hospital Research Institute. (n.d.). Decision Aids Inventory. Retrieved from
to an external site.
Raphael, D., Bryant, T., & McKenzie, J. (2020). Social determinants of health: Canadian perspectives (4th ed.). Canadian Scholars.
