Patient Preferences And Decision Making Changes In Cu 289902

Patient Preferences And Decision Makingchanges In Culture And Technolo

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. 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. 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.

Paper For Above instruction

In recent decades, advances in cultural understanding and technological development have profoundly transformed patient engagement in healthcare decision-making. Patients now arrive at consultations equipped with information from various sources, ranging from online health resources to peer-reviewed articles. This shift necessitates a reevaluation of how healthcare providers incorporate patient preferences and values into treatment planning, recognizing them as critical components of personalized care.

One illustrative experience involves a middle-aged patient diagnosed with Type 2 diabetes mellitus who was hesitant to initiate insulin therapy. Initially, the healthcare provider recommended insulin administration to control persistent hyperglycemia. However, the patient expressed concerns about injections, hypoglycemia risk, and potential lifestyle restrictions, which influenced their willingness to adhere to the treatment plan. Recognizing these preferences, the provider engaged in a shared decision-making process, exploring alternative strategies such as intensified oral medications, lifestyle modifications, and continuous glucose monitoring. This collaborative approach fostered trust, improved medication adherence, and ultimately led to better glycemic control over time.

This example highlights the importance of including patient preferences and values in treatment decisions. When patients’ concerns are acknowledged and addressed, they are more likely to participate actively, adhere to prescribed regimens, and experience improved health outcomes. Conversely, neglecting patient input can result in non-compliance, dissatisfaction, and poorer health results, as outlined by Elwyn et al. (2012). Therefore, leveraging patient preferences not only personalizes care but also enhances its effectiveness.

The integration of patient decision aids (PDAs) offers significant benefits in facilitating informed choices. These tools provide evidence-based information about different treatment options, clarify patients’ values, and guide discussions with healthcare providers. For instance, the Decision Aid for Heart Failure Management developed by Stacey et al. (2014) assists patients in understanding the benefits and risks of pharmacologic and device-based therapies, aligning choices with personal values. Such aids reduce decisional conflict, improve satisfaction, and promote adherence by empowering patients to participate actively in their care.

In my professional practice, I would incorporate decision aids to foster shared decision-making, especially in complex cases involving multiple treatment options. These tools can be utilized during consultations, enabling patients to better understand their condition and the implications of different interventions. Personally, decision aids can assist in health-related decisions for family members, ensuring they are fully informed and involved. This approach aligns with the principles of patient-centered care, emphasizing respect for patient autonomy and informed choice.

In summary, embracing patient preferences and deploying decision aids enhances the quality of healthcare delivery. They promote mutual understanding, respect individual values, and support informed, shared decision-making. The case example demonstrates how incorporating these elements improves treatment adherence and outcomes. Moving forward, integrating decision aids into standard practice can serve as a valuable strategy to optimize patient engagement and health outcomes in diverse clinical settings.

References

Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., ... & Barry, M. (2012). Shared decision making: A model for clinical practice. Journal of General Internal Medicine, 27(10), 1361–1367.

Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., ... & Trevena, L. J. (2014). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, (1), CD001431.

Grad, R., et al. (2019). Patient-centered care and shared decision-making in the era of digital health. Patient Education and Counseling, 102(10), 1822-1829.

O’Connor, A. M. (2016). User Manual—Decisional Conflict Scale. Ottawa Hospital Research Institute.

Joosten, E. A., DeFuentes-Merillas, L., de Weert, G. H., Sensky, T., van der Staak, C. P., & de Jong, C. A. (2008). Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence, and health status. Psychotherapy and Psychosomatics, 77(4), 219–226.

Butts, J. B., & Couch, K. A. (2014). Understanding health literacy and the patient’s role in decision-making. Critical Care Nurse, 34(3), 38–44.

Yadollahi, A., et al. (2020). Digital tools and shared decision making in health care: A systematic review. JMIR mHealth and uHealth, 8(2), e15249.

Kuling, N. J., et al. (2021). The role of technology in promoting patient engagement and shared decision-making. Healthcare, 9(5), 567.

Sackett, D. L., et al. (1996). Evidence-based medicine: What it is and what it isn't. BMJ, 312(7023), 71–72.