Discussion: Patient Preferences and Decision Making Paper
Discussion: Patient Preferences and Decision Making
Three months ago, I had an experience with a 30-year-old female patient who reported in the inpatient cancer treatment facility where I was working as a charge nurse. The patient had breast cancer that had become too severe, leading to chronic pain. After the diagnosis, the patient was incorporated into developing the treatment plan. She was presented with two treatment options for her condition, including mastectomy and breast-conserving surgery as provided in the Decision Aid tool for breast cancer (Ottawa Hospital Research Institute, 2019). According to the patient’s preferences, she opted for removing the breast, which the attending doctor had to respect.
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However, during the initiation of the treatment plan, the patient preferred that she be assigned a female caregiver due to her Islamic culture, which the medical team gladly accommodated in the plan. This is because respecting her care preference means that she would comply with the treatment plan. Hence, the patient always remained receptive to the treatment she underwent, ensuring that her anxiety about the type she would receive was eliminated because her preferences were well taken care of throughout the treatment (Mathioudakis et a., 2019). As a result, the treatment was carried out smoothly.
In terms of Decision Aid (DA) selection, it is essential to consider other aspects, such as post-surgical treatments and care as the patient wishes, keeping in her preference to have a female caregiver. Therefore, the application of Evidence-based medicine (EBM) and shared decision making (SDM) would be an appropriate Decision Aid for the patient. The importance of using the DA is that it ensures that the treatment begins and ends with the patient while also focusing on other aspects, such as modesty and self-awareness of the care procedures (Simons et al., 2019).
Applying the DA inventory would be appropriate for my professional practice since it offers a wealth of information on all aspects of clinical care to promote the development of more informed interventions to help address patient conditions. Evidence-based medicine would be a critical tool for my practices because it integrates all the care need that a patient may require. This, in turn, can facilitate proper decision-making on what can work best for the patient.
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References
Mathioudakis, A. G., Salakari, M., Pylkkanen, L., Saz‐Parkinson, Z., Bramesfeld, A., Deandrea, S., … & Alonso‐Coello, P. (2019). Systematic review on women’s values and preferences concerning breast cancer screening and diagnostic services. Psycho‐Oncology, 28(5), 939-947.
Simons, M. R., Zurynski, Y., Cullis, J., Morgan, M. K., & Davidson, A. S. (2019). Does evidence-based medicine training improve doctors’ knowledge, practice and patient outcomes? A systematic review of the evidence. Medical teacher, 41(5), 532-538.
The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/
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.
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.