Do you have enough information to make a decision?.How do the benefits and harms weigh up for you?.What are the benefits and harms of these options?.You may like to use a series of questions to guide the process. decision talk – helping them explore options and make decisions.option talk – discussing the options and benefits and harms of each.choice talk – helping them understand that options exist.You may like to break the decision-making process into three parts: Make a decision or agree to defer the decision.Continue to deliberate until you all agree on one option (people often move from an initial preference to an informed preference).Make sure you understand what the person is saying and answer any questions they may have.Discuss what matters to the person and clarify how each option fits with their values, preferences, beliefs and goals.Explain the options and the benefits and harms of each, including the likelihood that these benefits or harms will occur.Explain the problem and invite the person to be involved in the decision-making process.While shared decision making should be tailored to each person and their situation, it usually involves the following steps. However, it does require strong two- way communication and recognition of each other’s expertise and perspectives. There is no universally agreed approach for shared decision making. two-way trust between the clinician and consumer.whether families and communities need to be involved.cultural considerations, such as who should be in the room.the person’s personal preferences, values and circumstances.the person’s capacity to access and afford healthcare.the physical benefits and burdens of each option.the person’s knowledge about treatment options.the benefits and risks of different options (including doing nothing).It also addresses components that influence how well they can manage their health. Shared decision making can increase consumer enablement by exploring what matters to people during the decision-making process. 5 It is particularly useful when the evidence does not overwhelmingly support one option over another. 4ĭiscussing options together can help people make an informed decision, reducing the risk of inappropriate or excessive treatment and associated costs. 3 Once they are fully informed about the tests or treatment, they tend to make more conservative decisions. When discussing healthcare interventions, most people overestimate the benefits and underestimate the harms.
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