“I'd Recommend …” How to Incorporate Your Recommendation Into Shared Decision Making for Patients With Serious Illness

“I'd Recommend …” How to Incorporate Your Recommendation Into Shared Decision Making for... Patients and families facing serious illness often want and need their clinicians to help guide medical decision making by offering a recommendation. Yet clinicians worry that recommendations are not compatible with shared decision making and feel reluctant to offer them. We describe an expert approach to formulating a recommendation using a shared decision-making framework. We offer three steps to formulating a recommendation: 1) evaluate the prognosis and treatment options; 2) understand the range of priorities that are important to your patient given the prognosis; and 3) base your recommendation on the patient's priorities most compatible with the likely prognosis and available treatment options. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Pain and Symptom Management Elsevier

“I'd Recommend …” How to Incorporate Your Recommendation Into Shared Decision Making for Patients With Serious Illness

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Publisher
Elsevier
Copyright
Copyright © 2018 American Academy of Hospice and Palliative Medicine
ISSN
0885-3924
D.O.I.
10.1016/j.jpainsymman.2017.12.488
Publisher site
See Article on Publisher Site

Abstract

Patients and families facing serious illness often want and need their clinicians to help guide medical decision making by offering a recommendation. Yet clinicians worry that recommendations are not compatible with shared decision making and feel reluctant to offer them. We describe an expert approach to formulating a recommendation using a shared decision-making framework. We offer three steps to formulating a recommendation: 1) evaluate the prognosis and treatment options; 2) understand the range of priorities that are important to your patient given the prognosis; and 3) base your recommendation on the patient's priorities most compatible with the likely prognosis and available treatment options.

Journal

Journal of Pain and Symptom ManagementElsevier

Published: Apr 1, 2018

References

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