Patient Preferences And Decision Making Discussion

Patient Preferences And Decision Making Discussion

Response 1

Thank you for providing such a detailed scenario and question. I appreciate your engagement with the complex dynamics of patient preferences and treatment plans, particularly in a challenging psychiatric context. The case of the thirty-eight-year-old male in conservatorship highlights the delicate balance between patient input and the practicalities of implementing treatment plans. Patient Preferences And Decision Making Discussion

The precise requests made by the patient that were incorporated into the treatment plan based on a reward system highlight the potential influence that patient preferences may have on treatment outcomes. This is consistent with the Shared Decision Making (SDM) principles advocated by Danner et al. (2020). SDM principles place a strong emphasis on patient participation in medical decisions. The example also emphasizes the inherent difficulties in putting patient desires into practice, mainly when there are disagreements among staff personnel.

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The three-month period during which the administration enforced the treatment plan shed light on the patient’s response to a structured approach. It is intriguing how this falls under social determinants, as the facility becomes the patient’s home. The case exemplifies the importance of consistency and adherence to the agreed-upon plan. Deviations led to frustration and acting out. This raises a vital discussion regarding whether such interventions empower the patient or inadvertently enable manipulation. Patient Preferences And Decision Making Discussion

Significantly, you choose a patient decision aid for depression, especially for assisting patients with decision-making. Empowering the patient with knowledge and preferences has a positive effect. The tool’s consideration of the patient’s identity, priorities, and options is beneficial since it enables educated decision-making. This is consistent with the focus on decision-making tools by Nisar et al. (2021) for improving professional practice, particularly in financial-related activities.

Applying a systematic method like the patient decision aid offers a potential approach as you prepare for your future career as a psychiatric nurse practitioner. You can manage challenging decisions and encourage outcomes that align with the patient’s well-being and the larger healthcare objectives by involving patients in a thorough, step-by-step process. It will be essential to recognize the delicate balance between system manipulation and patient empowerment to respect patients’ wishes while retaining a broad view of treatment. Your insights into SDM and decision aids in psychiatric practice highlight the evolving nature of patient-centered care and its potential to yield positive outcomes. Patient Preferences And Decision Making Discussion 

References

Danner, M., Geiger, F., Wehkamp, K., Rueffer, J. U., Kuch, C., Sundmacher, L., … & Scheibler, F. (2020). Making shared decision-making (SDM) a reality: protocol of a large-scale long-term SDM implementation programme at a Northern German University Hospital. BMJ open, 10(10), e037575.

Nisar, Q. A., Nasir, N., Jamshed, S., Naz, S., Ali, M., & Ali, S. (2021). Big data management and environmental performance: role of big data decision-making capabilities and decision-making quality. Journal of Enterprise Information Management, 34(4), 1061-1096.

Response 2

Thank you for sharing your insightful perspective on the impact of patient preferences on treatment plans and outcomes. The discussion is focused on the context of limited financial means and social determinants of health. Learning about the benefits of engaging social work resources in patient cases is encouraging, as shown by the high blood pressure patient’s improved outcome. This underlines the vital function support services may play in ensuring patients get the needed medications and follow their treatment programs. Thus, potential adverse health effects are avoided. Patient Preferences And Decision Making Discussion

Your emphasis on social determinants of health is highly relevant. These factors significantly influence a patient’s ability to afford medications and make informed decisions about their health. The patient decision aids, do indeed appear to have a gap in addressing the specific challenges faced by individuals with limited resources and access to healthcare. Including information about available resources for financial assistance, lifestyle changes, and access to healthcare services within these aids could bridge this gap and provide a more holistic approach to patient education and decision-making (Crear-Perry et al., 2021).

The case you shared underscores the importance of incorporating comprehensive information into patient decision aids. Healthcare professionals must be aware of and address these challenges during patient interactions. Integrating information about available resources and support networks within the decision aids could empower patients to make well-informed choices that align with their circumstances. Patient Preferences And Decision Making Discussion

Your reference to the patient decision assistance for high blood pressure at The Ottawa Hospital also emphasizes the potential of such tools to improve patient participation and education. You make an excellent point about how these aids’ content needs to be expanded to include more comprehensive socioeconomic factors. Ensuring patients are aware of the available support systems and resources can significantly impact their capacity to effectively manage chronic diseases (Tzenios, 2019). Patient Preferences And Decision Making Discussion 

References

Crear-Perry, J., Correa-de-Araujo, R., Lewis Johnson, T., McLemore, M. R., Neilson, E., & Wallace, M. (2021). Social and structural determinants of health inequities in maternal health. Journal of women’s health, 30(2), 230-235.

Tzenios, N. (2019). The Impact of Health Literacy on Employee Productivity: An Empirical Investigation. Empirical Quests for Management Essences, 3 Patient Preferences And Decision Making Discussion