Hospitals are not conducive to Shared Decisions Makinghttps://www.dropbox.com/s/dcnsymnxf555tnz/What%20factors%20mitigate%20against%20shared%20decision.pdf?dl=0 …
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Replying to @doctorcaldwell @bill_russell3 and
"I believe if we don’t make that small connection with the person, who is becoming a patient, we start on the slippery path to disease centred care". >That is without doubt the best piece I've seen of yours. Right up my street. Excellent read and very much on point - thank you!
1 reply 5 retweets 11 likes -
Replying to @C7RKY @doctorcaldwell and
For the record, I don't believe in shared decision making. I believe it's my decision and mine alone. A clinician's role is to guide me in that decision using their specialist knowledge. Always more likely we'll defer to 'expertise' in an emergency situation though. Me included.
7 replies 7 retweets 14 likes -
Replying to @C7RKY @bill_russell3 and
But so often we Doctors make the decisions ‘You will have these blood tests, these X rays and scans’ with no or little explanation
3 replies 6 retweets 8 likes -
Replying to @doctorcaldwell @C7RKY and
Doctors hold so much power in the Patient Doctor Consultation that we greatly influence the patient’s decisions
@trishgreenhalgh@JohnLauner2 replies 7 retweets 10 likes -
Replying to @doctorcaldwell @C7RKY and
#doctors are powerful so we must never misuse that power and use it always for the#patients benefit and not our benefit. Doctor and leader is simply serving humanity with sincerity honesty and integrity@willcpowell@GarethR08754256@didoharding@RobBehrens1884@RameshMehta152 replies 3 retweets 9 likes -
Replying to @DrUmeshPrabhu @C7RKY and
Put an 85y patient with end stage renal failure before 2 renal Physicians, one will persuade patient to have dialysis and the other persuade patient to not have dialysis such is the power of the Doctor We should at least know the power of our position
5 replies 10 retweets 18 likes -
Replying to @doctorcaldwell @DrUmeshPrabhu and
How about give the patient the options and probable outcomes for each and let them decide?
3 replies 4 retweets 8 likes -
Replying to @dymonite69 @doctorcaldwell and
YES!! Informed consent is alive and it lives down under - thank you! That's exactly what I expect as a patient.
2 replies 2 retweets 5 likes -
Replying to @C7RKY @dymonite69 and
Informed consent.. still requires to be “informed” the line blurs when we as practitioners think we know best...any best practice is governed consultativeky not authoritatively...we all know this...let’s redefine the perception!
2 replies 3 retweets 2 likes
John Clarke Retweeted John Clarke
Trust me, I know! I have several soap boxes, but the informed consent soapbox is by far the largest of my collection. :)https://twitter.com/c7rky/status/601118759995187201?s=21 …
John Clarke added,
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