What if the patient’s desire is unachievable or unrealistic or both?
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Replying to @doctorcaldwell @bill_russell3 and
Then that conversation is even more valuable
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Replying to @Katie497 @doctorcaldwell and
Any consultation that fails to ask about desired outcomes and explains in an understandable way, the risks & benefits, is a flawed consultation. It may take several consultations before a decision can be made. How often does that happen in a hospital?
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Replying to @bill_russell3 @Katie497 and
Hospitals are not conducive to Shared Decisions Makinghttps://www.dropbox.com/s/dcnsymnxf555tnz/What%20factors%20mitigate%20against%20shared%20decision.pdf?dl=0 …
1 reply 3 retweets 8 likes -
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.
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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
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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 @bill_russell3 and
I know. And such assumptions drive me nuts!! I find a brief CPD session on the subject of medical consent usually nips that nonsense in the bud. But not all patients are as informed or as confident in their own position to do that. It can provoke a lot of stunned looks mind you.
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Sorry - Continual Professional Development. Ongoing training requirement, basically. If they behave in a way that suggests they are in need of training, then I offer it on the spot. Learning the rules/laws of consent really has transformed the quality of my family's consultations
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This applies to all work areas: People, Process, Product, and Technology...pic.twitter.com/Rueof9JVb9
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