Tick - but everyone who looks at it, sees the same problem: reaching an effective solution, is much more difficult, based on 'the problem continuing to exist'.https://twitter.com/C7RKY/status/953994774834483200 …
The one clear thing about the phrase 'shared decision making' for me, is how clearly wrong it is. The ONLY one making this decision will be me, as a pt with capacity. And the only thing being shared will be the information the clinician is providing to help me decide.
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Shared Decision Making doesn't describe Informed Consent (which is Supported Decision Making). It doesn't describe MCA best-interests decision-making either (unless there are several welfare attorneys whose powers are 'joint'). https://www.dignityincare.org.uk/Discuss-and-debate/Dignity-Champions-forum/Patient-Centred-Care/869/ … Cliniicans LOVE 'shared DM'.
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Aah, ok. That makes me feel marginally better to hear the 'supported decision making' phrase alongside it. Your writings on best interest decision making is v interesting for me. I have POA in place for my relative now, but hadn't appreciated the significance of that terminology.
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Sadly, it isn't 'alongside'. Whereas the Royal College of Surgeons (England) avoided the use of shared decision making in its recent consent guidance, using supported decision making instead, most clinicians bandy about 'shared decision making' as it if means something!
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Hmmm. I'm glad to have become aware of this now, before the public consultation opens on GMC's review of consent guidelines - which I've had to wait 4 years for. I can see value in making efforts to ensure that phrase does not make an appearance.https://www.gmc-uk.org/guidance/news_consultation/30001.asp …
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See also my piece https://www.dignityincare.org.uk/Discuss-and-debate/Dignity-Champions-forum/My-reasons-are-my-own-it-is-entirely-up-to-me-whether-or-not-I-decide-to-share-them/870/ … The thing is - the MCA clearly says one thing [and it is a LAW] - but doctors persist in writing something else entirely!
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I'm not as familiar with the MCA as you - it wasn't a factor I had to account for - but other than that, this reads like something I might have written. I'm strongly in agreement with you. Particularly on there being no pt obligation to explain their decision.
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