Shared Decision Making

A tutorial plan

A patient who didn’t adhere to a plan. Why?

  • No ICE
  • Health beliefs
  • Previous knowledge
  • Does the patient want information (20% don’t)? How do I find out?
  • Have I got enough information to be able to give information?
  • Frames of reference?
  • What does the patient already know
  • What information am I going to give? Where does it come from?
  • Phrasing in an understandable way
  • Chunk and check
  • Relating information to the patient’s framework
  • Sharing the decision making
  • Creating a plan
  • Where next?
  • Ending the consultation
  • What helps?
  • What hinders?
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