M6W11: Patient Involvement in Health Care Decision Making and Outcome of Treatment.
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Jan 09, 2021
M6W11: Patient Involvement in Health Care Decision Making and Outcome of Treatment.
Recent studies indicate that the involvement of patients in decision making contributes to better treatment outcomes (Hoffman etal.,2014). Despite this revelation, some providers and healthcare professionals still disregard patients’ participation in decision-making, which has resulted in the increased cost of care, increased medical errors, readmission, and improved patient mortality (Vahdat et al., 2014). Patients’ involvement also encourages patients to participate in their treatment process actively and adhere to the treatment plan willingly, considering the desired outcome (Makkar et al., 2019). This paper will discuss a case scenario I experienced on lack of patient involvement in healthcare decision making and its impact on the treatment plan. It will also include a discussion of the effect that patient participation would have and finally elaborate on how a selected decision aid from the Ottawa Hospital inventory might promote effective decision making.
A patient once appeared in the facility with the need of obtaining long term birth control treatment. The patient wanted a method that could not significantly affect her sexual drive but still prevent her from getting children soon. As a result, the patient ended up getting a copper IUD. After six months, the patient returned with the need for removal of the IUD. The reason behind that was that she ended up adding excessive weight, which made her less appealing to her husband. In return, the husband was annoyed by realizing her choice (which was also not accepted by their religion), which affected her marriage life. In the same time frame, the husband gave her a divorce.
In this case, the failure to involve the patient in decision-making greatly affected the treatment outcome. The patient no longer needed the birth control method, and she also had a psychological breakdown. Before offering a treatment plan, the care professional should have provided all the available options while stating its side effects, asked the patient if the method is acceptable in their religion, and discussed with her partner before effecting the treatment plan. All these were not included in the program since the care provider went with the method he thought is preferable to the patient based on her requirement. Informed consent is vital in healthcare, and any treatment plan usually affects patients’ social and economic lives differently.
The Ottawa Hospital Decision Aid Inventory dictates that selecting birth control options should involve patients’ maximum participation. Based on the International Patient DecisionAid Standards, birth control decision meets 7 out of 7 criteria to be considered a treatment requiring patient decision aid. On the other hand, the same scenario meets 5 out of 8 measures in lowering the risk of making biased decisions (Ottawa Hospital Research Institute, 2019). Generally speaking, it is crucial to involve the patient in making this decision to include appropriate questions and information, e.g., the drug’s side effects, religious acceptance, and others. If the patient knew of the side effects and talked to the partner about the plan before actualization, the two would have opted for another favorable option. The result would have been a better mental and physical state of the patient and the absence of divorce. On the other hand, the overall cost of the plan would have been managed according.
The decision aid inventory is essential in providing evidence-based information that helps guide decision-making for the care providers and the patients (Lopez-Olivo and Suarez-Almazor, 2019; Melnyk and Fineout-Overholt, 2018). As a professional, I plan to use the tool to determine the extent of patient involvement in every condition, thus enhancing the quality of service I deliver and increasing patient involvement and satisfaction. As an Individual, I plan to use the same information to learn key areas that I need to participate as a patient, thus help doctors deliver better care to me, my family, relatives, or any other individual receiving treatment.
References
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence- based medicine and shared decision making.Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Lopez-Olivo, M. A., & Suarez-Almazor, M. E. (2019). Digital Patient Education and Decision Aids. Rheumatic diseases clinics of North America, 45(2), 245–256. https://doi.org/10.1016/j.rdc.2019.01.001
Makkar, N., Jain, K., Siddharth, V., & Sarkar, S. (2019). Patient Involvement in Decision- Making: An Important Parameter for Better Patient Experience-An Observational Study (STROBE Compliant). Journal of patient experience, 6(3), 231–237. https://doi.org/10.1177/2374373518790043
Melnyk, B. M., & Fineout-Overholt, E. (2018).Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
Ottawa Hospital Research Institute. (2019). .BirthContro Options : Things to consider. Patient Decision Aids.https://decisionaid.ohri.ca/Azsumm.php?ID=1046
Vahdat, S., Hamzehgardeshi, L., Hessam, S., &Hamzehgardeshi, Z. (2014). Patient involvement in health care decision making: a review. Iranian Red Crescent medical journal, 16(1), e12454. https://doi.org/10.5812/ircmj.12454
Patient Involvement in Health Care Decision Making and Outcome of Treatment.
Question
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
o Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
• NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.