Shared Decision Making
In this case study, Dr. Victor Montori professor of medicine at the Mayo Clinic in Rochester, Minnesota discussed what exactly is shared decision making. Dr. Montori is pioneering the concept of shared decision making, which he discussed in a two-part video (IHI, 2018). In part one of a two-part interview, he discussed how shared decision making can potentially change health care (IHI, 2018). In part two, Dr. Montori walks us through how to use some innovative tools with chronic care patients and shares a touching and humorous story about an elderly man (IHI, 2018). Dr. Montori states that shared decision making is a discussion that takes place between two parties, the clinician and the patient. It takes the patient expertise on their own health into the conversation and honoring it into the decision-making process (IHI, 2018). Shared decision making allows to make the options available clear, empower patients to consider the options and express their goals (IHI, 2018). Clinicians have more obligation to provide the most level of transparency into the decision-making process. Shared decision making allows health professionals to participate in a patient revolution and be an agent of change (IHI, 2018).
Discussion Questions
1) Reflect on the story of the 92-year-old man. Why did Dr. Montori choose to tell that one when asked about the benefits of the tools?
Answer: The story Dr. Montori chose to share about the 92-year-old man was very inspiring. I
Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication. The first method of communication is mutual respect. The patient and clinician have a partnership based on trust. The patient has respect for the clinician 's experience and the clinician has respect for the patient 's wishes, needs, concerns and builds on past experience to meet immediate needs. (Paget, 2011).
The thesis of this chapter states that in certain situations, it is crucial to listen to a medical professional, however, in others, it is very important to listen to yourself and also to do what you feel is right. The author of Complications," Atul Gawane, has written this specific chapter to persuade the reader of his thesis. If the choice you make is incorrect, then it could potentially be a matter of life and death. Atul Gawande gives multiple examples of patients that have made wrong and right decisions to prove his point. He uses the personal anecdotes of four different people, with four decisions to prove his point.
In some cases, a patient’s family states an opinion of the patient’s care plan before
In his 2011 essay “Cowboys and Pit Crews,” Atul Gawande said, success in the face of “complexity [in medicine] requires group success.” This concept drives the way I want to practice medicine. Complexity is inherent to medicine. It requires a multifaceted, cooperative approach to ensure patient safety and care. Most recently, I saw this in a palliative care physician.
Answer: Sanchez is heading in the right direction on writing out a list of target items that need to change in the practice. If I were either of these doctors I would listen to what the accountant had to say. She claims that there were three immediate problems that needed to be addressed right way. Those items she mentioned is the financial end of the business.
1. What errors did you see in protecting the patient’s privacy? There were several errors done on protecting patient’s privacy. Firstly, when Mildred soaked her bed, nurse shouted loudly asking for the clean bed sheet saying that the patient had soaked herself which is extremely embarrassing to her.
As a result, I will focus on the machines on the patient, but also the patients on the machine. Conclusion Ethical decision-making begins with a nurse aspiring to become a nurse leader. A nurse leader cannot provide the best care for a patient without proper communication. Communication allows the patient, nurse, and other healthcare team members to work coherently for the best plan of care.
What is legacy? According to Merriam-Webster, the definition of legacy is, “something transmitted by or received from an ancestor or predecessor or from the past.” What makes the thought of leaving a legacy so important? For most of us, something drives our lives.
Doctors and physicians have more and better knowledge than normal people about human body and they are able to assist their patients while making tough decisions. However, they can not always make the right decision. Doctors can not predict the result of a surgery or a treatment and they do not have enough confidence of the result because sometimes the surgery could go in a way they didn’t expect. Although patients have the right to decide their treatments, doctors and patients should share
Information processing theory The information processing theory is a structure which rationalises how people obtain; process and store information and knowledge (Tangen & Borders 2017, p. 99). The Information processing theory involves the clinical reasoning cycle and the information processing model. The clinical reasoning cycle is a model which guides nurses and other health practitioners in making clinical judgements (Levett-Jones 2018, p. 4).
She must understand the doctor's instructions and the patient's concerns. Her communications skills focus on both giving and receiving information as well as creating an environment of confidence. Some consequences of ineffective communication can be chaos, confusion, disorder, fear, conflict, inefficient systems, and wasted resources (Vertino, 2014). An ineffective communication can lead to errors in patient’s misdiagnosis and even medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful.
For example, in the health care provider field, the nurses should collaborate with the other health care professional like the doctor, pharmacist, physiotherapy or the radiography in order to achieve the common goal which for the patient’s