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Shared Decision Making

DECIDE Model

  • Define:

    • We are making a decision about X

    • Check if this is ok time for this, or anyone else should be present
  • Explain:

    • Can we start by talking about your health problems/situation

    • Checking what they already know, and whether thet have questions or worries
  • Consider:

    • Let's talk about available options/likely benefits/risks or harms

    • Talking about the options including the pros and cons:
      • BRAN:
        • Benefits
        • Risks
        • Alternatives
        • Nothing
  • Invite:

    • I'd like to hear about what matters to you

  • Decide:

    • Let's find the right option for you

    • Asking what they think, asking if they mind what I suggest
  • Evaluate:
    • You think the best option is Y because... Is that right?

Summarising Above

Introducing the situation, clarifying what we both know to start off with. Explain the options and find out what matters to patient Make a decision and clarify why that one.

Online masterclass

  • 4 roles: chair, lead tutor, senior tutor, simulated professional

Anticipatory Care Planning

REDMAP

  • Ready:

    • Can we talk about your health and care?

  • Expect:

    • What do you know/ want to tell or ask me?

  • Diagnosis:

    • We know/dont know

  • Matters:

    • What is important to you/your family?

  • Actions:

    • What we can do...

    • This will not help...

  • Plan:

    • Lets plan ahead for when/if