Right care sdm_launch_presentation_sept_2011
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1) Patients want more involvement in treatment decisions and to feel that doctors provide information on options and consider their preferences. 2) Variation exists in treatment approaches and outcomes across different regions of the UK, and identifying unwarranted variations is important for improving care quality. 3) Shared decision making requires clinicians and patients to discuss experiences of illness, social circumstances, risk attitudes, values, preferences, diagnoses, prognoses, and treatment options to make informed healthcare choices.
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COPD Lecture 7 Medication adherence in chronic obstructive lung diseases
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INTRODUCTION
TYPES
PATHOLOGY
RISK FACTORS
CLINICAL FEATURES
DIAGNOSIS
MANAGEMENT
COMPLICATION
COPD AND ASTHMA
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WhereArePatientsinDecisionMaking
This policy brief discusses strategies to increase patient engagement in their own healthcare. It outlines three key areas: improving health literacy, promoting shared decision-making, and supporting self-management of chronic conditions. Effective interventions include providing tailored written and online health information, training healthcare professionals in communication skills, using decision aids and question prompts, and delivering self-management education programs. Governments need a coherent strategy targeting multiple levels to inform and empower patients in their care.
WhereArePatientsinDecisionMaking
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The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed.
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The chronicity of COPD allows for self management by sufferers. (Spencer & Barcomb 2014). The self management goal is reduced hospital admissions and improved life quality (Bedra et al 2013). Sufferers should have access to a wide range of skills available from the multidisciplinary team. Those include exacerbation limitation, respiratory failure, chronic productive cough and anxiety and depression.
Symptom Recognition.
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Treatment.
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For breathlessness and exercise limitations: A short acting Beta2 agonist (as required) or short acting muscarinic antagonist (as required).
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- 1. The Right Care Shared Decision Making Programme Dr Steven Laitner GP and National Clinical Lead for Shared Decision Making
- 2. Why? % Wanted more involvement in treatment decisions: Source: NHS inpatient surveys
- 3. Doctor always gives information about treatment choices and elicits preferences
- 4. Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5.( “ wrong patient error ” ) Whole Group High-Comorbidity Murtagh et al. NDT 2007
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- 10. NHS Direct Patient Decision Aids NHS Direct Patient Decision Aids
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Editor's Notes
- The aim of the National Shared Decision Making (SDM) Programme is to promote patient centred care, to increase patient choice, autonomy, involvement and empowerment in clinical decision making - “ no decision about me without me” - and to embed SDM in routine NHS care . The SDM Programme is part of QIPP Right Care and comprises three workstreams, which will also be described as Lots, for the purpose of the competitive tender process: Lot 1: Developing a suite of Patient Decision Aids (PDAs) and related tools, together with Patient Decision Support (e.g. telephone coaching); Lot 2: Embedding Patient Decision Aids and Shared Decision Making in routine NHS Systems (commissioning and provision); Lot 3: Creating a receptive culture among physicians, patients and the general public for Shared Decision Making;
- PDAs Are self administered tools that prepare patients for making informed decisions about medical test or treatments They are designed to increase a patient ’s awareness of expected outcomes and their own personal values