Discussion 2: Potential impact of patient decision aids 

Potential impact of patient decision aids: Offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared…

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Discussion 2: Potential impact of patient decision aids 

Paper details

Offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared. Attached is the Discussion piece to respond to… I have also included some resources that 2 of them should be included in the response.

Solution

I agree that patient participation is vital in healthcare settings. In the given case, the patient had a negative experience in the hospital by asking for a discharge from the facility. This shows that the patient felt disregarded and reduced trust in the hospital’s healthcare providers. Additionally, following the judgment of the health providers, they ignored her claims, and her panic symptoms worsened. The patient felt that the nurse and admitting physician judged her for her substance use and ignored her wishes to have benzodiazepines, which effectively relieved her panic attack symptoms.

Nonetheless, she was hesitant to take an antihistamine as she probably had previous experience with the medication, and it did not help relieve her condition. From this analysis, it is clear that the patient was aware of her condition and the kind of medication that relieves her symptoms more effectively. However, the nurse and the admitting physician prejudged her, claiming that she was a benzodiazepine addict. Also, they misinterpreted her panic symptoms with medical-seeking behaviors. As a result, there was a conflict between the patient and the health providers.

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While there are instances where substance abuse patients may go to the extreme to seek a clinician’s attention for a given medication, it is best first to evaluate the situation and listen to the patient before making any prejudgment that would negatively affect the patient’s health. Specifically, patient participation is vital in delivering positive patient outcomes. While it mainly includes engaging in treatment decisions about their health issues, patient participation also includes patient involvement in sharing information and feelings while accepting the clinician’s instructions (Vahdat et al., 2014).

Patient participation in health decision-making motivates the health care team to involve patients in the healthcare procedures from admission to discharge. This involvement makes it easier to understand the patient’s preferences in medication, values, and beliefs on various surgical procedures. In addition, with enhanced patient participation, patients are considered equal partners in healthcare decision-making and are actively encouraged to participate in the treatment procedures and follow the medication given, which improves overall health outcomes.

Several benefits exist regarding patient participation in healthcare decisions. First, the provision of patient-centered health care services based on the patient’s preferences and needs while considering the same for their caregivers and community improves and enhances the healthcare system to gain public approval and confidence in their services (Vahdat et al., 2014). As a result, there are increased chances of providing cost-effective and appropriate healthcare services, enhanced health outcomes, improved quality of life, and patient satisfaction (Kon et al., 2016).

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Second, according to Hoffman (2014), one of the fundamental policies in the new healthcare systems, especially in developing countries, is valuing patient rights and considering them pivotal in providing healthcare services. Specifically, it emphasizes the need for patient participation and creates opportunities for every member of society to make decisions regarding their health care services. Additionally, with the diversity in today’s society, patients from different communities have different views on treatment procedures. Therefore, health providers should be flexible enough to enhance satisfaction with individuals with their specific preferences.

Third, ensuring that patients provide information on their health condition, including diagnosis and treatment, is necessary to provide quality and safe health services. In this regard, health providers should always inquire as much information from the patient rather than conducting physical examinations or relying on objective data, especially if it is a recurrent condition. However, while some patients give inaccurate information regarding their condition, clinicians should now conduct lab tests or physical examinations to diagnose and treat correctly.

Nonetheless, providing appropriate information may be a hectic process without a development procedure. In this case, clinicians should survey the patient’s previous experiences and aspects of quality life, including pain, ability to move, and mental health. This information can help understand the patient’s viewpoint, and the clinician can then deliver quality healthcare on this basis.

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In this regard, the patient and health providers have an equal role in partnering to deliver quality healthcare. Specifically, patients should voice what they feel is the most appropriate treatment plan to share information regarding their condition and their values and beliefs towards specific health procedures. On the other hand, healthcare professionals should listen to the patient’s needs and act accordingly to meet them, improving patient satisfaction (Hoffmann et al., 2014). However, they should always countercheck to ensure they treat the patient’s condition to avoid misdiagnosis, one of the leading causes of death in healthcare.

Nonetheless, while providers may not always agree with the patient’s needs or beliefs, it is essential to be flexible and consult with the caregivers to ensure they offer the proper treatment. For example, if a patient prefers a particular medication, which may have adverse side effects, is less effective or does not work well on the patient, especially if they have other preexisting condition, the clinician may have a different choice of medication that is more appropriate for the patient’s condition.

In this case, clinicians should explain why a specific medication is ineffective. Additionally, they can offer the patient alternatives to enhance quality care delivery. While the patient’s views should be respected, patient participation also involves following instructions given by the health providers to improve their condition.

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References

  • Hoffmann, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. JAMA, 312(13), 1295. https://doi.org/10.1001/jama.2014.10186
  • Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision-making in ICUs. Critical Care Medicine, 44(1), 188-201. https://doi.org/10.1097/ccm.0000000000001396
  • 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).

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