*** CCM Ethics, RN and SW hours ***
Originally presented at 2021 Annual Conference
Originally presented at 2021 Annual Conference
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making decisions at a young age, progressing through our lifespan, in health,
as well as illness. How do we know what to do when one’s health status
changes, how are our coping skills brought into play? How will that impact the healthcare journey
for ourselves, our clients or even our loved ones? By approaching decisions systematically,
considering personal preferences, cultural implications and evidence based
practices, healthcare decision making is optimized. Utilizing shared decision
making (SDM) that includes patient engagement strategies, this will improve
patient experience, a key goal in the Quadruple Aim. Discussion will review
elements of shared decision making, such as care strategies, portals, and
patient education tools. Benefits vs risks of care options are key in
assisting patients’ decision making, but there must be understanding of
health conditions and the possible impact. Communication is vital for the
provider and patient both having knowledge of the patients’ values, but also
their socio-economic and educational background (a few elements of the social
determinants of health). Healthcare decisions recognizing health literacy, while understanding patient preferences must be key factors in effective SDM. The professional case manager is the conduit in this process along the continuum and through all lifespans, while adhering to a professional code of conduct and an ethical focus on goals and outcomes. With increasing numbers of elders living longer with more chronic conditions, SDM can be impacted by cognitive impairment or dementia. The decision making may fall to a responsible party, but there can be disagreement and concerns about the cognitive changes of the elder. We will analyze a case study, and how SDM can shift to a new decision maker. The patient is the expert on themselves, the healthcare provider is proficient in clinical aspects of care. The two must then meet on common ground, balancing patient, family/caregiver preferences with best practices. SDM offers a partnership to consider all viewpoints, resulting in optimal wellness, quality outcomes and satisfied customers. OBJECTIVES:
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