Patient Preferences and Decision Making A situation I experienced with a patien
Patient Preferences and Decision Making
A situation I experienced with a patient incorporated preferences and values that ultimately impacted the outcome of their treatment plan. A 63-year-old male presentedto the emergency department around 0700 with new-onset atrial fibrillation with a rate of 90. The patient was symptomatic with palpitations since midnight. The provider prescribed an anticoagulant. When I walked into the room to give him the pill, the patient was confused about why he needed to take a blood thinner and whether it was a good idea.
I presented the patient with an educative pamphlet similar to the Ottawa Hospital Research Institute’s decision aid. The education presented stated that atrial fibrillation increases the risk of stroke, and taking anticoagulants can lower that risk (Healthwise Staff, 2020). I did warn the patient that when taking a blood thinner, he should be more cautious to avoid bleeding issues, injuries, and falls (Healthwise Staff, 2020). I also stated that he still has a patient right to refuse the medication if he chooses to. Patient preferences and values impacted the trajectory of the situation and treatment plan. The education on why taking anticoagulants is beneficial for patients with atrial fibrillation was given. However, only the patient’s preferences and values decide whether to take it. Evidence-based practice (EBP) combines patient preferences and
values, clinical expertise, and rigorous research to make decisions that can increase positive outcomes (Melnyk & Fineout-Overholt, 2018). The selected patient decision aid valued a neutral ground for decision-making and clearly stated the risks, benefits, and other options for treatment. This decision aid
contributes to effective decision-making by giving my patient more than one option and participating in a shared decision approach. This approach is based on patient-centered communication skills and high-quality patient care (Hoffman, Montori, & Del Mar, 2014). The decision-aid inventory will be feasible for my practice because it has an abundance of topics to choose from and will benefit my patients. To constantly improve practice, different clinical interventions and outcomes must be compared that indicate correction rather than stagnancy based on tradition with the possibility of repeating errors (Melnyk & Fineout-Overholt, 2018).
References
Healthwise Staff. (2020). Patient Decision Aids – Ottawa Hospital Research Institute.
Healthwise.net. https://www.healthwise.net/ohridecisionaid/Content… to an external site.
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making Links to an external site.. Journal of
the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Melnyk, B. M., & Fineout-Overholt,
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