Decision-making concerning medical decisions and treatment plans require patient-centered communication and shared decisions. It heightens the quality of care provided to patients, as in these frameworks, patients are the core, which results in a win-win situation. Patients’ needs are met, and health practitioners make medical decisions that are consistent with not only the patient’s needs but also show value, respect, and responsiveness. This argument helps explain and understand the situation you shared. Delivery systems and health practitioners that embrace patient-centered care increase patient motivation for the treatment plans and confidence for better results (Laura Levit, 2013). Just like in the situation you explained, you practiced patient-centered care where you ensured effective and open communication. The patient opened up about the heat medication, and you explained to him that being a firefighter, one must not take heat-altering medications. In the end, an effective treatment plan was developed that incorporated the patient’s needs and those of the medical practice. The treatment was successful, as the patient joined the firefighters. Throughout the process, the patient-decision aid tool was incorporated as the common ground created between you, and the patient supported patient decision-making and patient-centered care. Patient-decision aid tool helps provide critical information to patients while aligning the treatment plan with their needs and preferences. Concisely, the tool facilitated shared and informed decision-making between you and the patient.
However, it is not in all situations that shared decision-making is productive and successful as in your case, there exist barriers including inflexible clinical information systems, lack of patient’s experience in treatment, and lack of understanding among involved parties such as family members (Neumiller, 2012). It becomes challenging to incorporate decisions, values, and preferences of patients when they are contrary to healthcare systems. Inexperience and lack of adequate information among patients concerning treatment plans, options, the likelihood of treatment responses, and prognosis complicates the process. If a physician is trained in effective communication, then they can use the ETHNIC (Explaining, Treating, Healing, Negotiating, Intervening, and Collaborating) tool of communication and understanding (Campinha-Bacote, 2011). However, if the physician lacks training, they are likely to miss the patient’s emotional needs or recognize preferences, which results in demotivation, miscommunication, and ineffectiveness. These aspects negatively affect both the patient and the physician, which should not be the case.
Campinha-Bacote, J. (2011). “Delivering Patient-Centered Care in the Midst of a Cultural Conflict: The Role of Cultural Competence” . ” OJIN: The Online Journal of Issues in Nursing, Vol 16(2).
Laura Levit, E. B. (2013). Chapter 3: Patient-Centered Communication and Shared Decision Making. In Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Washington (DC): National Academies Press.
Neumiller, J. J. (2012). A Patient-Centered Approach: A Step in the Right Direction . Diabetes Spectrum, Vol 25(3), 130.
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