Discussion - Week 11 COLLAPSE Patient Preferences and Decision Making Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex. What has your experience been with patient involvement in treatment or healthcare decisions? In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making. To Prepare: Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

Review the Ottawa Hospital Research Institute's Decision Aids Inventory at https://decisionaid.ohri.ca/. Choose "For Specific Conditions," then Browse an alphabetical listing of decision aids by health topic. NOTE:To ensure compliance with HIPAA rules, pleaseDO NOTuse the patient's real name or any information that might identify the patient or organization/practice. By Day 3 of Week 11 Posta brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life. Shared decision making (SDM) involves the clinician discussing options for treatment and possible outcomes. It also takes into account the patient's preferences and values. Evidence-based medicine and SDM are interdependent and necessary to achieve quality healthcare and best patient outcomes (Hoffmann et al., 2014). Because clinician have less time to interact with patients, fewer resources, lack the skillfulness, and suitability for certain patient situations; SDM can be challenging to implement (Schroy et al., 2014). Last year my diabetic grandfather experienced a drop in his blood sugar and experienced a syncopal episode. He was taken to the hospital and admitted. Upon discharge, the case manager offered home health nursing and physical therapy (PT) visits. Home health nursing was accepted but PT was declined