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If the person does not speak English then we should make it accessible 

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If the person does not speak English then we should make it accessible 

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more sessions now will hopefully lead to less need for services in the future. saves time and money in the long run

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lack of education and time constraints are suggesting managerial issues and organisational issues that should be raised as a concern and not as a reason for not involving patients in their own care- no decision about me without me

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lack of education and time constraints are suggesting managerial issues and organisational issues that should be raised as a concern and not as a reason for not involving patients in their own care- no decision about me without me

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Many services available to help with language barriers to facilitate shared decision making

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Many services available to help with language barriers to facilitate shared decision making

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we should be adapting the models to be inclusive 

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we should be adapting the models to be inclusive 

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from my experience family members have been involved in discharge planning for patients...decisions have been based on what is best for the paitent and their family - what package of care is required, what are their night needs etc and combined with the input of therapists, HCP, social care providers enables a safe and effective discharge

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from my experience family members have been involved in discharge planning for patients...decisions have been based on what is best for the paitent and their family - what package of care is required, what are their night needs etc and combined with the input of therapists, HCP, social care providers enables a safe and effective discharge

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we should be taking the time with people that have issue understanding 

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we should be taking the time with people that have issue understanding 

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We should be able to have open and frank discussions with our patients

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We should be able to have open and frank discussions with our patients

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Healthcare professionals should be using appropriate language to help their patient understand and make an informed choice

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Healthcare professionals should be using appropriate language to help their patient understand and make an informed choice

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Languag barrier is a massive one and can drag the process as they look for a translator in some incidences.

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shortage in nursing workforce, time , lack of training, lack of patient participation and lack of understanding, lack of experience in staff inadequate support for staff , to much information being given to patient to make a decision

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that is a management issue to ensure training and the professional needs to raise this at appraisal or before

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that is a management issue to ensure training and the professional needs to raise this at appraisal or before

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Lack of training is something that can be amended - more education needed in SDM?

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Lack of training is something that can be amended - more education needed in SDM?

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Patient feedback is vital to improving services 

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Patient feedback is vital to improving services 

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Not everyone wants to know about their diagnosis. Therefore, it is a nurses role and healthcare professionals to respect this as long the patient is fully informed of the risks and benefits of their treatment

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If they do not want to participate at that moment that is their choice, but we need to keep reaffirming this choice in further interactions

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If they do not want to participate at that moment that is their choice, but we need to keep reaffirming this choice in further interactions

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Elwyn, G., Frosch, D.L. & Kobrin, S. Implementing shared decision-making: consider all the consequences. Implementation Sci 11, 114 (2015). https://doi.org/10.1186/s13012-016-0480-9

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Elwyn, G., Frosch, D.L. & Kobrin, S. Implementing shared decision-making: consider all the consequences. Implementation Sci 11, 114 (2015). https://doi.org/10.1186/s13012-016-0480-9

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This article discusses ethical argument that shared decision-making is “the right” thing to do, however, it is unlikely to change how healthcare is organised. This can be governed by factors such as cost, profit margin, quality, and efficiency.

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When they don't want to participate in their care, we should be asking the question why is that? So that we can understand and maybe help to change their mind 

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When they don't want to participate in their care, we should be asking the question why is that? So that we can understand and maybe help to change their mind 

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its important to realise and confirm with the patient their understanding of their condition/treatment....otherwise they may seek out further information that may not be valid...dr google being one

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its important to realise and confirm with the patient their understanding of their condition/treatment....otherwise they may seek out further information that may not be valid...dr google being one

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its about making the time and organising suitable time and environment to make these decisions about their care...holding meetings with patient, family and rest of MDT and providing summary of outcomes for everyone including patient to see

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its about making the time and organising suitable time and environment to make these decisions about their care...holding meetings with patient, family and rest of MDT and providing summary of outcomes for everyone including patient to see

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nurses are middle ground but this could be a positive 

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nurses are middle ground but this could be a positive 

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It is the responsibility of healthcare professionals to ensure that decisions that are being made are within the best interest of the patient.

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involving them within care decisions to their level of comfort/understanding and if unable involve family/carer so someone is speaking on their behalf- advocating for the person and not just the condition/disease

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involving them within care decisions to their level of comfort/understanding and if unable involve family/carer so someone is speaking on their behalf- advocating for the person and not just the condition/disease

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taking the time where possible to allow them to think about decisions

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taking the time where possible to allow them to think about decisions

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There are teams for updating evidence, they are the admins for pages etc

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There are teams for updating evidence, they are the admins for pages etc

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if there is a significant drop in capacity and understanding and decisions need to made in best interest temporary or emergency measures can be taken however this requires continual reviewing and updating 

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if there is a significant drop in capacity and understanding and decisions need to made in best interest temporary or emergency measures can be taken however this requires continual reviewing and updating 

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funding is an issue, but the service user can also input some of the cost 

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funding is an issue, but the service user can also input some of the cost 

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Financially it may be better to have a shared decision plan. Otherwise it is common for money to be wasted on tests and treatments that may not be necessary or what the patient wants if you have not taken the time to talk to them about this prior.