What are the challenges you face when engaging patients in shared decision making? by picoyap https://padlet.com/erisayap/lkgquxbc318r35hq en-us 2024-10-10 04:28:49 UTC 2024-10-10 08:18:01 UTC hello@padlet.com Time https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162662757 2024-10-10 08:14:43 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162662757 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162662921 Health literacy

]]> 2024-10-10 08:14:50 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162662921 Disease understanding https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663154 2024-10-10 08:15:01 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663154 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663257 Indecisive

]]> 2024-10-10 08:15:05 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663257 Patients who lack insight or health literacy https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663348 2024-10-10 08:15:09 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663348 Family members not with them to listen and decide https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663362 2024-10-10 08:15:10 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663362 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663408 Maybe is not impt

]]> 2024-10-10 08:15:11 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663408 Unrealistic goals of care https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663411 2024-10-10 08:15:11 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663411 Denial/not ready to hear or discuss https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663418 2024-10-10 08:15:11 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663418 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663532 Willingness to engage

]]> 2024-10-10 08:15:16 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663532 Different priorities https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663741 2024-10-10 08:15:26 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663741 Meeting their expectations https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663751 2024-10-10 08:15:27 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663751 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663782 Ensuring that the objectives from the different healthcare professionals are aligned and not to further confused pt/nok

]]> 2024-10-10 08:15:28 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663782 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663829 Different opinions

]]> 2024-10-10 08:15:31 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663829 Not ready to discuss cuixue1988_ https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663859 2024-10-10 08:15:32 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663859 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663862 Patient refuses to open up

]]> 2024-10-10 08:15:32 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663862 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663882 Pt/family sometimes can get frustrated when they keep repeating themselves because HCW kept asking them similar questions. Sometimes then difficult to engage them further

]]> 2024-10-10 08:15:33 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663882 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663884 Practitioner's time

]]> 2024-10-10 08:15:33 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162663884 Pt defer decision to family https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664042 2024-10-10 08:15:37 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664042 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664064 the need to build rapport with the patients

]]> 2024-10-10 08:15:38 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664064 resistance from patients and family members https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664065 2024-10-10 08:15:38 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664065 Establishing the understanding and congruence at the time of discussion https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664068 2024-10-10 08:15:38 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664068 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664104 Difference in expectation of the outcome of the conversation between patient and HCP

]]> 2024-10-10 08:15:40 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664104 expect HCP to know best and give solutions and decide for them https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664192 2024-10-10 08:15:44 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664192 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664194 difficulty aligning everyone

]]> 2024-10-10 08:15:44 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664194 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664199 Limited health literacy of patient and family

Language barriers

Difficult to get the key stakeholders together at the same time and same location

]]> 2024-10-10 08:15:44 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664199 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664206 Taboo topic. Not wanting to talk abt disease /condition

]]> 2024-10-10 08:15:44 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664206 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664209 allowing space for emotions to be expressed

]]> 2024-10-10 08:15:44 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664209 How to deliver the information correctly and ensure their understanding https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664231 2024-10-10 08:15:46 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664231 Family dynamics https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664282 2024-10-10 08:15:49 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664282 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664356 Challenging. Because a lot of times patient would say that would prefer to Dr to make a decision for them. Or for children to make a decision for them.

]]> 2024-10-10 08:15:53 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664356 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664363 Readiness to discuss about the illness

]]> 2024-10-10 08:15:53 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664363 Pt n Physicians not align in goals https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664439 2024-10-10 08:15:57 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664439 Patients unaware of their condition https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664445 Many of a times they leave decision making to their family members

]]> 2024-10-10 08:15:57 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664445 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664449 Patient is not ready

]]> 2024-10-10 08:15:57 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664449 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664466 Some patients prefer a more paternalistic approach, others have very high information needs but are mistrustful of medical opinions

]]> 2024-10-10 08:15:58 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664466 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664479 Want hcp to decide for them

]]> 2024-10-10 08:15:59 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664479 Barriers in communication... Language, impaired hearing, etc https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664584 2024-10-10 08:16:02 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664584 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664662 Reluctant to share

]]> 2024-10-10 08:16:05 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664662 Defering decision to doctor/family https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664669 2024-10-10 08:16:06 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664669 How to handle their emotion https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664734 2024-10-10 08:16:08 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664734 How forthcoming are they to disclose/ broach these hurdles https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664778 2024-10-10 08:16:11 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664778 Goals of team and patient not aligned https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664892 2024-10-10 08:16:16 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664892 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664931 Patient is hesitate to express their thoughts but rather what the family wants

]]> 2024-10-10 08:16:18 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664931 It should be more paternalistic as patients go through this journey once but as physicians we see the same condition many times. Hence, we may be in a better position to advise them on certain things or push them towards a certain direction. Hahhaaa. So sometimes shared decision making is tough https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664939 2024-10-10 08:16:18 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664939 Health literacy and simplifying to recipient's understanding https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664972 2024-10-10 08:16:19 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664972 Trust in the provider https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664975 2024-10-10 08:16:19 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162664975 Decision made during crisis mode https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665264 2024-10-10 08:16:28 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665264 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665290 Health believes.. they rather believe Dr google.

]]> 2024-10-10 08:16:29 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665290 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665300 Pt’s Personality - don’t want to think of the future, want to face it only when it comes

]]> 2024-10-10 08:16:30 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665300 Bad past experiences https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665338 2024-10-10 08:16:31 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665338 Difficulty in starting https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665422 2024-10-10 08:16:35 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665422 It is hard when we talk together about shared decision making, the patient some time say that "I dont know anything, please just do whatever you think is best" https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665462 2024-10-10 08:16:36 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665462 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665584

  • Medical: Prognostic uncertainity, clinically unwell, poor insight into own health

  • Systemic: place of documentation for continued discussions

  • Patient factors: understanding of own health, “not ready”

  • Language barrier

    • ]]>     2024-10-10 08:16:38 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665584     There is confliction in decision making between pt and families cuixue1988_ https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665816 2024-10-10 08:16:47 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162665816 Some believe their friends/coffeeshop kakis only https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666164 2024-10-10 08:16:57 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666164 Patient feels that doctor should be the one recommending https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666202 2024-10-10 08:16:59 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666202 Patient understands of the disease https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666737 2024-10-10 08:17:17 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666737 Many will say “Doctor know best” https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666914 2024-10-10 08:17:23 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162666914 The relationship with patients plays an important role as well for effective communication https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162667024 2024-10-10 08:17:29 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162667024 Old wives's tales and cultural differences https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162667413 2024-10-10 08:17:45 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162667413 https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162667813 Patients may think there’s only one right way to do things and expect the doctor to tell them what it is

    ]]>     2024-10-10 08:18:01 UTC https://padlet.com/erisayap/lkgquxbc318r35hq/wish/3162667813