ND 5005 Mini Debate by Nikki B https://padlet.com/nikkibuck1/s0lsamv1ypruud16 Rebut the even groups thoughts; SDM is a force for good and we should implement it. en-us 2021-03-18 12:57:29 UTC 2021-03-19 15:30:03 UTC hello@padlet.com The evidence might be too complex for the patient to understand. The language used might be complex. NMC code of conduct requires that we as nurses use a language that the patient understands. Some terms cannot be simplified. https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325366493 2021-03-18 13:23:33 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325366493 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325367776 Shared decision making only works if communication is effective 

]]> 2021-03-18 13:23:46 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325367776 Low level in health literacy prevents some patients from understand the evidence and information given to them. (NHS England, 2021) https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325368392 2021-03-18 13:23:53 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325368392 Health Literacy this websites mentions that patients have a low understanding https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325370931 NHS England » Making shared decision making happen – the common challenges]]> 2021-03-18 13:24:20 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325370931 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325388504 Medical jargon can be misunderstood 

]]> 2021-03-18 13:27:22 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325388504 M https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325393854 2021-03-18 13:28:15 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325393854 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325394317 patients may not want to participate in ]]> 2021-03-18 13:28:20 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325394317 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325395516 Sometimes patients being passive can be a generational thing. They may take the stance that the ‘doctor is always right’]]> 2021-03-18 13:28:32 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325395516 is the patient education consistent across the board and do we realistically have the time to deliver this education. Do we as professionals understand treatments and conditions as an expert in that field. Do we as professionals keep up with best evidence in practice? do we have time? https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325396754 2021-03-18 13:28:47 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325396754 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325407425 some patients don't like making decsions incase its being deemed the wrong choice of care for them.]]> 2021-03-18 13:30:42 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325407425 effects empowerment https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325412288 2021-03-18 13:31:34 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325412288 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325413956 SDM-consensus-statement.pdf (nice.org.uk)
shared decision making
collaboration with organisations
recommended healthcare
education and training
decision making tools 

]]> 2021-03-18 13:31:52 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325413956 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325415012 It's hard even has health professionals to understand some health language.  A doctor i was working with explained really simply to the patient about their illness and it was the best I've ever understood it. ]]> 2021-03-18 13:32:03 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325415012 No evidence that patient choice in the NHS saves lives https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325420947 https://www.bmj.com/content/357/bmj.j1744]]> 2021-03-18 13:33:08 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325420947 is it measurable https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325430058 https://www.bmj.com/content/357/bmj.j1744]]> 2021-03-18 13:34:49 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325430058 Time and funding https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325447245 2021-03-18 13:37:47 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325447245 this is when patient should be able to air there concerns https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325452054 2021-03-18 13:38:33 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325452054 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325458334 not many staff understand the concept and process of shared decision making

]]> 2021-03-18 13:39:37 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325458334 House of care framework https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325459109 2021-03-18 13:39:45 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325459109 Implementing shared decision making in the NHS: lessons from the MAGIC programme https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325460042 Implementing shared decision making in the NHS: lessons from the MAGIC programme | The BMJ]]> 2021-03-18 13:39:55 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325460042 will it be consistent each time as things constantly change https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325460529 2021-03-18 13:40:00 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325460529 ma https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325462720 2021-03-18 13:40:22 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325462720 i think patients have a responsibility to speak up to source some forms of support or direction if it hasnot already been implimented. https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325477618 2021-03-18 13:43:03 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325477618 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325480684 Sometimes patients don't want to be involved in their care and would rather go against the professionals. For example, refusing to take prescribed medications for hypertension as they think it doesn't help 

]]> 2021-03-18 13:43:36 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325480684 Is it a culture that is sustainable within the workforce https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325484243 2021-03-18 13:44:15 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325484243 although it is bad practice I heard about an example of someones mum being in hospital with dementia and a DNAR was put in place without the family being aware until after the patient had died. https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325489140 2021-03-18 13:45:08 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325489140 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325490114 2021-03-18 13:45:19 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325490114 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325507626 Although might be classed as Gillick competence it could be argued that they do not understand what their treatment entails]]> 2021-03-18 13:48:16 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325507626 should there be a age review for SDM https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325509342 2021-03-18 13:48:35 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325509342 parents should work alongside the teenager to make health decisions and not make the decision for them unless the have to https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325511408 2021-03-18 13:48:57 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325511408 involving children/YP within their care is important however i think you should review this by the individual due to maturity/cognitive understanding etc as especially during adolescents there is so much development occuring in terms of maturity, hormones this could impact their choices within care https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325515193 2021-03-18 13:49:37 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325515193 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325515330 Some older teenagers and young people are less independent than some 14 year olds so it's very case by case and depending on how competent and independent the individual is]]> 2021-03-18 13:49:38 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325515330 Are service users at a disadvantage with learning disabilities when it comes to SDM https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325516041 2021-03-18 13:49:46 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325516041 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325532328 Does it also need to involve a level of acceptance from the patient at that stage? Would all people be ready for those conversations?]]> 2021-03-18 13:52:42 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325532328 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325534483 Some patients do prefer to just be advised and in a wat told what to do, they don't always want to know the further "scary" details]]> 2021-03-18 13:53:04 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325534483 https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325534502 Also patients who do not have capacity cannot tell you what care they want! The power of attorney might not make the right decision for them! ]]> 2021-03-18 13:53:04 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325534502 oh wow that's awful https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325560547 2021-03-18 13:57:29 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325560547 https://www.england.nhs.uk/personalisedcare/ https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325610784 2021-03-18 14:06:13 UTC https://padlet.com/nikkibuck1/s0lsamv1ypruud16/wish/1325610784