ND 5005 Mini Debate by Nikki B https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w Rebut the odd groups thoughts ; It is premature, and we should consider and explore the impact further. en-us 2021-03-18 11:31:12 UTC 2025-10-16 17:29:29 UTC hello@padlet.com If the person does not speak English then we should make it accessible https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325563410 2021-03-18 13:57:59 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325563410 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325565929 more sessions now will hopefully lead to less need for services in the future. saves time and money in the long run]]> 2021-03-18 13:58:25 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325565929 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325567104 2021-03-18 13:58:38 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325567104 I agree with language barrier https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325567106 2021-03-18 13:58:38 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325567106 Many services available to help with language barriers to facilitate shared decision making https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325571828 2021-03-18 13:59:28 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325571828 we should be adapting the models to be inclusive https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325575788 2021-03-18 14:00:07 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325575788 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325576220 2021-03-18 14:00:11 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325576220 we should be taking the time with people that have issue understanding https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325578344 2021-03-18 14:00:34 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325578344 We should be able to have open and frank discussions with our patients https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325578649 2021-03-18 14:00:37 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325578649 Healthcare professionals should be using appropriate language to help their patient understand and make an informed choice https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325580097 2021-03-18 14:00:52 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325580097 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325582653 Languag barrier is a massive one and can drag the process as they look for a translator in some incidences.]]> 2021-03-18 14:01:20 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325582653 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325583019 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 ]]> 2021-03-18 14:01:24 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325583019 that is a management issue to ensure training and the professional needs to raise this at appraisal or before https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325583040 2021-03-18 14:01:24 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325583040 Lack of training is something that can be amended - more education needed in SDM? https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325583756 2021-03-18 14:01:31 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325583756 Patient feedback is vital to improving services https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325586099 2021-03-18 14:01:56 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325586099 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325587527 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

]]> 2021-03-18 14:02:11 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325587527 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325598844 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.]]> 2021-03-18 14:04:05 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325598844 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325603004 2021-03-18 14:04:50 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325603004 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325607782 2021-03-18 14:05:41 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325607782 Avoid Jargon, https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325609518 2021-03-18 14:05:59 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325609518 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325609976 2021-03-18 14:06:04 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325609976 agree with the time factor https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325649573 2021-03-18 14:12:51 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325649573 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325650539 2021-03-18 14:13:02 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325650539 nurses are middle ground but this could be a positive https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325657503 2021-03-18 14:14:15 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325657503 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325661463 It is the responsibility of healthcare professionals to ensure that decisions that are being made are within the best interest of the patient. ]]> 2021-03-18 14:14:54 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325661463 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325708178 2021-03-18 14:23:05 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325708178 taking the time where possible to allow them to think about decisions https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325711900 2021-03-18 14:23:46 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325711900 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 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325736971 2021-03-18 14:27:59 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325736971 There are teams for updating evidence, they are the admins for pages etc https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325739704 2021-03-18 14:28:27 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325739704 Your paper is slightly out of date. https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325742478 2021-03-18 14:28:56 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325742478 funding is an issue, but the service user can also input some of the cost https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325758712 2021-03-18 14:31:42 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325758712 https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325763164 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.]]> 2021-03-18 14:32:29 UTC https://padlet.com/nikkibuck1/zf03k4rznm3h6g3w/wish/1325763164