NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Walden University NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING – Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Whether one passes or fails an academic assignment such as the Walden University NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
The introduction for the Walden University NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
After the introduction, move into the main part of the NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Healthcare professionals work in different settings, and their experiences with patients vary contextually. Despite encountering different patients, healthcare professionals are advised to promote patient-centeredness and ensure that patient values and preferences are incorporated into the treatment plan. Such considerations help to minimize health-related issues hence improving patient care outcomes. Decision aids are among the tools recommended for health professionals to improve decision-making.
I have experienced many situations in practice; some require incorporating patient preferences and values, while others do not need it. I once experienced a case where a patient had challenges choosing between medicines for high blood pressure and trying lifestyle changes first. She was unsure which method was the most effective in terms of recovery time and lasting effects. Incorporating patient preferences and values impacted the treatment plan positively since it was patient-centered, and the patient understood all the components. As González-Bueno et al. (2018) pointed out, patient-centeredness improves medication adherence. Similarly, the patient was more comfortable with the final decisions after evaluating the options.
Including patient preferences and values promotes patient engagement and improves patient care outcomes. Besides scientific evidence and clinical expertise, patient preferences and values are vital to evidence-based practice (Melnyk & Fineout-Overholt, 2018). It is the foundation of patient-centered care where patients play an active role in formulating treatment plans. The same was reflected in the treatment plan since the patient actively participated in decision-making. As Bombard et al. (2018) noted, patient engagement improves the patient-provider relationship and care quality. Similarly, engaging the patient in decision-making improved my relationship with her since she opened up about her everyday activities, fears, and cultural barriers affecting her choices.
The patient decision aid relevant to this situation is the “High Blood Pressure: Should I Take Medicine” option. It has various components to guide decision-making; facts, options comparison, patient’s feelings, decision, self-assessment, and summary (Healthwise Staff, 2022). The options comparison part is the most critical since it compares the effectiveness and setbacks of taking medications versus lifestyle changes. The decision aid contributes to informed decision-making since it analyzes the pros and cons of medications and lifestyle changes in high blood pressure control. In this case, the patient chooses the preference while knowing the benefits and side effects. Patient decision aids ensure that decisions are explicit by providing adequate and clear information about the options and expected outcomes (The Ottawa Hospital Research Institute, 2019). I will continue using this decision aid inventory to guide patients and families in making rational choices regarding high blood pressure control.
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References
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., … & Pomey, M. P. (2018). Engaging patients to improve quality of care: A systematic review. Implementation Science, 13(1), 1-22. https://doi.org/10.1186/s13012-018-0784-z
González-Bueno, J., Calvo-Cidoncha, E., Sevilla-Sánchez, D., Molist-Brunet, N., Espaulella-Panicot, J., & Codina-Jané, C. (2018). Patient-centered prescription model to improve therapeutic adherence in patients with multimorbidity. Farmacia Hospitalaria, 42(3), 128-134. https://doi.org/10.7399/fh.10961
Healthwise Staff. (2022). High blood pressure: should I take medicine? https://www.healthwise.net/ohridecisionaid/Content/StdDocument.aspx?DOCHWID=zx1768
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
The Ottawa Hospital Research Institute. (2019). Patient decision aids. https://decisionaid.ohri.ca/
Sample Answer 2 for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
The patient decision aid is a way of assisting individuals in coming up with informed selections concerning healthcare that put into consideration their individual preferences plus values. Decision aids are a portion of a collective decision-making procedure, inspiring vibrant engagement by ailing individuals in healthcare verdicts (Opperman et al., 2016). The patient decision aids are intended to complement, unlike swapping counseling from a healthcare specialist. This discussion addresses my personal experience with ailing individuals’ healthcare verdicts and treatment.
The ailing individual ought to be encompassed in the treatment strategy, with reference to my personal experience as a healthcare specialist (Hoffman, Montori & Del Ma, 2014). As the ailing individual and his household ought to agree to the medication. You might then encompass them in the medication strategy minus any challenges.
When I encompass the ailing individual or their household in the medication strategy in my medical performance, I have comprehended that the ailing individual or their household turns out to be quite compliant throughout the therapy. This channels to the desired result. The deficiency of ailing individual participation in the medication strategy can have a number of undesired outcomes, varying from approval to treatment result (Schroy, Mylvaganam & Davidson, 2014). In nowadays world, ailing individuals arrive at health facilities with predetermined mentalities gleaned from the online sphere or a number of other information sources. In their points of view, they have a slew of questions relating to the therapy technique. Therefore, it is desirable to disperse fears and encompass them in the medication strategy.
In conclusion, patient decision aids are proficient in turning out to be reinforcement tools to enhance collective decision making. More application studies are needed to changeover ailing individual decision-making into scientific practice allowing proof and ailing individuals’ choices to be part of their treatment.
References
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid facilitate shared decision-making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011. 00730.x
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Pearl, I confess that my mom is one of these patients. She googles everything and thinks she knows exactly what’s wrong with her. it sometimes takes quite a bit of discussion to make her realize that everything on the internet is not always the best or most accurate information. She is definitely “involved” in her care. Involvement of the provider is another measure of shared decision making and is often overlooked.
Couët et al., (2015) found 33 studies measuring patient involvement. Several patient involving behaviors were observed in the studies, but the majority were seen in longer contacts with patient. Behaviors that did not change or improve were those that required tailoring of care to meet the desires of the patient. Couët et al., (2015) theorized that patient centered decision making behaviors were hard to implement. I agree with these authors, that more information is definitely needed. Dr. South
Couët, N., Desroches, S., Robitaille, H., Vaillancourt, H., Leblanc, A., Turcotte, S., … & Légaré, F. (2015). Assessments of the extent to which health‐care providers involve patients in decision making: a systematic review of studies using the OPTION instrument. Health Expectations, 18(4), 542-561. doi: 10.1111/hex.12054.
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Indeed the patient decision aid is a way of assisting individuals in coming up with informed decisions regarding health care that put into consideration their individual preferences as well as values. According to Hoffman, Montori and Del Ma (2014), the patient should be included in the development of the treatment plan to enhance compliance to treatment or medication. Another significant impact of a treatment plan developed by the both the nurse and the patient, relates to the level of treatment efficiency in managing a patient’s condition. Lastly, the initiative of discussing and developing a care plan with a patient is very important because it makes the patient to have a say in what he or she feels is the best. This plays a great role in promoting patient satisfaction as well as enhancing health outcomes.
References
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Sample Answer 3 for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
As I ponder upon this experience although it happened so many years ago, I still feel the pain in working with a patient with terminal cancer and his family. As a nurse case manager, this was a true learning experience in working with shared decision making, grief, resiliency, and dying with honor. The name and certain changes have been made to respect the family and HIPPA. I have always learned more from my patients than they have ever learned from me. I will call this man Matthew and I became his case manager before he was terminal. When the chemotherapy stopped working, he signed up for medication trials. As the pain became unbearable even with medication his family wanted him to stop the Cancer Trials which did nothing but make him even sicker and his family wanted him to accept Palliative Care. Palliative Care would give Matthew greater aid to his pain management needs, and allow him a team of help, nurses, and a Palliative Care PA which would improve his quality of life and give some relief to his family/caregivers. Matthew was brought into the shared decision-making process with me as his case manager and his oncologist. Matthew refused Palliative care although everyone knew it would make him more comfortable, he was not ready to stop fighting for his life. Another decision was brought to him, a workbook and in a frank conversation with Matthew, I explained that I know how important it is to him that he has control over certain aspects of his life and believe it would be important that he make these decisions while he can do so, and the workbook would help organize these very important decisions. Doing this workbook with Matthew, he was able to make Do Not Resuscitate Decisions, and elect a Health Care Power of Attorney. Choices about whether he wanted extra sedation when the time came, nutrition, and several other ends of life decisions. Whether to choose to die at home or at the hospice was also discussed. During this process, he was comforted to know that his family was well taken care of, and he had a better picture of what to expect during this time. When the workbook was completed, I revisited Palliative Care feeling that the time was right for him, and he gratefully accepted it. The Guide to Advanced Illness Planning was similar to the plan that was used by Matthew and me, this workbook gave control and dignity to someone at a time when he had felt that he no longer had any control or say left in his life (Ottawa Hospital Research Institute, 2019).
According to Kon et al. (2016), it is important that the provider takes the patient’s goals, values, and preferences into consideration otherwise the plan will look more like that of the clinician. By Matthew being included in this Shared Decision Making and assisted through making choices in the Advanced Illness workbook, it gave him the confidence he needed to transition to Palliative Care. I would personally use the Guide to Advanced Illness Planning in my own personal life, as these are choices that should not fall to family members who are also dealing with the serious illness of a family member. According to Lyon et al. (2021), randomized control trials showed Advanced Care Planning has a three-time more odds of allowing biological caregivers to feel that they are on the same page as the patient battling with terminal illness. According to Luna-Meza, et al. (2021) healthcare providers oftentimes avoid talking about end-of-life decision-making due to their own uncomfortableness with this topic, as well as difficulties in speaking with families about end-of-life topics. Some choices may be made without the patient or family being considered such as life-saving measures, with prolonging of life due to providers’ own fears of legal ramifications (Luna-Meze, 2021). Having frank clear conversations regarding end-of-life issues such as palliative care, hospice care, and DNR can allow for a better quality of care, and access to end-of-life care (Luna-Meza, et al. (2021). Shared-Decision Making in all studies noted shows the importance of the patients’ participation in end-of-life decision-making. This can give control to the patient and better support for the family, as well as access to end-of-life care.
References
Kon, A. A., Davidson, J., Morrison, W., Danis, M., & White, Douglas B, (2016). Shared decision-making in intensive care units: Executive summary of the american college of critical care medicine and american thoracic society policy statement. American Journal of Respiratory and Critical Care Medicine, 193(12), 1334-1336. https://www.proquest.com/scholarly-journals/shared-decision-making-intensive-care-units/docview/1797885427/se-2?accountid=14872
Luna-Meza, A., Godoy-Casasbuenas, N., Calvache, J. A., Díaz-Amado, E., Gempeler Rueda, F. E., Morales, O., Leal, F., Gómez-Restrepo, C., & de Vries, E. (2021). Decision making in the end-of-life care of patients who are terminally ill with cancer – a qualitative descriptive study with a phenomenological approach from the experience of healthcare workers. BMC Palliative Care, 20(1), 1–10. https://doi.org/10.1186/s12904-021-00768-5
Lyon, M. E., Caceres, S., Scott, R. K., Benator, D., Briggs, L., Greenberg, I., D’Angelo, L. J., Cheng, Y. I., & Wang, J. (2021). Advance Care Planning—Complex and Working: Longitudinal Trajectory of Congruence in End-of-Life Treatment Preferences: An RCT. American Journal of Hospice & Palliative Medicine, 38(6), 634–643. https://doi.org/10.1177/1049909121991807
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
I enjoyed reading your post and i agree. A few months ago, a woman with pelvic discomfort was admitted to the hospital. In addition to fever, nausea, and vomiting, she has been experiencing significant discomfort. She is a 25-year-old primary school teacher. She is originally diagnosed with appendicitis after an examination. However, following a series of tests, including a complete blood count and an ultrasound, it is discovered that she also has ovarian torsion in addition to appendicitis. In reality, an exploratory laparotomy was performed instead of the anticipated appendectomy. During pre-surgery tests, it was discovered that her mother and sister also had ovarian cancer. There are several factors that put her at risk for the illness, including her young age and past HPV infection. An alternative was presented by the doctor in charge of her care. According to Opperman et al. (2016), ovarian cancer prevention or prophylaxis is the goal of this procedure, which involves removing her ovaries. In addition, the chances of conceiving naturally will be reduced by this procedure. The choice to have a child is a natural part of life, but she is expected to feel apprehensive and stressed about the process. She has options to get an oophorectomy or wait for cancer and battle it with regular testing and treatment. After the ovaries and potentially the fallopian tubes have been removed, the patient will begin menopause (The Ottawa Hospital Research Institute, 2019). According to The Ottawa Hospital Research Institute. (2019), the probability of conceiving naturally is nil since the organ required has been surgically removed.Empathy for the patient’s situation is critical in nursing care. Hoffman, Montori & Del Mar (2014) explains that putting children in such a scenario is difficult, and good counselling is required. Her alternatives need to be laid out and discussed with a multidisciplinary team to make an informed decision. Since her ailment necessitated aid from the medical community and friends and family members, nurses are in a position to gauge the strength of her social support network. Anxiety may be reduced by relaxing the atmosphere, minimizing unneeded stimuli, and prescribing medication, if required, to alleviate the symptoms (Hoffman et al., 2014). The use of open-ended inquiries and the encouragement of the client to express themselves is essential to having a holistic discourse with the client.
References
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
In nowadays patients arrive in hospitals with predetermined mentalities gleaned from the online sphere or a number of other information sources. In their points of view, they have a slew of questions relating to the therapy technique. It is, therefore, important to involve them in decision making and include their values and preferences in the treatment plan. Melnyk and Fineout-Overholt (2018), note that when patient preferences and values are incorporated into a treatment plan, the patient is more likely to be compliant with the plan. This plays a critical role in promoting positive health outcomes (Luna-Meza et al., 2021). Involving the patient in decision making and including his values and preferences also promotes patient satisfaction and experience.
References
Luna-Meza, A., Godoy-Casasbuenas, N., Calvache, J. A., Díaz-Amado, E., Gempeler Rueda, F. E., Morales, O., … & de Vries, E. (2021). Decision making in the end-of-life care of patients who are terminally ill with cancer–a qualitative descriptive study with a phenomenological approach from the experience of healthcare workers. BMC palliative care, 20(1), 1-10.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Sample Answer 4 for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Melnyk & Fineout-Overholt (2019) expressed that healthcare professionals make major findings regarding a patient’s health and create an individualized care plan based on an array of clinical knowledge among the healthcare team. This does not come naturally to patients considering not all patients are healthcare workers with any previous education in healthcare. Melnyk & Fineout-Overholt (2019) explain the patient’s choice regarding what treatment they will accept versus what treatment they will refuse; education overall medication is extremely important and answering all questions a patient has regarding their health. This would allow for patients to fully understand the why behind taking certain medications, and as Melnyk & Fineout-Overholt (2019) state, “knowledge they produce to influence clinical decision making” (pg. 110); regarding the patient’s decisions. Abhyankar et al. (2020) created a study on the benefits of patient decision aids and the positive benefits of providing patient decision aids but have observed that the lack of implementing patient decision aids in all healthcare facilities causes a massive gap in their study. Abhyankar et al. (2020) convey that healthcare providers might lack the ability to provide patient decision aids; therefore, the lack of patient decision aids provided to patients while hospitalized.
An example of when a patient was involved in their care after having no previous healthcare knowledge about how COVID-19 affects the lungs and what being diagnosed with bilateral pulmonary embolisms truly meant. Before being admitted, all the patients truly knew as it was challenging to breathe and was short of breath with any little movement. Once on the unit, every nurse explains why a certain medication is being given, especially blood thinners, to a COVID-positive patient. Attari et al. (2021) verify an increase in pulmonary embolisms among COVID-19 patients and explain how an increased patient D-dimer trend should notify the healthcare team to get imaging completed for the patient. As I explain the reasoning to why I am injecting a blood thinner (Lovenox) into her abdomen that was only scheduled once a day (2100); the patient then questions why she is only getting one injection when she has two blood clots in both her lungs and expressed “I should be getting more blood thinners.” This was previously my question to the day shift nurse who had given me a report and was denied by the hospitalist to increase the patient’s dose of Lovenox. Fast forward to the next night, I arrived and got report that the patient was placed on a heparin drip due to the patient’s condition worsening and finding out the patient herself requested a higher dose of a blood thinner when the hospitalist rounded during the day. Through brief education and answering all patients’ questions regarding their care and treatment, patients can have suggestions that help save their own lives.
References
Abhyankar, Boland, Brodney, Bravo, Brenner, Coulter, Dahl Steffensen, Giguère, Hoffman, Körner, Langford, Légaré, Matlock, Moumjid, S., Munro, Stirling, & Van Der Weijden. (2020). What works in implementing patient decision aids in routine clinical settings? A rapid realist review and update from the International Patient Decision Aid Standards Collaboration. Medical Decision Making, 41(7), 907–937. https://doi.org/10.1177/0272989×20978208
Attari, Bamashmos, Behzadi, Dev, Elfatairy, Jonisch, R., Kim, Margolis, Prince, Raza, & Riyahi. (2021). Pulmonary embolism in hospitalized patients with COVID-19: A multicenter study. Radiology, 301(3). https://doi.org/10.1148/radiol.2021210777
Melnyk & Fineout-Overholt (2019). Evidence-based practice in Nursing & Healthcare: A guide to best practice. Wolters Kluwer.
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
I enjoyed reading your post and it seems like you have had an interesting and enlightening experience regarding patient preferences. My personal experience working in behavioral health has given me an admittedly limited perspective on this. I find it challenging when a mental health patient does not want to take their medications because they have read about possible side effects. There are absolutely possible side effects, however, I sometimes have difficulty explaining the benefit vs risk to the patient. According to the course reading, a medical provider should determine and present a range of medically appropriate options for the patient to choose from (Kon et al., 2016). This simplifies the process for me, and plan to use this approach in my own practice.
COVID-19 has definitely exasperated potential problems surrounding patient care including their preferences. During this time of intensified uncertainty, and social media influence have added additional barriers to patient provider communication (Abrams et al., 2020). There is an incredible amount of misleading information on social media which can have a tremendous effect on a patient’s beliefs. Healthcare providers should be prepared to debunk popular misconceptions according to Chrousos & Mentis (2020). It sounds like you were very fortunate to have an informed patient, hopefully we can continue to find ways to help our patients feel included in their care while making sound medical decisions.
References
Abrams, E. M., Shaker, M., Oppenheimer, J., Davis, R. S., Bukstein, D. A., & Greenhawt, M.
(2020). The challenges and opportunities for shared decision making highlighted by
COVID-19. The Journal of Allergy and Clinical Immunology: In Practice, 8(8), 2474-2480.
Chrousos, G. P., & Mentis, A. F. A. (2020). Medical misinformation in mass and social media: an
urgent call for action, especially during epidemics. Eur J Clin Invest, 50(5), e13227.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision-
making in intensive care units. Executive summary of the American College of Critical Care
Medicine and American Thoracic Society policy statement. American journal of respiratory
and critical care medicine, 193(12), 1334-1336.
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
The healthcare team should consider implementing the array of clinical knowledge that counts as a major part of findings regarding patient health. However, the process is not appropriate for all patients since some health professionals lack education in healthcare. As a nurse, it is important to ensure that the patient chooses the suitable treatment, which helps in making the treatment process effective (Dineen-Griffin et al., 2019). The process enables the patient to gain a full understanding of the medication and can motivate the patient to follow the prescription.
I agree with you that during the COVID -19 pandemic, the situation was confusing and needed intervention from both the patient and physicians. Therefore, considering the patient preferences played a major role in containing the condition among the patients (Ringdal et al., 2017). However, confusing the condition was considering the patient preference makes it effective in managing the condition and avoiding any medical error that can lead to readmission. Therefore, along with the clinical guidelines, the patient preference helps provide a dominant solution that leads to improved care.
References
Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PloS one, 14(8), e0220116. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0220116
Ringdal, M., Chaboyer, W., Ulin, K., Bucknall, T., & Oxelmark, L. (2017). Patient preferences for participation in patient care and safety activities in hospitals. BMC Nursing, 16(1), 1-8. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-017-0266-7
Sample Response for NURS 6052 DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
Patient decision aids (PDAs) can assist decision-making and provide information about the options and outcomes (Patient Decision Aids- Ottawa Hospital Research Institute, 2022). Healthcare, while focusing on the medical issue, often needs to pay more attention to educational awareness regarding their health condition. Sometimes, people with a higher education level need to learn about their medical condition, healthy food habits, and immunizations. In the United States, social determinants of health have been known to cause health disparities (ACOG, 2018).
In a long-term care facility serving older populations, one of the residents had shingles and was treated for the same. She had rashes and severe pain that she could not tolerate, and her daily activity of living deteriorated due to pain and severe rash; this person was admitted four months ago with a history of having chicken pox when she was young and a history of shingles before being admitted to the facility. The admitting nurse did not document the vaccination history in the nursing document as this is not mandatory and does not fall under the quality collection data tool. Her daughter was responsible for making medical decisions but has a busy work and personal life where she could not attend to her mother regularly and missed the calls received from the facility nurse for immunization history. When the nurse asked the resident about receiving shingles vaccine in the past, the patient had no idea or knowledge about the vaccine. When the daughter was called to obtain an immunization history, she was unaware of the shingles vaccine and the benefits of receiving the vaccine after she was 65 years old. There was a gap in communication and education to patients and family members by the nurse regarding the shingles vaccine and vaccine information statements to responsible family members. Also, providing appropriate information related to a particular shingles vaccine will clarify the importance of receiving the vaccine. Interdisciplinary team meetings and patient decision-aid tools would improve the quality of care.
Multidisciplinary teams have proven positive health outcomes and reduced costs (Whitman et al., 2022). I would use the patient decision aid information to help the patient make an informed decision based on the evidence and incorporate social determinants of health into the care plan to educate the patient regarding the pros and cons of the shingles vaccine in the language that she can understand well and obtain doctors order and patient’s consent to administer vaccine when she recovers from current infection to prevent or minimize the recurrent infection in future.
References
Patient Decision Aids – Ottawa Hospital Research Institute. (n.d.). Decisionaid.ohri.ca. https://decisionaid.ohri.ca/Links to an external site.
ACOG. (2018). Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care. Acog.org. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/01/importance-of-social-determinants-of-health-and-cultural-awareness-in-the-delivery-of-reproductive-health-careLinks to an external site.
Whitman, A., De Lew, N., Chappel, A., Aysola, V., Zuckerman, R., & Sommers, B. (2022). Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts. https://aspe.hhs.gov/sites/default/files/documents/e2b650cd64cf84aae8ff0fae7474af82/SDOH-Evidence-Review.pdfLinks to an external site.
NURS 6052 SEARCHING DATABASES
The clinical issue of interest to me is mental health issues among adolescents due to the COVID-19 pandemic. This subject interested me because having worked as a Psych/behavioral health nurse for over 2 years, I witnessed firsthand how the number of adolescent patients increased at our hospital. I worked at a 20-bed inpatient behavioral health/psych facility and within a matter of months after COVID, we were getting twice as many adolescent admission packets than adult admissions. In six months, the hospital went from 20 adolescents to a 50-adolescent inpatient facility.
I started my search using the Walden library resource. I started with the broad subject of mental health. I narrowed my search result to adding adolescents to the search criteria. I selected “peer-reviewed articles” and changed the years to include searches between 2016 and 2022. I also included COVID-19 in the search criteria as well. This narrowed the search result down to 495 articles which is a lot more manageable to go through rather than going through thousands of articles.
I found a great article on this topic titled “The impact of COVID-19 on adolescents’ mental health.” In this article, the author discusses that several studies show that emergency department visits for peds patients increased after the first lockdown. The author also talks about the underlying causes of pandemic-induced distress, with social isolation and loneliness due to social distancing being the main culprit in increased anxiety, depression, self-harm, and suicidal ideation among this population.
I will continue to read through the list of articles on this subject matter and the COVID-19 timeframe of the last year will develop my PICOT question. I will also research how this pandemic over the last year has increased substance abuse among adolescents.