3 stages of patient centered approach in medical consulation
Team talk (discussion options and goals)
Option talk (pro/con discussion)
Decision talk (patient makes supported decision)
Joint decision making
Professional explains why option X is necessary and enforced (no decision)
3 types of medical decision making, from best to worst
Hypothesis testing
Pattern recognition
Option revision/heuristics (problematic due to availability bias, confirmation bias and time pressure)
SPIKES model
For breaking bad news
Set up (privacy, sit down, etc)
Patient perspective (what does he know)
Invitation of the patient (to receive news)
Knowledge and information (actually breaking news)
Emotion addressing and empathetic responses
Strategy and summary
Nice Guidelines
Guidelines for professionals to facilitate shared decision making.
offer patient involvement
Explain pro/cons & goals of treatments
Avoid to assume patient preferences
Accept patients perspectives and opinions
Accept patient decisions
Illness representation model
Adherence of treatment is based on
Illness belief
Severity, cause, prognosis and treatablility
Cost benefit evaluation
Efficacy of treatment
Costs
Approaches to self-management to reduce stress in patients
information provision
CBT (like mindfulness)
Positive psychology approaches
Enhancing social support
Approaches to self-management to manage illness
Self-management training
Emotional expression
Zuletzt geändertvor 3 Monaten