Shared decision making and personalised care support planning: pillars of integrated care for older people
Shared decision making and personalised care support planning: pillars of integrated care for older people
Shared decision making (SDM) is a process in which individuals and clinicians work together to select tests, treatment and agree on management decisions based on the best available evidence, individual preferences, and values. SDM is based on a two-way communication on what matters most to individuals and empowers both the individual and clinician to arrive at a final management decision, which also includes medication management, self-care, and lifestyle changes. SDM is associated with better outcomes and greater patient satisfaction. Older people are a heterogeneous group of individuals whose needs often span several domains including social, psychological, cognitive as well as physical and as such require a different approach to SDM. Personalised care support planning is a future focused conversation that supports older people living with multimorbidity, frailty and disability. Goals for long term treatment and management plans are obtained through holistic, multidisciplinary led Comprehensive Geriatric Assessment (CGA).
Shepherd, Jessica
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Gurney, Stephanie
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Patel, Harnish
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Shepherd, Jessica
b08cf238-7b11-49d1-a2e2-66806e2883e6
Gurney, Stephanie
94597182-ed41-440e-b517-8591d1612a8c
Patel, Harnish
e1c0826f-d14e-49f3-8049-5b945d185523
Shepherd, Jessica, Gurney, Stephanie and Patel, Harnish
(2022)
Shared decision making and personalised care support planning: pillars of integrated care for older people.
Clinics in Integrated Care, 12, [100097].
(doi:10.1016/j.intcar.2022.100097).
Abstract
Shared decision making (SDM) is a process in which individuals and clinicians work together to select tests, treatment and agree on management decisions based on the best available evidence, individual preferences, and values. SDM is based on a two-way communication on what matters most to individuals and empowers both the individual and clinician to arrive at a final management decision, which also includes medication management, self-care, and lifestyle changes. SDM is associated with better outcomes and greater patient satisfaction. Older people are a heterogeneous group of individuals whose needs often span several domains including social, psychological, cognitive as well as physical and as such require a different approach to SDM. Personalised care support planning is a future focused conversation that supports older people living with multimorbidity, frailty and disability. Goals for long term treatment and management plans are obtained through holistic, multidisciplinary led Comprehensive Geriatric Assessment (CGA).
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SDM Int care Final
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Accepted/In Press date: 1 March 2022
e-pub ahead of print date: 31 March 2022
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Local EPrints ID: 468093
URI: http://eprints.soton.ac.uk/id/eprint/468093
ISSN: 2666-8696
PURE UUID: 21e1a7a4-5dcd-40d0-9c32-1819c122ee0a
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Date deposited: 02 Aug 2022 16:45
Last modified: 17 Mar 2024 07:14
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Author:
Jessica Shepherd
Author:
Stephanie Gurney
Author:
Harnish Patel
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