scholarly journals Hot Off the Press: Use of Shared Decision-making for Management of Acute Musculoskeletal Pain in Older Adults Discharged From the Emergency Department

2016 ◽  
Vol 23 (8) ◽  
pp. 956-958 ◽  
Author(s):  
Kevin Cullison ◽  
Christopher R. Carpenter ◽  
William K. Milne
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Emergency Department ◽  
Shared Decision Making ◽  
Musculoskeletal Pain ◽  
Shared Decision ◽  
The Press

scholarly journals A Prospective Evaluation of Shared Decision-making Regarding Analgesics Selection for Older Emergency Department Patients With Acute Musculoskeletal Pain

2016 ◽  
Vol 23 (3) ◽  
pp. 306-314 ◽  
Author(s):  
Wesley C. Holland ◽  
Katherine M. Hunold ◽  
Sowmya A. Mangipudi ◽  
Alison M. Rittenberg ◽  
Natalie Yosipovitch ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Shared Decision Making ◽  
Musculoskeletal Pain ◽  
Shared Decision ◽  
Prospective Evaluation ◽  
Selection For ◽  
Emergency Department Patients

scholarly journals Older Adults’ Perceptions of Disposition Decisions from the Emergency Department

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 596-596
Author(s):  
Karen Valcheff ◽  
Hoffart Nancy
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Emergency Department ◽  
Shared Decision Making ◽  
Older Adult ◽  
Emotional Reactions ◽  
Small Sample ◽  
Decision Making Process ◽  
Shared Decision ◽  
Provider Education

Abstract Patient-centered care strives to improve older adult outcomes from the emergency department (ED). Appropriate disposition decisions from the ED for older adults are becoming increasingly complex and challenging. The purpose of this study was to explore the perceptions of older adults as to their disposition from the emergency department, the decision making process, and their engagement in that process. The Three-Talk Shared Decision Making (SDM) model guided the study. A qualitative approach was used to interview seven older adults two days after being treated in the ED. Transcribed data were thematically analyzed using MAXQDA to identify codes, patterns, and themes. Analysis revealed that the Three-Talk SDM model was not being used. Participants identified only one option regarding their disposition from the ED and perceived they had little voice in decision making. They reported a variety of emotional reactions, feelings of helplessness and empathy regarding the decision making process. Three factors that participants perceived as vital to them before making a disposition decision were safety, pain relief, and a definitive diagnosis. The findings of this small sample are clinically meaningful. These older adults wanted to be heard regarding their treatment and disposition decisions. Findings indicate the need for provider education about the use of a model such as the Three -Talk SDM. Further research is needed to look at both the older adult and provider’s perception of the ED disposition decision. Additional strategies and skills are warranted to enhance shared decision making in the ED with the growing aging population.

High-risk surgery among older adults: Not-quite shared decision-making

Surgery ◽  
2021 ◽  
Author(s):  
Ana C. De Roo ◽  
Crystal Ann Vitous ◽  
Samantha J. Rivard ◽  
Michaela C. Bamdad ◽  
Sara M. Jafri ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
High Risk ◽  
Shared Decision Making ◽  
Shared Decision

scholarly journals Perceived Appropriateness of Shared Decision-making in the Emergency Department: A Survey Study

2016 ◽  
Vol 23 (4) ◽  
pp. 375-381 ◽  
Author(s):  
Marc A. Probst ◽  
Hemal K. Kanzaria ◽  
Dominick L. Frosch ◽  
Erik P. Hess ◽  
Gary Winkel ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Shared Decision Making ◽  
Survey Study ◽  
Shared Decision

scholarly journals EFFECTS OF A SHARED DECISION MAKING INTERVENTION FOR OLDER ADULTS WITH CHRONIC CONDITIONS: AN OBSERVATIONAL STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S296-S297
Author(s):  
Ruth E Pel-Littel ◽  
Bianca Buurman ◽  
Marjolein van de Pol ◽  
Linda Tulner ◽  
Mirella Minkman ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Observational Study ◽  
Shared Decision Making ◽  
Chronic Conditions ◽  
Decisional Conflict ◽  
Future Research ◽  
Multiple Chronic Conditions ◽  
Shared Decision ◽  
Perceived Involvement

Abstract Shared decision making (SDM) in older patients is more complex when multiple chronic conditions (MCC) have to be taken into account. The aim of this research is to explore the effect of the evidence based implementation intervention SDMMCC on (1) the preferred and perceived participation (2) decisional conflict and (3) actual SDM during consultations. 216 outpatients participated in a video observational study. The intervention existed of a SDM training for geriatricians and a preparatory tool for patients. Consultations were videotaped and coded with the OPTIONMCC. Pre- and post-consultation questionnaires were completed. Participation was measured by the Patients’ perceived Involvement in Care Scale (PICS). Decisional conflict was measured by the Decisional Conflict Scale (DCS). The patients mean age was 77 years, 56% was female. The preparatory tool was completed by 56 older adults (52%), of which 64% rated the tool as positive. The preparatory tool was used in 12% of the consultations. The mean overall OPTIONMCC score showed no significant changes on the level of SDM(39.3 vs 39.3 P0.98), however there were significant improvements on discussing goals and options on sub-items of the scale. There were no significant differences found in the match on preferred and perceived participation (86.5% vs 85.0% P 0.595) or in decisional conflict (22.7 vs 22.9 P0.630). The limited use of the preparatory tool could have biased the effect of the intervention. In future research more attention must be paid towards the implementation of preparatory tools, not only among patients but also among geriatricians.

scholarly journals Engaging Patients in Health Care Decisions in the Emergency Department Through Shared Decision-making: A Systematic Review

2012 ◽  
Vol 19 (8) ◽  
pp. 959-967 ◽  
Author(s):  
Darren Flynn ◽  
Meghan A. Knoedler ◽  
Erik P. Hess ◽  
M. Hassan Murad ◽  
Patricia J. Erwin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Decision Making ◽  
Emergency Department ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Health Care Decisions

scholarly journals Shared Decision Making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial

2020 ◽  
Vol 27 (9) ◽  
pp. 853-865 ◽  
Author(s):  
Marc A. Probst ◽  
Michelle P. Lin ◽  
Jeremy J. Sze ◽  
Erik P. Hess ◽  
Maggie Breslin ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Shared Decision Making ◽  
Feasibility Trial ◽  
Shared Decision ◽  
Randomized Controlled

Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda

2016 ◽  
Vol 23 (12) ◽  
pp. 1386-1393 ◽  
Author(s):  
Teresita M. Hogan ◽  
Natalie L. Richmond ◽  
Christopher R. Carpenter ◽  
Kevin Biese ◽  
Ula Hwang ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Shared Decision Making ◽  
Emergency Care ◽  
Research Agenda ◽  
Shared Decision
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