NDLI: Shared decision making and patient involvement in choosing home therapies.

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Shared decision making and patient involvement in choosing home therapies.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Johansson, Lina
Description	Country affiliation: United kingdom Author Affiliation: Johansson L ( Imperial College London, Department of Nutrition and Dietetics, Hammersmith Hospital, Du Cane Road, London, United Kingdom. l.johansson@imperial.ac.uk)
Abstract	BACKGROUND: Patient involvement through shared decision making is advocated to support patients deciding on a dialysis treatment suitable to their clinical condition, lifestyle and social circumstances. Evidence to date, however, suggests that shared decision making is far from routine practice. Not all physicians or patients are willing to participate in shared decision making. Equally, modality education does not always meet the needs of patients and their families, resulting in a significant proportion of patients remaining unaware of the existence of home therapies. The selection of home therapies appears to be tightly associated with the quality of the modality education. This paper considers several ways in which patient involvement in their dialysis modality decision can be improved, with particular reference to information provision. Information needs to be balanced, explore the medical as well as the psychosocial aspects of each treatment, be tailored to the needs of the individual patient and be delivered in a timely fashion. CONCLUSION: Optimising modality education will optimise patient's ability to participate in shared decision making, thereby improving uptake of home therapies.
File Format	HTM / HTML
ISSN	17556678
Issue Number	Suppl 1
Volume Number	39
e-ISSN	17556686
Journal	Journal of Renal Care
Language	English
Publisher	Wiley
Publisher Date	2013-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nephrology Discipline Nursing Choice Behavior Decision Making Hemodialysis, Home Nursing Kidney Failure, Chronic Patient Participation Peritoneal Dialysis, Continuous Ambulatory Caregivers Education Psychology Ethics Ethics, Nursing Humans Patient Acceptance Of Health Care Patient Education As Topic Physician-patient Relations Great Britain Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Advanced and Specialized Nursing Nephrology

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