Discover and read the best of Twitter Threads about #SharedDecisionMaking

Most recents (6)

#BuzzWords in #Healthcare that often mean nothing: #PatientEngagement, #PatientCenteredCare #SharedDecisionMaking
Studies have demonstrated for years that IF #patients are #authentically involved in #care outcomes are better, yet, too often the above words thrown out to 1
attract, yet no actions follow.
How often have you been asked your desired outcome of #Healthcare?
How often are you asked about barriers to healthcare or recommendations?
How often are plans focused only on med issue?
How often do you feel your #voice is truly #valued in 2
your own #careplanning?
How often do you feel there is collaboration between all doctors OR do you feel at times doc have competing or conflicting recommendations?

#Patients voice should be central. #LetMeHearYourVoice 3
Read 4 tweets
1/ Endovascular stroke treatment (EVT) is one of the biggest success stories of medicine!
In clinical reality, the question is no longer “Who to treat?” but: “Who should we NOT treat???”

A case-based tweetorial about futile recanalization …
#NeuroTwitter #SharedDecisionMaking
2/ 🧠💔Futile Recanalization (FR) 🧠💔 usually refers to very poor outcome (modified Rankin Scale 5–6) despite a technically successful intervention. It is a bit the elephant in the room in the modern thrombectomy era.
3/ 86yo woman presents with acute severe right-sided hemiplegia and aphasia, NIHSS 14, pre-stroke mRS 1, BP 178/95, glucose 9.5mmol/L, ASPECTS 7, left M1-occlusion, poor collaterals, time since onset 320 minutes.
Read 21 tweets
v2.0 with adjustments
Radicular pain and/or radiculopathy. A thread on decision making.

1⃣ Setting the scene

3Ps/serious pathology (red lines) aside. What does the evidence tells us?

✳️Wait & see
✳️Physiotherapy interventions
✳️Nerve root block
👇👇👇 Image
2⃣ A stepped care approach

So, who will get better anyway? What about relieving suffering? We only have early work into trajectories and prognostics.

Current guidelines and national pathways recommend a stepped approach. One that is 'least intrusive'.
👇👇👇 Image
3⃣ Management variables

What characteristics should we consider? To map onto the stepped care approach.

✳️Confidence in dx
✳️Additional factors
Read 7 tweets
Fantastic #pedsGIchat discussion last week with @JonathanMoses77 & @ICNPatients. Here is a recap of some high points during discussion. Please fell free to read through specific tweets from the chat for further information.
1. For Providers, events like Take Steps are great opportunity to get to know patients outside of 🏥 @CrohnsColitisFn. Patients also appreciate providers getting to know what is important in day-to-day life to put in context of IBD treatment goals #SharedDecisionMaking
2. It is helpful for adolescent & young adult #IBD patients to also talk to 🧑‍⚕️ w/o parent present to help develop autonomy. Parents should discuss with kids who to discuss dx and how much to share. Validated tests such as PHQ-9 can help screen for anxiety and depression
Read 6 tweets
Thread: This week @traversepeople interviewed people about their experiences of healthcare during #Covid19 to understand how non-covid specific care was being affected. Full report out next week, but some initial findings here:
The primary reason people are avoiding seeking care (and they are avoiding it, even for conditions as serious as stroke) is that they don't want to be a burden to the NHS. Fear of contracting coronavirus was a secondary concern for almost everyone we spoke to. #NHS
Communication is crucial to the experience of care. The people we spoke to understand why care is disrupted and are prepared to wait, but not knowing when to expect more information causes anxiety and a feeling of being "at their mercy" #mentalwellbeing #shareddecisionmaking
Read 8 tweets
Haematologists do have this reputation and I suspect me discussing it will upset some 👇
Haematology is an amazing specialty and we are lucky enough to follow patients through every step - the biopsy, the pathology, the treatment and the follow up. We really get to know them
Many haematological illnesses have amazing cure rates, response rates and available options, even in relapse - we can bring lots of hope to desperate situations.
Read 16 tweets

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