Decision support as a clinical skill module ii using the ottawa personal decision guide
This presentation is the property of its rightful owner.
Sponsored Links
1 / 16

Decision Support as a Clinical Skill Module II: Using the Ottawa Personal Decision guide PowerPoint PPT Presentation


  • 57 Views
  • Uploaded on
  • Presentation posted in: General

Decision Support as a Clinical Skill Module II: Using the Ottawa Personal Decision guide. Last update: September 2008. OTTAWA DECISION SUPPORT FRAMEWORK. Decisional Needs Decisional conflict (uncertainty) Decision: type, timing, stage, leaning Knowledge & Expectations

Download Presentation

Decision Support as a Clinical Skill Module II: Using the Ottawa Personal Decision guide

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Decision support as a clinical skill module ii using the ottawa personal decision guide

Decision Support as a Clinical SkillModule II:Using the Ottawa Personal Decision guide

Last update: September 2008


Decision support as a clinical skill module ii using the ottawa personal decision guide

OTTAWA DECISION SUPPORT FRAMEWORK

  • Decisional Needs

  • Decisional conflict

    (uncertainty)

  • Decision: type, timing,

    stage, leaning

  • Knowledge & Expectations

  • Values clarity

  • Support/resources

  • Personal/Clinical

    Characteristics

  • QualityInformed, values-based

  • Actions

  • Delay, continuance

  • Impact

  • Values-based health

  • outcomes

  • Reduce regret and blame

  • Appropriate use & cost

    of health services

  • Decision Support

  • Clarify decision and needs

  • Provide facts, probabilities

  • Clarify values

  • Support/Guide/Coach

  • Monitor/Facilitate progress

British Medical Journal 327:736-740, 2003


Health decisions best suited for the ottawa dsf

Health Decisions Best Suited for the Ottawa DSF

  • No clear “choice” that’s right for everyone

  • Stimulated by new circumstance, medical diagnosis, or developmental transition

  • Careful deliberation --- uncertain outcomes (scientific uncertainty)

  • Options have different benefit/harm profiles that clients value differently

  • More effort in deliberation than in implementation


Ottawa personal decision guide

Ottawa Personal Decision Guide

  • Clarify the Decision

  • Identify Decision Making Needs

  • Explore Needs

  • Plan Next Steps


Step 1 clarify the decision

Step 1: Clarify the Decision


Step 2 identify needs

Step 2: IdentifyNeeds


Step 3 explore needs support pressure

Step 3: Explore Needs Support/Pressure


Client s characteristics

Age

Gender

Locale

Occupation

Education

Language

Ethnicity

Medical diagnosis

Duration of diagnosis

Marital status

Family composition

Health status

physical

cognitive

emotional

social

Client’s Characteristics


Step 3 explore needs knowledge values certainty

Step 3: Explore NeedsKnowledge Values Certainty


Example patient with painful knee osteoarthritis

ExamplePatient with painful knee osteoarthritis


Example assign importance

ExampleAssign Importance


Step 4 plan next steps

Step 4: Plan Next Steps


Progress in decision making

Progress in Decision Making

  • Leaning: Choice predisposition

    • Leaning towards a specific option?

  • Certainty:

    • Best choice for you?

  • Stage:

    • Aware of options?

    • Close to choosing?

    • Already made a choice?


Decision support as a clinical skill module ii using the ottawa personal decision guide

Experience using the OPDG


Using the ottawa personal decision guide

Using the Ottawa Personal Decision Guide

Any Decision

  • Form groups of two

    • ‘Client’ making a difficult decision

    • ‘Practitioner’ interview

  • ‘Client’ choosea real decision

  • (health decision, career, education, move, buy a car)

  • ‘Practitioner’ interviews patient & documents on the Ottawa Guide

  • Discussion


What happened what helped

What happened?What helped?


  • Login