decision support as a clinical skill module ii using the ottawa personal decision guide
Download
Skip this Video
Download Presentation
Decision Support as a Clinical Skill Module II: Using the Ottawa Personal Decision guide

Loading in 2 Seconds...

play fullscreen
1 / 16

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


  • 107 Views
  • Uploaded on

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

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Decision Support as a Clinical Skill Module II: Using the Ottawa Personal Decision guide' - gaura


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

slide2

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
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
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?
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
ad