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"I'd Recommend …" How to Incorporate Your Recommendation Into Shared Decision Making for Patients With Serious Illness.

Abstract：

:Patients and families facing serious illness often want and need their clinicians to help guide medical decision making by offering a recommendation. Yet clinicians worry that recommendations are not compatible with shared decision making and feel reluctant to offer them. We describe an expert approach to formulating a recommendation using a shared decision-making framework. We offer three steps to formulating a recommendation: 1) evaluate the prognosis and treatment options; 2) understand the range of priorities that are important to your patient given the prognosis; and 3) base your recommendation on the patient's priorities most compatible with the likely prognosis and available treatment options.

journal_name

J Pain Symptom Manage

journal_title

Journal of pain and symptom management

authors

Jacobsen J,Blinderman C,Alexander Cole C,Jackson V

doi

10.1016/j.jpainsymman.2017.12.488

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

1224-1230

issue

4

eissn

0885-3924

issn

1873-6513

pii

S0885-3924(17)31284-8

journal_volume

55

pub_type

杂志文章

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