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

Jacobsen, Juliet LU ; Blinderman, Craig ; Alexander Cole, Corinne and Jackson, Vicki (2018) In Journal of Pain and Symptom Management 55(4). p.1224-1230
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.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Aged, Decision Making, Health Communication/methods, Humans, Idiopathic Pulmonary Fibrosis/diagnosis, Male, Patient Care Planning, Patient-Centered Care/methods, Physician-Patient Relations, Prognosis
in
Journal of Pain and Symptom Management
volume
55
issue
4
pages
1224 - 1230
publisher
Elsevier
external identifiers
  • pmid:29305320
  • scopus:85043451821
ISSN
1873-6513
DOI
10.1016/j.jpainsymman.2017.12.488
language
English
LU publication?
no
additional info
Copyright © 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
id
abb49850-fc47-487f-87c9-da7e5278b949
date added to LUP
2024-11-13 14:07:15
date last changed
2025-07-11 00:07:20
@article{abb49850-fc47-487f-87c9-da7e5278b949,
  abstract     = {{<p>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.</p>}},
  author       = {{Jacobsen, Juliet and Blinderman, Craig and Alexander Cole, Corinne and Jackson, Vicki}},
  issn         = {{1873-6513}},
  keywords     = {{Aged; Decision Making; Health Communication/methods; Humans; Idiopathic Pulmonary Fibrosis/diagnosis; Male; Patient Care Planning; Patient-Centered Care/methods; Physician-Patient Relations; Prognosis}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1224--1230}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Pain and Symptom Management}},
  title        = {{"I'd Recommend …" How to Incorporate Your Recommendation Into Shared Decision Making for Patients With Serious Illness}},
  url          = {{http://dx.doi.org/10.1016/j.jpainsymman.2017.12.488}},
  doi          = {{10.1016/j.jpainsymman.2017.12.488}},
  volume       = {{55}},
  year         = {{2018}},
}