Discussion: Patient Preferences and Decision Making Essay

Discussion: Patient Preferences and Decision Making Essay

Discussion: Patient Preferences and Decision Making Essay

Patient preferences and values can be social, cultural, religious, or spiritual values, and the patient’s thoughts about what entails personal priorities, quality of life, and beliefs about health. A 45-year-old male patient presented to the outpatient clinic with complaints of insomnia. He reported having problems finding sleep and had frequent nighttime awakenings. Insomnia had affected his job since he would often nod off at his desk as early as 10 am. He had taken OTC diphenhydramine, which a colleague had recommended to help him sleep. However, he did not continue taking it since he experienced morning drowsiness. When discussing treatment options with the patient, he requested that the drug prescribed should have no diphenhydramine as an ingredient.

ORDER A PLAGIARISM-FREE PAPER HERE ON; Discussion: Patient Preferences and Decision Making Essay

The preceptor commonly prescribes Hydroxyzine to middle-aged patients with insomnia. However, he did not prescribe it for this patient since it is an antihistamine with strong sedative properties associated with drowsiness. Besides, the preceptor wanted to respect the patient’s preferences since it increases medication adherence. Consequently, the preceptor prescribed Trazodone, an off-label drug, to manage his insomnia (Pagel et al., 2018). During the follow-up visit, the patient reported that Trazodone was effective in managing insomnia and reported no adverse effects. He mentioned that he took the drug as prescribed and ensured he never missed a dose. If the preceptor had failed to consider the patient’s preferences and prescribed Hydroxyzine as she does to other patients, the side effects would have limited adherence. Thus, the desired treatment outcomes would not have been achieved.

The selected patient decision aid is Insomnia: Should I Take Sleeping Pills? The aid targets individuals considering using sleeping pills for insomnia. It provides two options: Take sleeping pills for a short time alongside lifestyle modification and Treat sleep problems with only lifestyle changes (Ottawa Hospital Research Institute, 2019). The decision aid can help clinicians to make effective decisions when managing patients with insomnia by guiding them on whether to prescribe medications or sleep hygiene interventions. I can use the tool in my future FNP practice in managing clients with insomnia and determining the patients to recommend pharmacotherapy and those for psychotherapy.

References

Ottawa Hospital Research Institute. (2019, June 26). A to Z summary results. Patient Decision Aids – Ottawa Hospital Research Institute. https://decisionaid.ohri.ca/AZsumm.php?ID=1085

Pagel, J. F., Pandi-Perumal, S. R., & Monti, J. M. (2018). Treating insomnia with medications. Sleep Science and Practice, 2(1), 1-12. https://doi.org/10.1186/s41606-018-0025-z

BUY A CUSTOM PAPER HERE ON; Discussion: Patient Preferences and Decision Making Essay

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision-making.

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
• Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
• NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

BY DAY 3 OF WEEK 11

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Course resources are linked below.

BUY A CUSTOM PAPER HERE ON; Discussion: Patient Preferences and Decision Making Essay

Criteria	Ratings				Pts
Main Posting	50 to >44 pts Excellent	44 to >39 pts Good	39 to >34 pts Fair	34 to >0 pts Poor
	Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. … Supported by at least three current, credible sources. … Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. … At least 75% of post has exceptional depth and breadth. … Supported by at least three credible sources. … Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	Responds to some of the discussion question(s). … One or two criteria are not addressed or are superficially addressed. … Is somewhat lacking reflection and critical analysis and synthesis. … Somewhat represents knowledge gained from the course readings for the module. … Post is cited with two credible sources. … Written somewhat concisely; may contain more than two spelling or grammatical errors. … Contains some APA formatting errors.	Does not respond to the discussion question(s) adequately. … Lacks depth or superficially addresses criteria. … Lacks reflection and critical analysis and synthesis. … Does not represent knowledge gained from the course readings for the module. … Contains only one or no credible sources.  Not written clearly or concisely. … Contains more than two spelling or grammatical errors….. Does not adhere to current APA manual writing rules and style.
view longer description					/ 50 pts

Criteria	Ratings				Pts
Main Post: Timeliness view longer description	10 to >0 pts Excellent Posts main post	by day 3.	0 pts Poor Does not post by	day 3.	/ 10 pts
First Response view longer description	18 to >16 pts Excellent Response exhibits synthesis,	16 to >14 pts Good Response exhibits critical	14 to >12 pts Fair Response is on topic and may have some	12 to >0 pts Poor Response may not be on topic and lacks	/ 18 pts
	critical	thinking and	depth. …	depth. …
	thinking, and	application to	Responses	Responses
	application to	practice	posted in the	posted in the
	practice settings. …	settings. … Communicatio	discussion may lack	discussion lack effective
	Responds fully	n is	effective	professional
	to questions	professional	professional	communicatio
	posed by	and respectful	communicatio	n. …
	faculty. … Provides clear,	to colleagues. … Responses	n. … Responses to	Responses to faculty
	concise	to faculty	faculty	questions are
	opinions and	questions are	questions are	missing…… No
	ideas that are	answered, if	somewhat	credible
	supported by at least two	posed. … Provides clear,	answered, if posed. …	sources are cited.
	scholarly	concise	Response may
	sources. …	opinions and	lack clear,
	Demonstrates	ideas that are	concise
	synthesis and understanding	supported by two or more	opinions and ideas, and a
	of learning	credible	few or no
	objectives. …	sources. …	credible
	Communicatio	Response is	sources are
	n is professional	effectively written in	cited.
	and respectful	standard,
	to colleagues.	edited English.
	… Responses to faculty
	questions are
	fully
	answered, if
	posed. …

Criteria	Ratings					Pts
		Response is effectively written in standard, edited English.
Second Response view longer description	17 to >15 pts Excellent Response exhibits synthesis,		15 to >13 pts Good Response exhibits critical	13 to >11 pts Fair Response is on topic and may have some	11 to >0 pts Poor Response may not be on topic and lacks	/ 17 pts
	critical		thinking and	depth. …	depth. …
	thinking, and		application to	Responses	Responses
	application to		practice	posted in the	posted in the
	practice settings. …		settings. … Communicatio	discussion may lack	discussion lack effective
	Responds fully		n is	effective	professional
	to questions		professional	professional	communicatio
	posed by		and respectful	communicatio	n. …
	faculty. … Provides clear,		to colleagues. … Responses	n. … Responses to	Responses to faculty
	concise		to faculty	faculty	questions are
	opinions and		questions are	questions are	missing…… No
	ideas that are		answered, if	somewhat	credible
	supported by at least two		posed. … Provides clear,	answered, if posed. …	sources are cited.
	scholarly		concise	Response may
	sources. …		opinions and	lack clear,
	Demonstrates		ideas that are	concise
	synthesis and understanding		supported by two or more	opinions and ideas, and a
	of learning		credible	few or no
	objectives. …		sources. …	credible
	Communicatio		Response is	sources are
	n is professional		effectively written in	cited.
	and respectful		standard,
	to colleagues.		edited English.
	… Responses
	to faculty questions are
	fully
	answered, if

Criteria	Ratings			Pts
		posed. … Response is effectively written in standard, edited English.
		5 to >0 pts	0 pts
Participation		Excellent	Poor
view longer description		Meets requirements for participation by posting on three	Does not meet requirements for participation by posting on 3	/ 5 pts
		different days.	different days.