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Realistic Medicine – Leads Away Day 12-13 March 2019 – write up

 

DRIVER DIAGRAM POSTS

Management

Data to be analysed

Resources already in place?

How to improve public awareness of RM and change culture and expectations

Systems

WHAT WILL YOU TAKE AWAY?

 WHAT ARE YOU MOST PROUD OF? 

 HOW CAN WE ENSURE THAT THE 5 QUESTIONS – STYLE APPROACH WE USE IS WELL EVIDENCED? 

WHAT KIND OF EVALUATION COULD TAKE PLACE TO ENSURE WE FIND THE BEST VERSION OF THE 5 QUESTIONS FOR SCOTLAND

Patient Reported Outcomes please

 TACTICS

 How ? Methods 

THINK! ·       Pause

·       Rewind and summarise

·       Slow it down

·       “Balcony”

REFLECT ·       Listen

·       Acknowledge their point

·       Acknowledge their feelings

REFRAME ·       Yes and ask for their advice

·       Problem solving questions

·       What if?

 

WHAT EVIDENCE IS AVAILABLE ON SDM?

RM LEAD CHART – see PDF chart contained in hyperlink at top of page
Encouraging – Discouraging – see full graph contained in hyperlink at top of page
ENCOURAGING
Cosy

Superficial

Reward

Learning

Avoiding Directing
Disengaged Stressful

Anxious

Discouraging

 

LACK OF CONFIDENCE

WHAT WORK IS GOING ON TO SUPPORT SDM? 

WHAT ARE SOME OF THE BARRIERS TO PRACTISING SHARED DECISION MAKING AND HOW MIGHT THEY BE OVERCOME? (barriers: patient/system/clinician)