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Decision Support Decision Support as a Clinical Skillas a Clinical Skill
Module II:Module II:Using the Ottawa Personal Using the Ottawa Personal Decision guideDecision guide
Last update: September 2008
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Decisional NeedsDecisional conflict (uncertainty) Decision: type, timing, stage, leaningKnowledge & ExpectationsValues claritySupport/resourcesPersonal/Clinical Characteristics
QualityInformed, values-based ActionsDelay, continuance ImpactValues-based health outcomesReduce regret and blameAppropriate use & cost of health services
Decision Support1. Clarify decision and needs2. Provide facts, probabilities3. Clarify values4. Support/Guide/Coach5. Monitor/Facilitate progress
British Medical Journal 327:736-740, 2003
OTTAWA DECISION SUPPORT FRAMEWORK
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Health Decisions Best Suited for the Ottawa DSF
No clear “choice” that’s right for No clear “choice” that’s right for everyoneeveryone
Stimulated by new circumstance, medical Stimulated by new circumstance, medical diagnosis, or developmental transitiondiagnosis, or developmental transition
Careful deliberation --- uncertain Careful deliberation --- uncertain outcomes (scientific uncertainty)outcomes (scientific uncertainty)
Options have different benefit/harm Options have different benefit/harm profiles that clients value differentlyprofiles that clients value differently
More effort in deliberation than in More effort in deliberation than in implementation implementation
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Ottawa Personal Decision Guide
Clarify the Decision Clarify the Decision Identify Decision Making Identify Decision Making
NeedsNeeds Explore Needs Explore Needs Plan Next StepsPlan Next Steps
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Step 1: Clarify the Decision
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Step 2: Identify Needs
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Step 3: Explore Needs Support/Pressure
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Client’s Characteristics AgeAge GenderGender LocaleLocale OccupationOccupation EducationEducation LanguageLanguage EthnicityEthnicity
Medical diagnosisMedical diagnosis Duration of diagnosisDuration of diagnosis Marital statusMarital status Family compositionFamily composition Health status Health status
physicalphysical cognitivecognitive emotionalemotional socialsocial
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Step 3: Explore NeedsKnowledge Values Certainty
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ExampleExamplePatient with painful knee osteoarthritisPatient with painful knee osteoarthritis
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ExampleExampleAssign ImportanceAssign Importance
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Step 4: Plan Next Steps
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Progress in Decision Making
LeaningLeaning: : Choice predispositionChoice predisposition Leaning towards a specific option?Leaning towards a specific option?
Certainty:Certainty: Best choice for you?Best choice for you?
Stage:Stage: Aware of options? Aware of options? Close to choosing?Close to choosing? Already made a choice? Already made a choice?
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Experience using the OPDG
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Using the Ottawa Personal Using the Ottawa Personal Decision GuideDecision Guide
Form groups of two• ‘Client’ making a difficult decision• ‘Practitioner’ interview
2. ‘Client’ choose a real decision (health decision, career, education, move, buy
a car)3. ‘Practitioner’ interviews patient &
documents on the Ottawa Guide 4. Discussion
Any Any Decision
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What happened?What happened?
What helped?What helped?