shared decision making – working with young people lucy craig & ruth wyllie paediatric...
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Shared Decision Making – Working With Young people
Lucy Craig & Ruth Wyllie
Paediatric Rheumatology Service
Great North Children’s Hospital
Background• Children’s and Young People (YP) Rheumatology
Service• Separate YP clinic established 5+ years ago• “You’re Welcome” DoH standard implementation• Re evaluate service provision for YP• Aim to improve communication and shared decision
making with YP• WHY? Transitional care process preparing YP for
transfer to adult services
Practical Aspects
• We need to involve YP in managing their own health issues
• Nurses wanted to encourage YP to go into consultation room without their parents
• YP were worried about what to say to the Doctor….
“A spoonful of questions”• Encourages discussion during the consultation.• Tackles ‘controversial’ issues which may be hard to
bring up without a prompt• Initially 15 questions available to choose from to
take in to consultation • Now refined to 5 key questions• Need to consider confidentiality – refined method
Other methodsQuestion of the month
• When will I move to adult services?
• What jabs should I be having at this time of year?
• I’m going on holiday, what do I need to do with my medicines?
“Ask 3 things”
• Tell me 3 things you can remember about your medication?
Summary
Lucy Craig & Ruth Wyllie
Paediatric Rheumatology Service
Great North Children’s Hospital
0191 282 9311