6
Overview
Table 1. Ideal Components of the Shared Decision-Making
and Informed Consent Process
Patient-Centered Care
Assess a patient's ability to understand complex health information
Seek support of family/others
Elicit and respect cultural, racial, ethnic, or religious preferences and values
Evaluate social determinants of health (education, income, access to health care)
Improve telephone/telemedicine access
Discuss treatment alternatives and how each affects the patient's quality of life
Shared Decision-Making
Encourage questions and explain the patient's role in the decision-making partnership
Clearly and accurately communicate the potential risks and benefits of a particular
procedure and alternative treatments
Ensure that patients have a key role in deciding what revascularization approach is
appropriate
Use shared decision aids:
• Alphabetical List of Decision Aids by Health Topic, Ottawa Hospital Research
Institute (decisionaid.ohri.ca/implement.html)
• SHARE Approach Curriculum Tools, Agency for Healthcare Research and Quality
(www.ahrq.gov/health-literacy/curriculum-tools/shareddecisionmaking/tools/tool-
1/index.html)
Spend sufficient time to engage in shared decision-making ; allow for a second opinion
Work with a chaplain, social worker, or other team members to facilitate shared
decision-making
Encourage patients to share their fears, stress, or other emotions, and address
appropriately
Negotiate decision in partnership with the patient and family members
Respect patient's autonomy to decline recommended treatment
Consent Procedures
Use plain language, avoiding jargon, and adopt the patient's words; integrate pictures to
teach
Document teach-back of patient's knowledge and understanding
Conduct conversations with a trained interpreter, as needed
Provide patient-specific short- and long-term risks, benefits, and alternative treatments
Note: The numbering of the following tables and figures differs from that
of the Clinical Practice Guideline.
