Shared Decision Making

Shared Decision Making

1. Choice talk: make sure pt knows that reasonable options are available

   • Step back
   • Offer choice
   • Justify choice
   • Check reaction
   • Defer closure

2. Option talk: provide more detailed information about options

   • Check knowledge
   • List options
   • Describe options/Harms & benefit
   • Provide pt decision support
   • Summarize

3. Decision talk: support the work of considering preferences and deciding what is best

   • Focus on preference
   • Elicit a preference
   • Moving to a decision
   • Offer review

4. Confer agency: the capacity of individuals to act independently and to make their own free choices

   • Provide information
   • Support decision making

5. Deliberation

6. Decision support

7. Initial preferences

8. Informed preferences

9. Support autonomy