Sliding-Scale Shared Decision Making for Patients With Reduced Capacity
Tim Lahey, Glyn Elwyn
Abstract
Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions. Shared decision making can be challenging, however, when patients have impaired decision-making capacity. Here, after presenting an illustrative case example, this paper proposes a capacity-adjusted "sliding scale" approach to shared decision making.
Topics & Concepts
Scale (ratio)Computer scienceGeographyCartographyPatient-Provider Communication in HealthcareHealthcare Decision-Making and RestraintsPatient Dignity and Privacy