Shared Decision-Making in Perioperative Medicine

Anaesthesia brings another review of the process of shared decision-making that has come to the fore with new patient expectations, healthcare structures and law.

The emphasis is not merely on “informed consent”, but using decision aids to fully explore management options in light of the patient’s preferences and values. The article explores the issue that neither bombarding the patient with details nor cursorily “consenting” the patient are adequate.

The obstacles are discussed, with the often brief encounter with Anesthesia, as well as how it may be implemented in advance of surgery or in the Pre-Admission scenario. It is an interactive dialogue that goes beyond information provision.


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