Shared decision making in mild cognitive impairment.
Journal
Neurology. Clinical practice
ISSN: 2163-0402
Titre abrégé: Neurol Clin Pract
Pays: United States
ID NLM: 101577149
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
29
06
2018
accepted:
05
09
2018
entrez:
2
5
2019
pubmed:
2
5
2019
medline:
2
5
2019
Statut:
ppublish
Résumé
Shared decision making (SDM) occurs when patients and clinicians consider patients' values and preferences while discussing medical evidence to inform healthcare decisions. SDM enables patients with mild cognitive impairment (MCI) to express values and preferences when making current healthcare decisions and presents a unique opportunity to inform future decision making in the case of further cognitive decline. However, clinicians often fail to facilitate SDM with patients with MCI. This review describes research pertaining to value solicitation, weighing of the medical evidence, and medical decision making for individuals with MCI, explores the role of caregivers, identifies barriers to and facilitators of SDM in MCI, and suggests strategies to optimize SDM for persons with MCI in neurology clinical practice. Further research is needed to identify more strategies for decision support for individuals affected by cognitive impairment.
Identifiants
pubmed: 31041132
doi: 10.1212/CPJ.0000000000000576
pii: NEURCLINPRACT2018030239
pmc: PMC6461430
doi:
Types de publication
Journal Article
Langues
eng
Pagination
160-164Subventions
Organisme : AHRQ HHS
ID : K08 HS024159
Pays : United States
Organisme : NIA NIH HHS
ID : L30 AG057119
Pays : United States
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