FROM INFORMED CONSENT TO SHARED DECISION P. Ragni, S. Baruzzo, - PowerPoint PPT Presentation

FROM INFORMED CONSENT TO SHARED DECISION P. Ragni, S. Baruzzo, A. Nini, R. Gombia, F. Gazzotti, M. Bondavalli, A. Chiarenza, D. Riccò

Informed consent (IC) IC is often understood as: • a formality for informing the patient about a proposed and risky diagnostic or therapeutic procedure • a safeguard offering the provider legal protection ( defensive medicine ) • a mini- Encyclopaedia Britannica about medical complications But…look at our Education programme on IC, please

1. The autonomy Kant 2. Debate or Dialogue? Socrates 3. Complexity and uncertainty Funtowicz (Post-normal science) Boniolo 4. Decision ( The art of deliberating) 5. Sharing decision making M B Abram

Awareness indicates not only the acquisition of technical information, but the activation of active information processing by the patient (Langer, 1989) Medical decisions can concern various aspects, from survival to the risk of permanent damage and quality of life However in the choosing process, objective and subjective wellbeing of the patient is involved, which also affects the psychic and social dimension. Therefore, the decisions must also consider the systems of values, beliefs and principles of each person”. (Pravettoni and Vago, 2011)

Patient’s competences Doctor’s competences ( expertise ) ( expertise ) Illness/Disease Diagnosis Experience Disease’s etiology Social environment Risk Propensity Prognosis Values Treatment options Outcome probability Personal Preferences

The citizens, our precious consultants …

…and our colleagues surgeons during education on IC