Shared decision‐making for older adults with cardiovascular disease

Shared decision‐making is appropriate for clinical decisions involving multiple reasonable options, which occur frequently in the cardiovascular care of older adults. The process includes the communication of relevant factual information between the patient and the clinician, elicitation of patient...

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Bibliographic Details
Published in:Clinical cardiology (Mahwah, N.J.) Vol. 43; no. 2; pp. 196 - 204
Main Authors: Backman, Warren D., Levine, Sharon A., Wenger, Nanette K., Harold, John Gordon
Format: Journal Article
Language:English
Published: New York Wiley Periodicals, Inc 01.02.2020
John Wiley & Sons, Inc
Subjects:
Age Factors
Aged
Aged, 80 and over
Aging - psychology
Angina pectoris
Attitude of Health Personnel
Cardiology
Cardiovascular disease
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - physiopathology
Cardiovascular Diseases - therapy
clinical decision‐making
Consent
decision aids
Decision making
Decision Making, Shared
Decision Support Techniques
decision‐making capacity
elderly
Female
geriatric cardiology
geriatrics
Health care
Health Communication
Health Knowledge, Attitudes, Practice
Humans
informed decision‐making
Male
older adults
Older people
Patient Participation
Patient Protection & Affordable Care Act 2010-US
Patient-Centered Care
Patients
Physician-Patient Relations
Physicians
Review
Reviews
Shared decision making
Values
United States > US
cardiovascular disease
geriatrics
elderly
shared decision-making
aged
older adults
clinical decision-making
decision aids
decision-making capacity
geriatric cardiology
informed decision-making
patient centered care
ISSN:0160-9289, 1932-8737, 1932-8737
Online Access:Get full text
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Summary:Shared decision‐making is appropriate for clinical decisions involving multiple reasonable options, which occur frequently in the cardiovascular care of older adults. The process includes the communication of relevant factual information between the patient and the clinician, elicitation of patient preferences, and a mutual agreement on the best course of action to meet the patient's personal goals. For older adults, there are common challenges and considerations with regard to shared decision‐making, some of which (eg, cognitive impairment) may be biologically linked to cardiovascular disease. There are tools designed to facilitate the shared decision‐making process, known as decision aids, which are broadly effective although have shortcomings when applied to older adults. Novel approaches in clinical research and health systems changes will go some way toward improving shared decision‐making for older adults, but the greatest scope for improvement may be within the grass roots areas of communication skills, interdisciplinary teamwork, and simply asking our patients what matters most.
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ISSN:0160-9289
1932-8737
1932-8737
DOI:10.1002/clc.23267