Shared decision making in de ouderenzorg

Abstract

Shared decision making in older patients The framework of shared decision making aims at helping people play an active role in weighing their options concerning their health. Such an approach is preferred in both younger and older individuals. However, in older adults there are common challenges and considerations with regard to this process of shared decision making. First, there is the challenge posed by gaps in the available evidence. Even if older individuals are included in clinical trials, they may not resemble the unique patient sitting in front of the clinician. Second, outcomes that matter to older patients, are more likely to be patient-centred and focussed on functional status and independence instead of mortality. Thus, it will be important to explore the patient’s preferences and emotions. Finally, sharing medical information with older adults can be problematic, as cognitive impairment may pose a great challenge. All of the above makes shared decision making a time-consuming and laborious process. Nevertheless, it is an essential factor in providing high-quality care and shared decision making remains of paramount importance in designing an individual treatment plan.