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what is shared decision making?
a two-way exchange between the veterinary surgeon and the client
when should shared decision making be used?
behavioural consultations
end of life care
cardiopulmonary resuscitation
preventative treatments
antimicrobials
how should shared decision making be approached?
paternalistic
empathetic
sympathetic
realistic
what is the SHARE approach?
seek client perspective
help the client explore and compare treatment options
assess your client and patient values and preferences
reach a decision with your client
evaluate your client’s decision
what can be used for signposting?
setting the agenda
differentials
pivoting
warning shot
skilled interruption