Ch. 22-Shared decision making for periodontal care -1/21/25

4910- perio pts.

1110-basic prophy code

Shared decision making

• collaborative process recofnizing pts right to make decisions once fully informed of treatment options

  • help create treatment plan by including dental team and pts. informed preferences

  • Final decision rests on

    • evidence-based info

    • smth

    • what pts want

• Involves agreemtn between clinician and pts on care plan

Evidence-based healthcare

• systematic approach

Systematic

ion

Cochrane Database of systemic reviews- resource for

Characteristics of shared decision making

• conscientious offering of care options for patients consideration

  • Helps develop partnership with patient

  • determine pts preferences for their role in decision making

  • elicit and respond to pts ideas, concerns and expectations of periodontal therapy

  • identify choices and evaluate research evidence in relation to individual pt.

  • help pt reflect on and assess impact of alternaticve decisions with regard to their balues

  • develop peridontal care plan in partnership with pt.

  • document agreed upon periodntal care

• why pts. preference matter?

  • right thing to do

  • smth

• Decision might be whether to

  • FUCKKKKKK

• pts dont always know or understand options or risks and benefits

• as pts become better informed they make better informed decisions, and feel more confident about their choices

• Big gap between outcomes pts want and outcomes clinicians perceive pts prefer

Shared-decision making approach:

1. jelps pts understand goals and stuff

2. smth

3. smth

Crossing quality chasm- defines patient centered something as something

the SHARE approach

Step 1: seek your patient’s participation

• ask pt to participate

Step 2: Help pt. explore and compare treatment options

• describe each option in plain language

• communicate benefits and risks

Step 3: assess FUCK

Step 4: reach a decision with patient

• help pt move to decision

• confirm decision with patient

• assist pt. to follow thru decision

• somthing else fuck bruh

Step 5: evaluate your patient’s decision

Decision aids for periodntal patients

• info like videos and stuff

When pts use aids

• they learn and stuff

• more educated

• participate more

Guidelines related to consent for periodontal treatment

• informed consent- we tell them prior to treatment

• full disclosure- explain why they need treatment and other FUCKING SHIT

What constitues informed consent?

• process of communication

• bruh

• voluntary and originate from pts legal right to direct what happens to their body; ethical duty of dental health care provider something else FUCK

Legal claims against providers usually consist of

• clinician didn’t perform treatment right

• didnt inform pt.

• didn’t chart

Reasonable pt. standard

• healthcare provider must disclose all information a rational something bruhhhhhhhhhhhh

elements of informed consent-

• fiagnosis and explanation of periodontal condisiton that warrants proposed treatment

• explanation of fucking something bruh

• more

• more

• more

• more

• risks and benefits

• discussion of prognosis if no treatment is provided

• costs associated with treatment

• reinforcement of pts right to refuse consent

if patient refuses periodontal treatment

• they can refuse

• make sure they know why

getting consent

• inform them

• have them ask questions

• more

• we have to get consent or else we can be sued

• need diagnosis in language understood

• document things

• discuss alternate treatments

• encourage pts to ask questions and document this

• consent form

legal requirements for consent

• pt fully informed

• pt is of legal age as determined by state law

• documentation

• more