Week 1- Share model Discussion Introduction

Week 1- Share model Discussion Introduction

Introductions

Instructions

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Classroom Participation:

Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however, should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criteria inclusive of content, analysis, collaboration, writing, and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

Solution

Shared Approach

A 32-year-old female reports to the clinic complaining of persistent lower abdominal pain. The pain started three weeks ago and is getting worse. The patient explains that he initially took over-the-counter pain medication in vain. He has also taken antibiotics and even massaged the stomach with warm water, believing the pain could have resulted from the intensive gym workout he has had in the past weeks. The patient has not had significant health issues and has been in perfect health. Using a Shared Approach is a crucial strategy to engage and inform the patient to establish competend health decisions (Elwyn et al., 2017).

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The first step of the Shared Approach is to involve the patient (AHRQ, 2020). In this case, we discussed with the client about his condition, and he described the pain characteristics, onset, and the specific interventions used. The second step involved exploring and comparing the different treatment options (AHRQ, 2020).

This included the interventions the patient has so far tried, including OTC pain relief and antibiotics. The third step involved assessing the client’s preferences and values (AHRQ, 2020), core to evidence-based practice. I assessed the client’s health values, including his view on a healthy diet, hygiene, and regular medical checkup.

The fourth step involved establishing a decision (AHRQ, 2020). I considered considering the available evidence, expertise, and patient values. We also discussed alternative treatment options, lab tests, and the need for a follow-up appointment.

The last step involved evaluating the patient’s decision (AHRQ, 2020). This was guided by informed consent and evidence. I reviewed the care plan and evaluated possible barriers to compliance and adherence.  I scheduled a follow-up appointment to assess treatment response and provide further recommendations.

Reference

Agency for Healthcare Research and Quality (AHRQ). (Reviewed 2020). The SHARE approach: Essential steps of sharing decision-making: Expanded reference guide with sample conversation starters. https://www.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-2.html Elwyn, G., Durand, M. A., Song, J., Aarts, J., Barr, P. J., Berger, Z., … & Van der Weijden, T. (2017). A three-talk model for shared decision making: multistage consultation process. bmj, 359.