Perceived shared decision-making among patients undergoing lower-limb amputation and their care teams: A qualitative study.
Chelsea LeonardGeorge SayreSienna WilliamsAlison HendersonDan NorvellAaron P TurnerJoseph CzernieckiPublished in: Prosthetics and orthotics international (2023)
Despite the recognized importance SDM in amputation decision-making, patients often perceived that their opinion was not solicited. This may result from provider perception of significant challenges to SDM posed by the clinical context of amputation. Patients identified key features that might enhance SDM including presentation of clear, concise information, and the importance of communicating concern during the discussion. These findings point to gaps in the provision of patient-centric care through SDM discussions at the time of amputation.
Keyphrases
- lower limb
- end stage renal disease
- ejection fraction
- healthcare
- palliative care
- newly diagnosed
- chronic kidney disease
- mental health
- decision making
- depressive symptoms
- peripheral artery disease
- prognostic factors
- social support
- peritoneal dialysis
- patient reported outcomes
- chronic pain
- pain management
- quality improvement