{"id":982,"date":"2014-11-17T21:08:05","date_gmt":"2014-11-17T20:08:05","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/adc\/?p=982"},"modified":"2014-11-08T18:45:28","modified_gmt":"2014-11-08T17:45:28","slug":"deliberation-and-determination","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/adc\/2014\/11\/17\/deliberation-and-determination\/","title":{"rendered":"Deliberation and determination"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/pbs.twimg.com\/profile_images\/458980061912129536\/ULRE92q4_400x400.jpeg\" alt=\"\" width=\"174\" height=\"174\" \/>What does it mean to have a choice in your care?<\/p>\n<p>It&#8217;s an interesting question, I think. And may not be as neatly answered as the pat response to an exam: &#8220;for example, let the child choose which book to look at while you do the venipuncture!.<\/p>\n<p>If you can&#8217;t\u00a0influence the final yes \/ no &#8211; can you be involved in the decision?<\/p>\n<p><!--more--><\/p>\n<p>There are many different ways of looking at decision making, and one nice idea is that there is a difference between the &#8220;deliberation&#8221; (the thinking about the elements involved in a decision) and the &#8220;determination&#8221; (the making of yes\/no).<\/p>\n<p>It might be helpful to reflect on how many discussions have gone in your clinical life; how the inclusion of parents of young people have wanted to understand the clinical thinking that you are undertaking. They may then want to follow out what you suggest &#8211; your recommendation &#8211; and defer that eventual determination in the decision making process to you. Because they have\u00a0declined to make the final yes\/no &#8211; have they participated in the\u00a0decision or not? Many people will describe this as being involved, a few will not take this view.<\/p>\n<p>What does it mean to have a choice in your care?<\/p>\n<p>&#8211; Archi<\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What does it mean to have a choice in your care? It&#8217;s an interesting question, I think. And may not be as neatly answered as the pat response to an exam: &#8220;for example, let the child choose which book to look at while you do the venipuncture!. If you can&#8217;t\u00a0influence the final yes \/ no [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2014\/11\/17\/deliberation-and-determination\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[79],"tags":[],"class_list":["post-982","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=982"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/982\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=982"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}