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Related Concept Videos

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Updated: Jul 2, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Shared Decision-Making and Patient Communication in Nephrology Practice.

Ernest I Mandel1, Monica Fox2, Jane O Schell3

  • 1Division of Renal Medicine, Brigham and Women's Hospital, Department of Medicine, Hebrew SeniorLife, Harvard Medical School, Boston, MA.

Advances in Kidney Disease and Health
|February 25, 2024
PubMed
Summary

Shared decision-making (SDM) enhances patient understanding and satisfaction in medical choices. Applying SDM in nephrology improves care for kidney disease patients, especially vulnerable populations.

Keywords:
Communication skillsCultural competencyEmpathyHealth equityPatient decision aidsResponding to emotionShared decision-making

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Area of Science:

  • Nephrology
  • Medical Ethics
  • Health Communication

Background:

  • Shared decision-making (SDM) is crucial for patient-clinician medical decisions.
  • Evidence shows SDM improves patient understanding and satisfaction.
  • Dialysis patients sometimes feel passive in treatment decisions, indicating a need for better SDM.

Purpose of the Study:

  • To review the evidence, context, and timing for SDM in kidney disease care.
  • To explore SDM's application in chronic kidney disease and acute kidney injury.
  • To highlight considerations for vulnerable populations and health equity in SDM.

Main Methods:

  • Literature review of SDM in nephrology practice.
  • Analysis of communication tools and frameworks for SDM.
  • Discussion of SDM's role across the kidney disease trajectory.

Main Results:

  • SDM enhances patient engagement and informed choices in kidney disease management.
  • Culturally sensitive and equity-informed communication is key to effective SDM.
  • Frameworks like Serious Illness Conversation Guide and REMAP can facilitate SDM.

Conclusions:

  • Nephrology providers can improve patient care by implementing SDM.
  • Effective SDM requires integrating patient values with clinical expertise.
  • Targeted strategies are needed to promote SDM, especially for vulnerable kidney disease patients.