[Applying Shared Decision-Making in the Discharge Planning of a Young Patient With Stroke: A Nursing Experience]

This article describes the experience of a nurse in applying the shared decision-making process to assist a young patient with ischemic stroke to address their anxiety, commence post-stroke rehabilitation, and formulate an appropriate discharge plan. The patient's information was collected during the nursing period from July 10th to July 31st, 2023 through interviews, observation, chart reviews, and comprehensive nursing assessments using Gordon's eleven functional health patterns. The three major nursing diagnoses included: "impaired physical mobility", "insufficient self-care ability", and "anxiety". The SHARE model developed by the Agency for Healthcare Research and Quality was subsequently employed to build a relationship based on shared decision-making. We encouraged patient participation in comparing different decision options, assessing their values and expectations, and formulating rehabilitation and discharge plans. Also, relevant rehabilitation guidance methods were provided in cooperation with physical and occupational therapists. A personalized rehabilitation plan was designed based on the patient's daily routines, preferences, and expectations to optimize their ability to perform key activities of daily life. With regard to the discharge plan, we assisted the patient to choose their continuing rehabilitation preferences by providing patient decision aids. Finally, the patient chose the post-acute rehabilitation care plan based on self-determined expectations and goals, which helped alleviate uncertainty and anxiety about the future. This nursing experience aimed to improve the confidence of a young patient with stroke in post-stroke rehabilitation by applying a shared decision-making model. We hope to share this nursing experience as a reference for medical staff responsible for caring for other young patients recovering from stroke.