Ask three questions

Sometimes there will be choices to make about your healthcare. If you are asked to make a choice, make sure you get the answers to these three questions: What are my options? What are the b...

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‘No decision about me, without me?’

I was seeing an older patient with early Alzheimer’s dementia in outpatients and, as is my usual practice, gave the patient feedback on the diagnosis, answered their questions and talked about trea...

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Shared decision making: a common understanding

There is an emerging consensus amongst professionals, patients and politicians that patients have a central role in the decision making process about their health. But scratch the surface of tha...

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Adrian Sieff

What patients want

At Macmillan, we have for several years had an ambition statement which said we want to reach and improve the lives of everyone living with cancer. We know now (though we did not when we wrote the ...

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Self management: it’s easy, isn’t it?

My colleagues often laugh at my mantra for integrating self management skills into mainstream health: ‘it’s like pushing water uphill’. But for those of you who have worked in this area it must fee...

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The Liverpool Care Pathway debate

The controversy over the Liverpool Care Pathway that has raged for the past 10 days or so, following horrid and misleading headlines from some newspapers, has this week collided with the Government...

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Stephen Thornton

No more groundhog days

Shared decision making and self-management support can sound a bit woolly – nice, but not really medicine. Haemodialysis is hardcore medicine – instantly life-saving, it takes place in hospital wit...

Blog

Adrian Sieff

Shared decision making: whose life is it anyway?

I had a conversation recently with two midwives. Both had been trained in shared decision making and had the ‘light bulb’ moment when they realised that, although they thought they’d been providing...

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Adrian Sieff

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