Making a Recommendation
After carefully eliciting patient values and reviewing their individual risk factors, it is important for the clinician to make a recommendation. As experts, many patients and families want clinicians to synthesize complex information into a recommendation that incorporates a patient’s situation with medical knowledge.STEPS AND EXAMPLE
Notice how the clinician in this example does aspects of the following steps in making a recommendation:
- Start by summarizing (or alluding to) individualized information about the patient.
- Make the recommendation, supporting the recommendation with specific patient factors (e.g. values, health status).
- Check for understanding.
Take a minute to think about what worked well in this example and what can be done differently.PRACTICE PHRASES
- “Based on what I know about you, your health and what’s most important to you, I’d recommend…”
- “Let’s talk about what this means for you.”
White DB, Evans LR, Bautista CA, Luce JM, Lo B. Are Physicians’ Recommendations to Limit Life Support Beneficial or Burdensome?: Bringing Empirical Data to the Debate. American Journal of Respiratory and Critical Care Medicine. 2009;180(4):320-325. doi:10.1164/rccm.200811-1776OC.
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