In some cases where the patient wants to exercise authority in the treatment decision, clinicians should understand their values and ensure the decision is congruent with those values (Kon, Davidson, Morrison, Danis & White, 2016).

Incorporating Patient Preferences and Values in Treatment PlanIn this day and age, when healthcare has evolved into patient-centered care and the use of the evidence-based practice, patients do not comfortably rely on only providers’ supply of information concerning their health. They want to collaborate with healthcare providers in decision-making and control their health and wellness (McGonigle & Mastrian 2022). In my nursing career and as an advocate, most of my patients and their families are allowed to contribute to the treatment decision-making. I have advocated for shared decision-making, whereby patients are adequately educated on the benefits and consequences of the treatment and other treatment options and are jointly involved in the decision-making while honoring their preferences and values (Hoffman, Montori & Del Mar 2014). Treatment plan decisions made without the involvement of patients and families result in patients feeling excluded (Kon, Davidson, Morrison, Danis & White, 2016).My Experience in Involving Patient Preference and Values in Treatment PlanIn my experience, a 56-year-old patient with end-stage chronic liver disease with failing kidney transplant. The treatment team offered the option of hemodialysis to the patient. He was heartbroken about going back to dialysis after some years with functioning transplanted kidneys. This patient did not want to lose the luxury of staying in his home and wanted a home treatment plan. The patient core values were to stay out of hospital and healthcare facilities and be able to go to work and live his everyday life as much as possible with quality family time. A family meeting was called whereby the treatment team, nurses, nurse manager, patient, and families were present to discuss the treatment plan and choices.The Value of the Ottawa Hospital Research Institute’s Patient Decision AidAccording to Finderup, Lomborg, Jensen, and Stacey (2020), with the use of patient decision aid, patients are more knowledgeable, clearer about their values, more involved in decision-making, and more likely to make values-based decisions. With his preference and values in consideration, work, school & travel options of daily home hemodialysis, peritoneal dialysis with a cycler at night, nocturnal home hemodialysis as well as standard in-center hemodialysis with before and after work scheduled options were offered per the Ottawa Hospital Research Institute’s Decision Aids Inventory. The patient decision aid is the “My Life, My Dialysis Choice” (The Ottawa Hospital Research Institute, 2019). With the decision, aid, education, and evidence-based information were given to the patient based on his and his family’s values and preference. That helped the patient and family make an appropriate peritoneal dialysis choice with a cycler at night. The vital information on how to prevent infection, when to call the physicians, and limits on weight lifting were provided to the patient and family. The patient and family were satisfied and felt a sense of involvement in deciding on their treatment plan.The Ottawa Hospital Research Institute’s Decision Aids is significant because it has a lot of information and guidelines for making decisions based on an individual’s preferences and values. This decision aid provides information and covers mostly all the health issues and topics. I would use this aid in my professional career and personal life when making my personal and patients’ health decisions and choices.ConclusionIn some cases where the patient wants to exercise authority in the treatment decision, clinicians should understand their values and ensure the decision is congruent with those values (Kon, Davidson, Morrison, Danis & White, 2016). Providing appropriate education and incorporating patients’ preferences will encourage compliance with treatment. According to Schroy, Mylvaganam, and Davidson (2014), it is fundamental to engage patients in decision-making, especially with preference-sensitive treatment choices. This will enhance partnership with patients and health providers to exchange vital information. The decision aid helps clear clinicians from the problem of not engaging patients in their treatment plan, improves satisfaction, and facilitates shared-decision making (Finderup, Lomborg, Jensen, & Stacey, 2020).