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Shared Decision Making – Working With Young people

Shared Decision Making – Working With Young people. Lucy Craig & Ruth Wyllie Paediatric Rheumatology Service Great North Children ’ s Hospital. Background. Children ’ s and Young People (YP) Rheumatology Service Separate YP clinic established 5+ years ago

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Shared Decision Making – Working With Young people

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  1. Shared Decision Making – Working With Young people Lucy Craig & Ruth Wyllie Paediatric Rheumatology Service Great North Children’s Hospital

  2. Background • Children’s and Young People (YP) Rheumatology Service • Separate YP clinic established 5+ years ago • “You’re Welcome” DoH standard implementation • Re evaluate service provision for YP • Aim to improve communication and shared decision making with YP • WHY? Transitional care  process preparing YP for transfer to adult services

  3. Practical Aspects • We need to involve YP in managing their own health issues • Nurses wanted to encourage YP to go into consultation room without their parents • YP were worried about what to say to the Doctor….

  4. “A spoonful of questions” • Encourages discussion during the consultation. • Tackles ‘controversial’ issues which may be hard to bring up without a prompt • Initially 15 questions available to choose from to take in to consultation • Now refined to 5 key questions • Need to consider confidentiality – refined method

  5. Other methods “Ask 3 things” Question of the month When will I move to adult services? What jabs should I be having at this time of year? I’m going on holiday, what do I need to do with my medicines? • Tell me 3 things you can remember about your medication?

  6. Summary • YP now go into consultation independently • YP feedback to parents demonstrating knowledge and understanding • “You’re Welcome” accreditation • Launching “ask 3 questions” to all children’s departments GNCH • Simple ideas can be effective and not expensive…

  7. Lucy Craig & Ruth Wyllie Paediatric Rheumatology Service Great North Children’s Hospital 0191 282 9311

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