significant direction, trusts treatment/care options. Physician guidance or and physician to presents information that decisions on in control make encourages patient to consent to the diagnostic and of decisions in intervention(s) that the physician therapeutic information their best views as best. interventions, risks and interests and and benefits in the situation. on their think you should…” “I clinical situation. behalf. Informative Patient wants Informant. Patient Physician provides the about information and Technical, consumes medical condition(s), options and medical expertise rationale medical plan. Patient asks questions about provided in a factual expert. information choices and then makes the manner including making decision(s). possible diagnostic choices and therapeutic on factual options are…” “The interventions, risks information and benefits in the provided. clinical situation. Interpretative Patient wants Counsellor. Patient is Physician explores patients’ values, physician to help Engaged, needs and goals to then offer clarify values, needs shared about own diagnostic and therapeutic and goals to inform decision- wants and interventions that meet those the selection of making needs and values, needs and goals. diagnostic and therapeutic these the options connect to “How interventions, risk expectations. your goals are… and benefits that Works with meet those values, physician in needs and goals in selection of the clinical situation. choices. Deliberative Patient wants the Teacher or Patient Physician and patient explore physician to help Coach engaged in values, needs and goals. Physician clarify dialogue and and patient dialogue about values, empowered alternative health-related values clarify the issues to follow including applicability and arising from the unexamined implications in the clinical situation. various options for preferences diagnostic and or examined “Have you considered that your therapeutic values. goals might mean that…” interventions, risks and benefits in the clinical situation.
significant direction, guidance or decisions on diagnostic and therapeutic interventions, risks and benefits in the clinical situation. and in control of information and situation. trusts physician to make decisions in their best interests and on their behalf. treatment/care options. Physician presents information that encourages patient to consent to the intervention(s) that the physician views as best. “I think you should…” Informative Patient wants information and medical expertise provided in a factual manner including possible diagnostic and therapeutic interventions, risks and benefits in the clinical situation. Informant. Technical, rationale expert. Patient consumes medical information making choices on factual information provided. Physician provides the about medical condition(s), options and plan. Patient asks questions about choices and then makes the decision(s). “The options are…” Interpretative Patient wants physician to help clarify values, needs and goals to inform the selection of diagnostic and therapeutic interventions, risk and benefits that meet those values, needs and goals in the clinical situation. Counsellor. Engaged, shared decision- making Patient is about own wants and needs and these expectations. Works with physician in selection of choices. Physician explores patients’ values, needs and goals to then offer diagnostic and therapeutic interventions that meet those values, needs and goals. “How the options connect to your goals are… Deliberative Patient wants the physician to help clarify values, clarify the issues arising from the various options for diagnostic and therapeutic interventions, risks and benefits in the clinical situation. Teacher or Coach Patient engaged in dialogue and empowered to follow unexamined preferences or examined values. Physician and patient explore values, needs and goals. Physician and patient dialogue about alternative health-related values including applicability and implications in the clinical situation. “Have you considered that your goals might mean that…”