Patient Decision Aids

1. Totally Health Patient Decision Aids

Totally Health was engaged to produce a number of patient decision aids.
For more information visit:-  Totally Health Shared Decision Making

Thirty Six Patient Decision Aids (PDAs) were launched during 2012/2013, designed to help patients understand and consider the pros and cons of possible treatment options and to encourage communication between them and their healthcare professionals. The PDAs feature evidence-based information, images, diagrams and animations.

• Abdominal Aortic Aneurysm Repair
• Abdominal Aortic Aneurysm Screening
• Acne
• Birth options after previous caesarean section
• Bladder Cancer
• Carpal Tunnel Syndrome
• Cataracts
• Chronic Obstructive Pulmonary Disease
• Depression
• Diabetes: Additional Treatments to Improve Control
• Diabetes: Improving Control
• Diagnostic testing for Down’s Syndrome
• End of Life: Place of care
• Established Kidney Failure
• Established Kidney Failure (Kidney Dialysis)
• Established Kidney Failure (Kidney Transplant)
• Gallstones
• Glue Ear
• Heavy Menstrual Bleeding (Menorrhagia)
• High Blood Pressure
• High Cholesterol
• Inguinal Hernia
• Localised Prostrate Cancer
• Lower Urinary Tract Symptoms
• Lung Cancer
• Multiple Sclerosis
• Obesity
• Osteoarthritis of the Hip
• Osteoarthritis of the Knee
• Prostate Specific Antigen (PSA) Testing
• Rectal cancer(without distant spread)
• Recurrent Sore Throat
• Rheumatoid Arthritis
• Smoking Cessation
• Stable Angina
• Stroke Prevention for Atrial Fibrillation or Atrial Flutter

• PDA apps for Android

These patient decision aids are also available for the iPhone.

Totally Health also produced Shared Decision Making sheets (SDMS) which are resources designed to facilitate a conversation about the reasons for choosing one treatment option over and above another treatment option between people with different types of expertise.

The shared decision making sheets are:

• Prompts for use in consultations by health professionals with their patients
• Aide-memoires for patients with instructions for accessing the corresponding web-based patient decision aid

These are:-

• AAA Repair
• AAA Screening
• Acne
• Birth options after previous caesarean section
• Bladder Cancer
• Carpal Tunnel Syndrome
• Cataracts
• Chronic obstructive pulmonary disease
• Depression
• Diabetes additional treatments to improve control
• Diabetes improving control
• Diagnostic testing for down’s syndrome
• End of Life
• Established Kidney Failure
• Established Kidney Failure Transplant
• Gallstones
• Glue Ear
• Heavy Menstrual Bleeding(Menorrhagia)
• High Blood Pressure
• High Cholesterol
• Inguinal Hernia
• Lower Urinary Tract symptoms
• Lung Cancer
• Multiple Sclerosis
• Obesity
• Osteoarthritis of the hip
• Osteoarthritis of the knee
• Prostrate cancer
• PSA Testing
• Rheumatoid Arthritis
• Recurrent sore throat
• Smoking cessation
• Stable Angina
• Stroke prevention for atrial fibrillation and flutter
• Rectal Cancer

2. Brief decision Aids

A number of brief decision aids have been developed and can be found at the patient.co.uk website. The site gives the following introduction to the aids:-

Our Brief Decision Aids (BDAs) will help you and your doctor or nurse to understand what your options are for the following conditions. You can see what the benefits and risks of each option are, to help you and your nurse or doctor come to a decision that is right for you.

Direct links to the available BDAs is provided below:-

• Smoking cessation
• Tennis elbow
• Carpal tunnel syndrome
• Leg cramps
• Enlarged prostate
• Contraceptive choices
• Menorrhagia (heavy periods)
• Plantar fasciitis
• Warts and verrucas
• Irritable bowel syndrome

The following presentation developed by the MAGIC team provides information and guidance on use of BDAs:-

• What is Shared Decision Making? Some tips on BDAs and how to use them

3. Locally developed PDAs

We are aware that there has been some local development of PDAs. We would be pleased to receive and share them for the benefit of others; for information and possible use.

Oxfordshire PCT has developed a small number of PDAs that are provided below. Patients/patient groups were not involved in the development of these.

Patient Decision Aid for people considering treatment options for carpal tunnel syndrome:-

• PDA  – Carpal Tunnel Syndrome

Patient Decision Aid for people considering treatment options for heavy menstrual bleeding:-

• PDA – Heavy Menstrual Bleeding