{"id":982,"date":"2014-11-17T21:08:05","date_gmt":"2014-11-17T20:08:05","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc\/?p=982"},"modified":"2014-11-08T18:45:28","modified_gmt":"2014-11-08T17:45:28","slug":"deliberation-and-determination","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/17\/deliberation-and-determination\/","title":{"rendered":"Deliberation and determination"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/pbs.twimg.com\/profile_images\/458980061912129536\/ULRE92q4_400x400.jpeg\" alt=\"\" width=\"174\" height=\"174\" \/>What does it mean to have a choice in your care?<\/p>\n<p>It&#8217;s an interesting question, I think. And may not be as neatly answered as the pat response to an exam: &#8220;for example, let the child choose which book to look at while you do the venipuncture!.<\/p>\n<p>If you can&#8217;t\u00a0influence the final yes \/ no &#8211; can you be involved in the decision?<\/p>\n<p><!--more--><\/p>\n<p>There are many different ways of looking at decision making, and one nice idea is that there is a difference between the &#8220;deliberation&#8221; (the thinking about the elements involved in a decision) and the &#8220;determination&#8221; (the making of yes\/no).<\/p>\n<p>It might be helpful to reflect on how many discussions have gone in your clinical life; how the inclusion of parents of young people have wanted to understand the clinical thinking that you are undertaking. They may then want to follow out what you suggest &#8211; your recommendation &#8211; and defer that eventual determination in the decision making process to you. Because they have\u00a0declined to make the final yes\/no &#8211; have they participated in the\u00a0decision or not? Many people will describe this as being involved, a few will not take this view.<\/p>\n<p>What does it mean to have a choice in your care?<\/p>\n<p>&#8211; Archi<\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What does it mean to have a choice in your care? It&#8217;s an interesting question, I think. And may not be as neatly answered as the pat response to an exam: &#8220;for example, let the child choose which book to look at while you do the venipuncture!. If you can&#8217;t\u00a0influence the final yes \/ no [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/adc\/2014\/11\/17\/deliberation-and-determination\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79],"tags":[],"class_list":["post-982","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Deliberation and determination - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2014\/11\/17\/deliberation-and-determination\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Deliberation and determination - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"What does it mean to have a choice in your care? It&#8217;s an interesting question, I think. And may not be as neatly answered as the pat response to an exam: &#8220;for example, let the child choose which book to look at while you do the venipuncture!. If you can&#8217;t\u00a0influence the final yes \/ no [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/adc\/2014\/11\/17\/deliberation-and-determination\/\" \/>\n<meta property=\"og:site_name\" content=\"ADC Online Blog\" \/>\n<meta property=\"article:published_time\" content=\"2014-11-17T20:08:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pbs.twimg.com\/profile_images\/458980061912129536\/ULRE92q4_400x400.jpeg\" \/>\n<meta name=\"author\" content=\"Bob Phillips\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bob Phillips\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/\"},\"author\":{\"name\":\"Bob Phillips\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\"},\"headline\":\"Deliberation and determination\",\"datePublished\":\"2014-11-17T20:08:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/\"},\"wordCount\":217,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pbs.twimg.com\\\/profile_images\\\/458980061912129536\\\/ULRE92q4_400x400.jpeg\",\"articleSection\":[\"archimedes\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/17\\\/deliberation-and-determination\\\/\",\"name\":\"Deliberation and determination - 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