Complex decision making
In trigger ‘1’, you have identify a complex situation and say why it is complex, what communication/consultation model used to make decision. Were they useful or not?
Then trigger ‘2’: what influenced decisions made following your consultation / communication? Talk about the following:
– patient diagnosis?
– patient wishes?
– relative wishes?
– healthcare professional opinion?
– professional/ political/ organisational drivers
– risk management
Both 1 & 2 triggers must be presented orally for 20minutes.
Reflecting on your plan, what are the existing personal, organizational , political, or professional. Which both help and hinder the provision, coordination, and receipt of services.
Think broadly and consider :
– economic forces
– policy drivers
– interagency issues
– roles of unpaid workers, (service users, lay carers)
– technological factors
– temporal and place-related issues
– leadership and management styles
– education ( staff, patients, carers wider society
– ethical implications
NB: SCENARIO
A 42 year old Olivia
She was 34 weeks pregnant and presented with raised blood pressure (pre-eclampsia).
Lives with partner and 2 young children from her previous relationship.
Her 20 year old son committed suicide last tear.
She suffers from depression and on medication.
People involved in her care:
Allocated midwife, midwife co-ordinator co obstetric registrar, SHO, paediatric and neonatal team
