It involves striving to know the patient and caregiver while building good relationships based on effective communication and trust.

Cedarville University

It is a process of mutual agreement between the patient, caregiver, and physician. This approach is dynamic and exploratory, combing the input of all three parties.

Shared Decision Making

Sullivan, W. F., & Heng, J. (2018). Supporting adults with intellectual and developmental disabilities to participate in health care decision making. Canadian family physician Medecin de famille canadien, 64(Suppl 2), S32–S36.

Supporting adults with intellectual and developmental disabilities to participate in health care decision making

It can be helpful if the substitute decision-maker does not know the patient very well, or to the extent that is needed to make personalized decisions on behalf of the individual. Physicians should encourage the substitute decision maker to consult trusted caregivers that know the patient well.

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