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A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing her judgments based on her expertise. Which of the following types of health care decision making does this represent?

User Johusman
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Final answer:

The scenario describes shared decision-making, a process involving healthcare providers and patients or their family members working together to make informed choices about care based on both professional judgment and the patient's preferences.

Step-by-step explanation:

The type of health care decision making represented in the scenario where the nurse is discussing care preferences with an older adult who has cancer and their family is known as shared decision-making. This process involves the collaborative efforts of both healthcare providers and patients (or their family members) to make informed choices about their plan of care. The nurse uses her professional judgment while also respecting the preferences and values of the client and the family, exemplifying the principles of care ethics. Shared decision-making is also reflective of current trends where individuals make proactive quality-of-life decisions about their old age, such as living wills and medical power of attorney, and addresses elements of health decision-making analysis.

Healthcare providers like nurses and physicians use shared decision-making to ensure that patient care addresses personal beliefs, socioeconomic factors, and potential health disparities. Families are often involved in the process, particularly with elderly or incapacitated patients, to consider what level of independence and care is needed. This form of decision making emphasizes compassion, understanding, and the joint responsibility of both caregiver and patient or family in the care process.

User IniTech
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