Table 2 Summary of content on person-centred OA care in included policies
Policies (n, %) [references] | Examples | ||
|---|---|---|---|
Limited | Expanded | ||
Foster a healing relationship Extend friendly greeting, make eye contact, speak in respectful manner, avoid judgmental attitude. | (0, 0) | -- | -- |
Exchange information Listen to concerns, prompt for additional details, understand needs, goals, circumstances and preferences, use lay language, ensure privacy | (4, 28.5) | Despite the prevalence of arthritis…OA is [often] discussed in dismissive terms (e.g., “it’s just age,” or “it’s just wear and tear”). Even the use of the term “elective” can be rather dismissive and should instead always be called “scheduled.” This impacts the timely utilization of publicly available disease prevention resources (e.g., obesity, physical inactivity, knee injury prevention), early diagnosis and treatment interventions in primary care/interdisciplinary care, and investment in research to slow progression of OA [29 p5] | Health care professionals should talk to patients about how osteoarthritis affects energy, mood, sleep, work, hobbies, family, and social life” [33 p14] |
Respond to emotions Actively inquire about feelings, acknowledge concerns, express empathy, note that such feelings are normal or common, suggest strategies to cope or mitigate emotions | (2, 14.3) | Tackle the social and emotional issues that often accompany chronic disease through referral to a counsellor [39 p24] | Addressing individual mental and psychological characteristics are important [for self-management]: What are the best ways to self-motivate? How do acute injuries and long-term conditions affect mood? How do bone and joint health practitioners collaborate with their mental health colleagues to increasingly provide a whole person, whole health approach [30 p12] |
Manage uncertainty Offer rationale for tests or treatment, describe likelihood of risks and benefits using words, statistics or pictures | (0, 0) | -- | -- |
Share decisions Describe treatment or management options, assess interest in shared decisions, provide information to enable shared decisions, suggest factors to consider in making decisions | (6, 42.8) | Patients will be engaged in collaborative and shared decision making, and will be partners in their care [30 p19] | Underpinning self-management support is shared decision-making between patients and health care providers. Health care providers are to provide patients with complex information in clear and understandable terms and, when needed, to help patients develop skills in making decisions that support their physical and mental health. For example, patients should know and be empowered to ask, whenever a new medication is introduced, “How will this new drug interact with my other medications? [39 p21] |
Enable self-management Set expectations for follow-up care, offer advice on self-care, provide take-home information, refer to other sources of information or support | (7, 50.0) | Enable self-management by providing on-line and hard copy educational materials for individuals living with arthritis and health care providers [40 p24] | Work with people with osteoarthritis to support the development of an individualized, goal-oriented self-management plan that gives the person information and advice on the ongoing management of their symptoms and directs them to resources and other supports they may need. [Plans] should include information about how to access local services, such as exercise classes, weight-management programs, and support groups. [Plans] will also need to consider any other medical conditions you have that may impact your goals and abilities. Depending on [the patients] needs, [plans] might also include information about aids and devices such as suitable shoes, leg braces, orthotics, and hand grips. These things can help you stay active and function well [33 p20] |