Section Summary

• Shared decision-making combines evidence and clinical judgment with patient goals, concerns, and circumstances.
• Elicit priorities before presenting options; do not assume that visible severity identifies what matters most.
• Compare reasonable options using parallel, neutral information about benefit, harm, burden, timing, access, and alternatives.
• Explore treatment fatigue and risk perceptions with curiosity; avoid unsupported reassurance or labeling reluctance as nonadherence.
• Close with teach-back, documented goals, clear responsibilities, and a defined reassessment and safety-net plan.