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Important Risk and Safety Information for Gebauer’s Pain Ease® and Gebauer’s Ethyl Chloride®:

Do not spray in eyes. Over spraying may cause frostbite. Freezing may alter skin pigmentation. Use caution when using product on persons with poor circulation. The thawing process may be painful and freezing may lower resistance to infection and delay healing. If skin irritation develops, discontinue use. CAUTION: Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner.

Gebauer’s Pain Ease Only:

Apply only to intact oral mucous membranes. Do not use on genital mucous membranes. Consult your pediatrician when using on children 4 years old and younger.

Gebauer’s Ethyl Chloride Only:

Published clinical trial results support the use in children 3 years of age and older. Ethyl chloride is FLAMMABLE and should never be used in the presence of an open flame or electrical cautery equipment. Use in a well-ventilated area. Intentional misuse by deliberately concentrating or inhaling the contents can be harmful or fatal. Do not spray in eyes. Over application of the product may lead to frostbite and/or altered skin pigmentation. Cutaneous sensitization may occur, but appears to be extremely rare. CAUTION: Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner.

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Top 3 Things Private Practice Physicians Should Know About Shared Decision Making

By: Bethany Nock | On: September 24, 2015


Over the last several years, patients have begun taking a much greater vested interest in their health and wellness. While patients of previous generations took their doctor’s word at face value, today’s patients are researching their symptoms and conditions online, downloading case studies and engaging with other patients in internet forums. While this means some patients arrive for their visit armed with a self-diagnosis and droves of misinformation, it also means people are becoming more invested in their treatment.

To leverage this interest, and help patients take a more active role in their care plan, many healthcare providers are using Shared Decision Making (SDM). In other words, it’s a strategy in which, instead of making a decision on a patient’s behalf, clinicians provide patients with the knowledge they need and walk through the decision-making process together.

Here are three things you should know about SDM, and how to best implement it in your own practice:

Share Decision Making is Based in Epistemology

Epistemology, or the theory of knowledge that investigates the difference of belief versus opinion, is something physicians use every day. You’re used to not only explaining your diagnosis, but how you arrived at this conclusion. When it comes to SDM, however, it’s a two-way street. For this strategy to be successful, two things must first be true: (1) Your patient must trust you are an expert on the topic at hand, and (2) You must trust your patient has at least some knowledge on the topic, as well. This allows you to have an open and honest discussion about his or her health and care plan.

There are 3 Stages of Shared Decision Making

The great thing about developing care plans is it gives you the opportunity to provide your patient with a treatment roadmap. The downside is your patients may not always follow these instructions. The best way to achieve their buy-in is to develop this plan together using the three stages of SDM. They include:

  • Choices: After you’ve evaluated and diagnosed your patient, the first step in the SDM process is to provide the patient with all the choices she can make about her treatment.
  • Options: The next step is to explain the various treatment options in depth. During this phase, you should highlight the potential benefits and risks for each treatment path, and provide resources she can use to learn more about each option.
  • Decisions: During the final phase of SDM, you should help your patient weigh the benefits and risks, discuss any additional concerns and assist her in making a decision that makes her feel comfortable.

Shared Decision Making Improves Patient Satisfaction

One of the greatest benefits of SDM is it empowers patients and helps them form more open relationships with their physicians. This not only helps ensure your patients take a more vested approach to their care plan, but they’ll also feel more comfortable coming to you with follow-up questions and concerns. 

“Shared decision making really gets to the heart of what engages patients,” says Dr. Andrew Dorwart, MD, at Stillwater Medical Group in Stillwater, MN. “Physicians and patients are very satisfied when patients have the information they need to make appropriate decisions.”

By empowering and engaging patients to make decisions about their health with your expert guidance, you can increase patient satisfaction and build long-term relationships with your patients.

Building relationships is key to improving patient satisfaction, but it’s also important to focus on patient comfort. Review our line of patient comfort solutions, designed just for physicians like you.

Streamline Patient Satisfaction with this Gebauer Checklist