Name of the Procedure:

Shared Decision-Making for Non-Surgical Therapy Prior to Procedure (G9296)

Summary

This procedure involves a thorough discussion and documentation of non-surgical treatment options with the patient before proceeding with any surgical intervention. These options could include NSAIDs (nonsteroidal anti-inflammatory drugs), pain relievers, weight management, physical exercise, or injections.

Purpose

This procedure is designed to ensure that patients are fully aware of and have considered non-surgical treatments for their medical condition. The goal is to manage the condition conservatively and possibly avoid surgical intervention.

Indications

Patients with medical conditions that have potential non-surgical management options, such as:

• Degenerative joint diseases
• Chronic pain conditions
• Inflammatory conditions
• Weight-related issues impacting health

Specific criteria include:

• Patient's desire for non-invasive treatments
• Medical contraindications for surgery
• Initial diagnosis favoring conservative management

Preparation

Patients should:

• List all current medications and supplements
• Undergo any necessary diagnostic tests (e.g., imaging, blood tests)
• Discuss medical history and previous non-surgical treatments

Procedure Description

1. Initial Consultation:

   • Discuss the patient's medical history and symptoms.
   • Review previous treatments and their outcomes.
   • Conduct relevant clinical assessments or diagnostic tests.

2. Discussion of Non-Surgical Options:

   • Explain potential non-surgical treatments and their mechanisms.
   • Present the benefits and limitations of each treatment option.

3. Shared Decision-Making:

   • Listen to the patient's preferences and concerns.
   • Collaborate to choose the best course of action.
   • Document the decision-making process thoroughly.

Duration

The procedure typically lasts between 30 to 60 minutes, depending on the complexity of the condition and the number of non-surgical options discussed.

Setting

This consultation can be conducted in:

• Outpatient clinics
• Specialist offices
• Telehealth settings

Personnel

• Primary care physicians
• Specialists (such as orthopedic surgeons, rheumatologists)
• Nurses
• Possibly administrative support for documentation

Risks and Complications

• Minimal risks as it is a consultation rather than a physical intervention
• Potential for misunderstanding or lack of patient adherence to the recommended non-surgical treatments

Benefits

• Patients are fully informed about their treatment options.
• Greater patient satisfaction due to involvement in the decision-making process.
• Potential for managing the condition without surgical intervention.
• Improved adherence to non-surgical treatments.

Recovery

No physical recovery is required as this is a consultative procedure. However, follow-up appointments may be scheduled to:

• Assess the efficacy of selected non-surgical treatments
• Make adjustments as necessary
• Consider if surgical intervention becomes necessary

Alternatives

• Immediate surgical consultation and potential intervention

  • Pros: Quick resolution if surgery is successful.
  • Cons: Higher risks associated with surgical procedures, longer recovery times, potential for surgical complications.

• Second opinion from another healthcare provider

  • Pros: Additional perspectives and alternative recommendations.
  • Cons: Delay in treatment while seeking another opinion.

Patient Experience

The patient will engage in a detailed conversation about available non-surgical treatments. They might experience relief knowing all options are considered, but could also feel overwhelmed by the information. Pain management and comfort measures related to their condition are discussed, and they are reassured that their preferences and concerns are highly valued in the decision-making process.