Abstract

Concordance and shared decision making are at the heart of patient care policy and practice (Coulter and Collins, 2011). However research suggests the underpinning values are not shared by all practitioners (McKinnon, 2013). This presentation will discuss the implications for practice of the relevant legal and ethical frameworks pertaining to service user participation. Misnomers for concordance will be explored. Concordant and non concordant approaches and their outcomes across diverse health states in a range of international practice settings will be compared. A range of psychological issues related to patient service user perspectives will be considered. The antecedents of concordance will be critically examined together with the determinants of non concordance in tissue viability (Miller et al. 2011) Particular attention will be paid to Robbins (1999) core emotional needs of patients which will be linked to Anderson’s (2013) ten points for partnership working in tissue viability.