Decisional Conflict

Definition: Uncertainty about course of action to be taken when choice among competing actions involves risk, loss, or challenge to personal life values.

 

RELATED FACTORS

  • Unclear personal values/beliefs; perceived threat to value system
  • Lack of experience or interference with decision making
  • Lack of relevant information, multiple or divergent sources of information
  • Support system deficit
  • other on the book...

DEFINING CHARACTERISTICS

Subjective

  • Verbalized uncertainty about choices or of undesired consequences of alternative actions being considered
  • Verbalized feeling of distress or questioning personal values and beliefs while attempting a decision

Objective

  • Vacillation between alternative choices; delayed decision making
  • Self-focusing
  • Physical signs of distress or tension (increased heart rate; increased muscle tension; restlessness; and so on)

SAMPLE CLINICAL APPLICATIONS: therapeutic options with undesired side effects (e.g., amputation, visible scarring)/conflicting with belief system (e.g., blood transfusion, termination of pregnancy), chronic disease states, dementia/Alzheimer’s disease, terminal/endof-life situations.

 

Client Will (Include Specific Time Frame)

  • Verbalize awareness of positive and negative aspect of choices/alternative actions.
  • Acknowledge/ventilate feelings of anxiety and distress associated with choice/related to making difficult decision.
  • other on the book...

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