Charles Ellington, a 78-year-old male, presents to the clinic with long-term peripheral artery disease (PAD). He complains that the pain in his feet and legs are worse with exertion than 1 year ago. He reports that this change has impacted his quality of life, stating, “I am not able to take my short walks with my grandkids in the afternoons like before.” He discusses lifestyle: he is not currently a smoker and takes a low-dose aspirin daily. Charles suffers from hypertension and takes lisinopril daily. The following questions involve the use of a patient decision aid (found here: www.healthwise.net/ohridecisionaid/Content/StdDocument.aspx?DOCHWID=ue4756)

1.

Using the given patient decision aid, what are some important points to discuss with Charles regarding management and treatment of his PAD?

2.

How might the patient decision aid be used to discuss Charles’ needs and preferences for management and treatment?

3.

How can the nurse support Charles’ decision and ensure he has adequate information to make a decision?