Formal SDM documentation covering options, benefits/risks, values, and teach-back.
Shared Decision-Making (Full): - Options discussed: [A vs B vs C] - Risks/Benefits explained: [brief bullets] - Patient values/preferences: [what mattered] - Decision together: [selected option + rationale] - Teach-back: [Patient stated understanding.]
Notes
Use when choices are complex or when institutional policy requires comprehensive SDM.