Troubleshooting Introduction Why Use Decisional Guidance Decision-making with multiple chronic conditions is complex Aligning decisions with patients’ health priorities improves decision-making Definitions Patient Case General Case Health Priorities Template Getting Started Invite and Explain Frame clinic visits Strategies Health priorities as focus Serial trials Reconcile differing recommendations Troubleshooting Not Achievable with interventions Not Achievable with health status Accepting patient’s decision Troubleshooting: Common Challenges In Aligning Decisions With Patients’ Health Priorities Challenge: the patient’s health outcome goals are likely not achievable with interventions that patient is willing or able to adhere to Challenge: the patient’s health outcome goals are not achievable and realistic given their health status and trajectory Challenge: Things to consider in the clinician accepting patient’s decision