URChoices are their choices!

Welcome to and Decision Dynamics Consulting, Inc.

What will you do should your loved one become ill, is hospitalized, and is placed in critical care?

YOU will be asked to make a treatment decision.

Will you be prepared? Will you know what to do? Will you know how to do it?

Here at DDCI, we created URChoices© training to prepare adults, spouses, adult children, or parents, to make difficult medical decisions for their loved ones, before and during ICU care. We're dedicated to developing and implementing systems that support patients' families and patients' decision-makers to strategize the short-term and long-term medical care for loved ones.

Being prepared to make these critical decisions are important. Why?  Because 

  • Other adults, not medical patients, make 70-90% of ICU decisions.
  • 1 out of every 3 family decision-makers experience some type of PTSD symptom after their decision-making experience.
  • Most family members are unprepared to "know what to do" when the time for decision-making arrives.
  • Many family decision-makers are unaware of their rights--what they can and cannot do under law.
  • Many decision-makers question their decisions and feel they could have "done better, if only I'd known...".   

We're committed to changing the decision landscape for patients and their families at  individual, group, and corporate levels.   

We here at DDCI also know that many healthcare professionals, those working with families making medical decisions for a loved one every day, are not trained to use what we know, what works, taken from the research on families at the bedside conducted over the past 2 decades.   

We support a system change, enhancing awareness of family decision-makers and of the professionals working with them at the bedside through our URChoicesII© continuing education courses. These deliver empirically-grounded knowledge and applications that support  professionals working with patients' families, before, during, and after decision-making. As a Florida Continuing Education Provider (#50-15609), DDCI courses are available at:    We're adding new courses in 2016, so check back frequently.

The goal of DDCI, its programs, services, and staff, is to support family members responsible for making critical care treatment decisions. All DDCI programs are centered in URChoices© ("your choices") trainings, to honor the adults who willingly, bravely step forward to accept the challenges of directing and guiding loved ones' treatments during medical crises. 

All of us here at DDCI have made decisions for someone we love at the bedside. Thus, we know that making treatment decisions, with or without patient guidance, are challenging. That's why our staff are available to speak with individuals, employee groups, healthcare consumers, and civic organizations, to can share ways YOU can prepare for and survive the decision-maker experience. (Fill out our form here on the site, or email: This email address is being protected from spambots. You need JavaScript enabled to view it. 

Check out the URFamilyCorner© videos, to gain invaluable insights from real decision-makers who wanted to shared their  personal stories with others, to encourage them to prepare in advance, for making "some of the most difficult decisions we've ever had to make".  

We welcome your comments and suggestions. Whether you need assistance, have questions, or wish to share your decision experience as a guest in URFamily Corner©, contact us here for more information:  

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