Breast Cancer: Sharing the Decision

Paperback | April 1, 1999

EditorAnna Maslin, Trevor Powles

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Of all cancers, probably breast cancer is one of the most emotive. Increasingly patients with breast cancer are participating in the surgical and/or medical decision about their treatment. This involvement raises ethical issues about the rights of patients and their ability to give an informedconsent, concerns about the process of communication betwen the medical staff and the patient, and also issues about the psychology of not only the woman with breast cancer, but also the doctor. This book addresses these issues relating to shared decision making and in particular those areas where achoice of treatment option involves some degree of risk/benefit analysis. It covers the ethical principles and then looks at the evidence that women who wish to participate and who are fully informed and who have taken part in the decision making process regarding their treatment, and who have apositive attitude towards their illness, tend to do better in the long run. Appropriate experts have contributed sections on the different treatment options to provide a brief overview of the treatments available and highlight the issues that should be considered by the woman and the doctor in thedecision making process. There is also a section on the patients perspective and vignettes throughout to illustrate dilemmas the paitent faces and the importance of communication. Written for the surgical, medical and clinical oncologists who deal with breast cancer patients and senior nurses inbreast cancer units, this book will also be of interest to trainees practising oncologists, and the women themselves who are interested in the shared decision making process in oncology generally.

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From the Publisher

Of all cancers, probably breast cancer is one of the most emotive. Increasingly patients with breast cancer are participating in the surgical and/or medical decision about their treatment. This involvement raises ethical issues about the rights of patients and their ability to give an informedconsent, concerns about the process of comm...

Trevor Powles is at Royal Marsden Hospital, London.
Format:PaperbackPublished:April 1, 1999Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0192629670

ISBN - 13:9780192629678

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Table of Contents

Introduction1. Sharing the dilemma -- The patient's dilemma, The partner's dilemma2. Ethics and Patient Access to Information3. Clinical Effectiveness and Evidence Based Practice4. Communication, Psychiatric Morbidity, Access to Information and Decision Making5. Approaches to shared decision making6. Sharing the dilemma: The Professional's Dilemma -- The Breast Care Nurse, Breast Cancer Screening, Breast Cancer Genetics, Chemoprevention of Breast Cancer, Surgical Treatment Options, Medical Treatment Options, RadiotherapyResource Organisations