Breast Cancer: Sharing the Decision / Edition 1

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Overview


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 decisions about their treatment. This involvement raises ethical issues about the rights of patients and their ability to give an informed consent, concerns about the process of communication between 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 a choice of treatment option involves some degree of risk/benefit analysis. It covers the ethical principles and then looks at the evidence that women who are fully informed and who have taken part in the decision making process regarding their treatment, and who have a positive 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 the decision making process. There is also a section on the patients perspective and vignettes throughout to illustrate the importance of communication.

Disc. ethics, patient access to information, communication, psychiatric morbidity, treatment options, etc.

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Editorial Reviews

Booknews
Noting that breast cancer patients do better in the long run when they are fully informed and have taken part in the decision making regarding treatment, specialists in the various treatment options highlight the issues that should be considered by the woman and the doctor. They also discuss general topics such as communication, ethics, access to information and shared decision making. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780192629678
  • Publisher: Oxford University Press, USA
  • Publication date: 5/28/1999
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 288
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.70 (d)

Meet the Author

University of Northumbria, Newcastle

The Royal Marsden NHS Trust-Institute of Cancer Research, London

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Table of Contents

Preface
Introduction
1 Sharing the dilemma 1
2 Ethics and patient access to information 15
3 Clinical effectiveness and evidence-based practice 39
4 Communication, psychiatric morbidity, access to information, and decision-making 45
5 Approaches to shared decision-making 69
6 Shared decision-making: a summary and future issues 99
7 The breast care nurse 109
8 Decision-making in breast cancer screening 129
9 Decision-making for breast cancer predisposition gene testing 152
10 Breast cancer prevention using tamoxifen 165
11 Surgical treatment options 177
12 Early breast cancer - medical treatment options 186
13 Radiotherapy treatment 199
14 Resource organizations 219
References 227
Index 257
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