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Of all cancers, probably breast cancer is one of the most emotive. Inc reasingly patients with breast cancer are participating in the surgica l and/or medical decisions about their treatment. This involvement rai ses ethical issues about the rights of patients and their ability to g ive an informed consent, concerns about the process of communication b etween the medical staff and the patient, and also issues about the ps ychology 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 invol ves some degree of risk/benefit analysis.
Disc. ethics, patient access to information, communication, psychiatric morbidity, treatment options, etc.
|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|