Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer
DOWNLOAD
Download Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer PDF/ePub or read online books in Mobi eBooks. Click Download or Read Online button to get Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer book now. This website allows unlimited access to, at the time of writing, more than 1.5 million titles, including hundreds of thousands of titles in various foreign languages. If the content not found or just blank you must refresh this page
Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer
DOWNLOAD
Author : Barbara Miriam Lazarus
language : en
Publisher:
Release Date : 1983
Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer written by Barbara Miriam Lazarus and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983 with Breast categories.
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer
DOWNLOAD
Author : Biwen Xu
language : en
Publisher: Open Dissertation Press
Release Date : 2017-01-27
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer written by Biwen Xu and has been published by Open Dissertation Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-01-27 with categories.
This dissertation, "Factors Related to Patient Participation Congruence in Decision Making Among Women With Breast Cancer: a Systematic Review" by Biwen, Xu, 許璧文, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background Breast cancer prevalence is increasing in most countries. Not only the threat of death and impact of breast cancer treatment, but also the participation roles during treatment decision making can be substantial, leading to psychological distress and poor quality of life. Previous studies have explored patients' participation preference, the extent of participation congruence and related factors, revealing that women suffering from breast cancer may benefit from participation in treatment decision making whilst participation incongruity could be potentially detrimental for women with breast cancer. Objectives This study aimed to systematically review the literature and summarize the extent of breast cancer patients' participation preference, participation congruence, and related factors. Methods Multiple searches for key words were conducted through electronic sources, including PubMed, PsycINFO, and Medline via Ovid databases for all relevant English language literature. Studies were selected basing on specific inclusion/exclusion criteria. The STROBE checklist was applied for reporting quality assessment. Results A total of 778 studies were identified. Twelve eligible studies were included in this review. Twelve factors relating to breast cancer women's participation congruence in treatment decision making were identified as follows: age, nature of preferred role of treatment decision making, educational level, time related issues, language/ethnicity, marital status, information and recommendations of treatment, offering treatment options, physician characteristics, type of therapy or cancer program, stage of breast cancer, and surgeon volume. Conclusions Three themes (i.e. patient oriented, physician-patient interaction, and medical provision) of intervention points towards patient participation congruence were synthesized and discussed, and they were useful for improving the quality of existing breast cancer treatment decision making by addressing patient's perceived participation congruence. DOI: 10.5353/th_b5320745 Subjects: Breast - Cancer - Treatment - Decision making
Shared Decision Making In Health Care
DOWNLOAD
Author : Adrian Edwards
language : en
Publisher: Oxford University Press, USA
Release Date : 2009-04-02
Shared Decision Making In Health Care written by Adrian Edwards and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-04-02 with Education categories.
Evidence-based medicine is ingrained in the practice of modern medicine. Patient choice is increasingly high on the political agenda. Can the two trends co-exist? This book charts the changing relationship between patients and their health care providers, exploring how the shared decision-making approach can lead to the best treatment outcome.
The Medical Decision Making Process And The Family
DOWNLOAD
Author : Dr. Roy Gilbar
language : en
Publisher:
Release Date : 2009
The Medical Decision Making Process And The Family written by Dr. Roy Gilbar and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.
In contrast to legal and bioethical approaches, which focus on the patient as the primary decision maker, this study reflects a practical recognition of the role of the breast cancer patient's husband in the decision-making process. It also reflects a relational rather than an individualistic perception of patient autonomy. Patients believe they have a key role in the medical decision-making process (93%) and that the participation of their husbands, and their agreement with the decision, is important (84% and 89%, respectively). Both breast cancer patients and their husbands prefer a shared decision-making process to paternalistic or autonomy-based approaches. Fifty-seven women with breast cancer, and their husbands, completed questionnaires measuring doctor-patient/spouse relationships (paternalism, autonomy), and decision making regarding medical treatment. The objectives of the study were (1) to assess similarities and differences between breast cancer patients and their husbands in terms of doctor-patient/spouse relationships and shared decision making; and (2) to investigate the association between breast cancer patients and husbands in terms of preference of type of doctor, doctor-patient relationship, and shared decision making regarding medical treatment.
Breast Cancer
DOWNLOAD
Author : Anna M. Maslin
language : en
Publisher:
Release Date : 1999
Breast Cancer written by Anna M. Maslin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Health & Fitness categories.
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.
Your Health Your Decisions
DOWNLOAD
Author : Robert Alan McNutt
language : en
Publisher: UNC Press Books
Release Date : 2016-09-02
Your Health Your Decisions written by Robert Alan McNutt and has been published by UNC Press Books this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-02 with Health & Fitness categories.
In nearly every medical-decision-making encounter, the physician is at the center of the discussion, with the patient the recipient of the physician's decisions. Dr. Robert Alan McNutt starts from a very different premise: the patient should be at the center. McNutt challenges the physician-directed, medical-expertise model of making decisions, presenting a practical approach augmented by formal exercises designed to give patients the tools and confidence to compare and contrast their health-care options so they can make their own choices. He addresses a number of scenarios, including heart disease, breast cancer, and prostate cancer—conditions that pose a range of choices that patients may face about diagnoses and treatments. After providing a clear explanation of what is the highest quality medical-decision-making information, McNutt teaches patients to use that information to weigh the harms and benefits of their treatment options, empowering them to ask critical questions as they take a stronger hand in their own care. Your Health, Your Decisions moves from specific scenarios that commonly baffle patients to a systematic exploration of how to make medical decisions. By offering patients the tools they need to be full partners in their own health care, McNutt demystifies what can be a bewildering and even terrifying process.
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer
DOWNLOAD
Author : 許璧文
language : en
Publisher:
Release Date : 2014
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer written by 許璧文 and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Breast categories.
Palliative Care For Chronic Cancer Patients In The Community
DOWNLOAD
Author : Michael Silbermann
language : en
Publisher: Springer Nature
Release Date : 2020-10-29
Palliative Care For Chronic Cancer Patients In The Community written by Michael Silbermann and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-10-29 with Medical categories.
The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year. A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complex group of diseases. Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization. Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala). An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa. Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor. The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness. This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field. Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers. It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models of this new discipline and serve as a valuable resource for physicians, nurses, social workers and others involved in the care of cancer patients. The book will take a multidisciplinary approach, integrating clinical and environmental data for practical management to enhance the efficacy of treatment while relieving suffering. Part 4 will also discuss the application of modern technological approaches to track symptoms, quality of life, diet, mobility, duration of sleep and medication use (including pain killers) in chronic cancer patients in the community. Part 5 of the book will also be devoted to modes of developing a collaborative program between governmental and non-governmental organization sectors. This includes volunteer workers in close collaboration with medical professionals for providing emotional and spiritual support, nursing care, nutritional support and empowering family caregivers. Such a model makes palliative care in the community a “people’s movement”, thus transferring part of the responsibility and ownership to the community.
Enhancing Involvement In Treatment Decision Making By Women With Breast Cancer
DOWNLOAD
Author :
language : en
Publisher:
Release Date : 2006
Enhancing Involvement In Treatment Decision Making By Women With Breast Cancer written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with categories.
Women with breast cancer desire more information about their disease, in part, to be involved in making treatment decisions (TDs). Patient involvement responds to patients' desires for autonomy and addresses ethical concerns about rights to make TDs. However, several researchers have reported that patients' actual experiences in TDM did not match their preferences. The study objectives are to 1) understand the meaning of involvement in TDM from the perspectives of women with early stage breast cancer (ESBO); 2) identify stages or steps of TDM used by women and their physicians during the treatment consultation(s); and 3) identify the behaviors of women and physicians that facilitate or impede women's involvement in TDM. A qualitative approach with interviews and video-stimulated recall is being used In Phase 1 interviews with 19 women with ESBO were held to understand the concept of involvement in TDM. In Phase 2, consultations of a second group of 20 women are being digitally videotaped. Subsequently, women and their physicians (separately) view their consultation to identify any behaviors that facilitated or inhibited involvement in TDM. All interviews were taped, transcribed verbatim and analyzed Phase 1: Most women wanted high quality information soon after diagnosis but many felt isolated and uninformed until the surgical or even the medical oncology visit Most women thought they were heavily involved in a TDM process before, during and after the consultation The results of the Phase 2 pilot testing indicated that videotaping the consultation was feasible The information from this study will be useful to patients and physicians for promoting patient involvement It can be used to develop and evaluate training programs for both physicians and patients to involve patients with cancer in decisions about their care.
A National Cancer Clinical Trials System For The 21st Century
DOWNLOAD
Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2010-07-08
A National Cancer Clinical Trials System For The 21st Century written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-07-08 with Medical categories.
The National Cancer Institute's (NCI) Clinical Trials Cooperative Group Program has played a key role in developing new and improved cancer therapies. However, the program is falling short of its potential, and the IOM recommends changes that aim to transform the Cooperative Group Program into a dynamic system that efficiently responds to emerging scientific knowledge; involves broad cooperation of stakeholders; and leverages evolving technologies to provide high-quality, practice-changing research.