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Governing therapy choices: power/knowledge in the treatment of progressive renal failure
Dave Holmes1, Amélie M Perron, Marc Savoie
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada. dholmes@uottawa.ca
Abstract:
This article outlines the struggle between the power of the health care professional and the rights of the individual to choose freely a modality of treatment. Nurses are instrumental in assisting patients in making the best decision for a therapy they will have to assume for the rest of their lives. In guiding patients' decision, nurses must take into account these unavoidable contingencies: changes in lifestyle, nutritional restrictions, level of acceptance, compliance issues, ease of training and availability of support/facilities. Ensuring that the patient makes an informed decision is therefore an ongoing challenge for nurses as they are taking part in a delicate balancing act between not directly influencing the patient's decision while making sure the patient is accurately informed.
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