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Patient autonomy and cancer treatment decisions
1Senior Lecturer at the School of Health Studies, Homerton College, Addenbrooke's Hospital, Cambridge, UK.
Abstract:
Informing cancer patients about their diagnosis, prognosis and treatment options continues to create controversy, conflict and confusion amongst health care professionals. In suggesting that autonomous patients choose to be involved in treatment decisions, and share the ultimate responsibility for the out-come, Randall and Downie (1996) over simplify a complex ethical dilemma. The fragility of 'autonomy' as a concept, renders it vulnerable to individual circumstances, willingness to share responsibility and the ability of clinicians to release control. Ethical decision making models are systematic arrangements of standards designed to motivate and guide actions. Seedhouse and Lovett (1992) presented an ethical grid as a means by which a clinician might be guided through complex ethical dilemmas. The ethical grid has been utilised in an attempt to examine the issue of patient autonomy and cancer treatment decisions.
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