帮助癌症患者通过艰难的决策
1Tom A. Doyle (doylet@iu.edu) is a postdoctoral fellow at the Indiana University School of Medicine, in Indianapolis, Indiana. The author thanks Peter H. Schwartz for his helpful feedback and guidance during the writing of this essay. To access the author's disclosures, click on the Details tab of the article online.
Health affairs (Project Hope)
|July 5, 2023
概括
癌症患者必须在辐射和化疗之间做出选择. 这项研究强调了对更好的患者资源的急需,以指导这些复杂的治疗决策.
科学领域:
- 在瘤学瘤学.
- 医疗决策 - - 医疗决策
背景情况:
- 癌症患者经常面临困难的治疗选择,例如放射治疗与化疗.
- 决策过程可能是压倒性的,特别是当缺乏足够的资源时.
研究的目的:
- 为了强调癌症患者在辐射和化疗之间进行选择时遇到的挑战.
- 确定可用资源的缺口,以支持患者在癌症治疗中的决策.
主要方法:
- 对患者体验的定性分析.
- 关于癌症治疗方法和患者支持资源的文献综述.
主要成果:
- 患者在辐射和化疗之间做出选择时报告了严重的痛苦和不确定性.
- 在可访问的,全面的资源中存在一个显著的差距,以帮助患者理解和比较这些治疗选择.
结论:
- 缺乏足够的患者资源严重阻碍了癌症患者在辐射和化疗之间做出明智决策.
- 迫切需要为面临治疗选择的癌症患者开发和实施更好的支持系统和信息工具.
相关概念视频
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Cancer Survival Analysis
397
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
397
Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
Nurses' Legal Responsibilities I
773
In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
The legal responsibilities of a nurse regarding informed consent include the following:
773
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Standards of Care II
686
Nurses bear specific legal responsibilities under several federal statutes, including:
686


