Breast Cancer

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Breast Cancer

Sharing the Decision

Edited by Anna M. Maslin and Trevor J. Powles

Breast Cancer

Sharing the Decision

Edited by Anna M. Maslin and Trevor J. Powles

Description

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.

Breast Cancer

Sharing the Decision

Edited by Anna M. Maslin and Trevor J. Powles

Table of Contents

Introduction
1. Sharing the dilemma -- The patient's dilemma, The partner's dilemma
2. Ethics and Patient Access to Information
3. Clinical Effectiveness and Evidence Based Practice
4. Communication, Psychiatric Morbidity, Access to Information and Decision Making
5. Approaches to shared decision making
6. Sharing the dilemma: The Professional's Dilemma -- The Breast Care Nurse, Breast Cancer Screening, Breast Cancer Genetics, Chemoprevention of Breast Cancer, Surgical Treatment Options, Medical Treatment Options, Radiotherapy
Resource Organisations

Breast Cancer

Sharing the Decision

Edited by Anna M. Maslin and Trevor J. Powles

Author Information

Contributors:

Dr Laura Assersohn, The Royal Marsden NHS Trust Breast Unit, Sutton, Surrey, UK

Dr Angela Coulter, Executive Director, Policy and Development, The Kings Fund, London
Dr R Eeles, Clinical senior Lecturer & Honorary Consultant in Cancer Genetics and Clinical Oncology, Institue of Cancer Research, Cancer Genetics Unit, Sutton, Surrey
Dr R Given-Wilson, Consultant Radiologist, SW London Breast screening service, The Duchess of Kent Unit, London

Dr T Habeshaw, Consultant Clinical Oncologist, Beatson Oncology Centre, Glasgow western Infirmary

Prof A Maslin, International Nursing Officer, Department of Health, England. Formerly Senior Clinical Nurse Specialist, Breast Group Unit Manager, Royal Marsden, Institute of Cancer Research, London

G McPhail, University of Glasgow, Beatson Oncology centre, Dept Nursing and Midwifery studies

Dr T Powles, Consultant Medical Oncologist, Head of the Breast Group, Royal Marsden, London

A Skene, Consultant Breast Surgeon, Royal Bournemouth HospitalL
Dr I E Smith, Head of Section of Medicine, Royal Marsden, LondonL
Jan Secker Walker, Research Sister, Action against breast cancer, UCL Medical School, Department of Surgery, London formerly Honorary Clinical Nurse Specialist, Royal Marsden, London

Dr Maggie Watson, Consultant Clinical Psychologist, Psychological Medicine, Royal Marsden, Surrey