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18. Monday, November 22, 2010

18. Monday, November 22, 2010 - PHL281 Monday Essay Length...

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PHL281 - Monday, November 22, 2010 Essay: Length - recommended Informed Consent: Complications in Practice Gawande tells the stories of patients who are faces with very trying and difficult cases Informed consent often discussed in terms of presenting treatment options to patients - usually it is looked at as a one-exchange, not an ongoing series of decicions which people are faced wiht - many types of chemotherapys and radiations – Makes sense for one-off curable diseases Patients with chronic or terminal disease are confronted with an ongoing series of decisions – Taking them singly might lead to an outcome that they would reject if they were presented cumulatively - in the end, you may have been better off if you rejected treatment in the first place - when it works like this, the patients are in a position where they are not really able to process what is confronting them or able to make these decisions • Doctors, patients, and their families are often unprepared for the decisions they face We need to reflect on our values and to share them with others in our lives before we are confronted with treatment decisions
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