As with any medical situation, absolutely nothing should be taken for granted, and most importantly, neither should the decision making process. With informed consent in mind, medical information is provided relating to recommended treatment interventions, including known side effect, complications, contraindications, along with a statistical outcomes analysis. In the realms of conventional medicine, this is the inherent general process by which you determine whether a particular treatment option is right for you. Then there is shared decision-making, which takes informed consent one step further, providing you with the opportunity to take on more responsibility and become actively involved in your treatment plan, should you so choose. Continue reading “SHARED DECISION MAKING – A NEW PARADIGM IN PATIENT-CENTRIC OUTCOMES”
An important step in becoming a doctor, medical students must take the Hippocratic Oath and one of the promises within that oath is “first, do no harm”, or “Practice two things in your dealings with disease: either help or do not harm the patient”. We go to doctors for help and healing; we don’t expect them to make us worse, yet even the simplest prescribed treatment carries the risk of more complex health issues arising, with ‘adverse drug reactions’ shown to be one of the main culprits. Continue reading “‘CHOOSING WISELY’ IN THE MIDST OF A CANCER DIAGNOSIS – EXPLORING THE ‘TIPPING POINT’ OF ‘DOING MORE HARM THAN GOOD’!!”
Drug allergy is a rising problem in the twenty-first century with drug associated hypersensitivity reactions escalating in populations around the world, which can in some cases cascade in respiratory failure or acute cardiac ischemic events. Continue reading “THE SOBERING REALITY OF DRUG INDUCED ‘ANAPHYLAXIS’ – LIFTING THE LID ON ‘BLACK BOX WARNINGS’!!”
Informed consent has been defined as: “Permission granted in full knowledge of the possible consequences, typically that which is given by a patient to a doctor for treatment, with knowledge of the possible risks, benefits and alternatives!!”
As we know, Chemotherapy is one of the three generally prescribed ‘conventional treatment options’ for most people diagnosed with cancer, along with surgery and radiation. With ‘informed consent‘ in mind, let us look for one moment about some of what we do know about the ‘efficacy of Chemotherapy’, around achieving the desired results of killing cancerous cells:
- Chemotherapeutic drugs have more of a ‘hand grenade‘ effect by killing both healthy and diseased cells simultaneously;
- In the context of ‘collateral damage‘, our immune system can be totally killed off by chemo drugs;
- Cancer stem cells, possess properties of self-renewal and intrinsic survival mechanisms, that contribute to resistance of tumors to many chemotherapeutic drugs;
- In cancer treatment, tumors often respond well initially, followed by rapid regrowth and then resistance to further chemotherapy;
- Chemo drugs have many undesirable side effects, with some of these effects presenting well after treatment has finished; which have been known to cause long term and often debilitating health related issues.
Informed consent is related to the legal concept of “failure to warn”
The informed consent process is designed as a mechanism for the individual to protect themselves against harm. By weighing up the risks versus the benefits and with the alternatives having been outlined, this enables the individual to then make a fully informed decision on what they feel is the best course of treatment for them.