Supporting Patient Autonomy in Shared Decision Making for Individuals With Head and Neck Cancer.

Autor: Jovanovic N; Health & Rehabilitation Sciences, Western University, London, Ontario, Canada., Doyle PC; Department of Otolaryngology-Head & Neck Surgery, Division of Laryngology, Stanford University School of Medicine, CA., Theurer JA; Health & Rehabilitation Sciences, Western University, London, Ontario, Canada.; Lawson Health Research Institute, London, Ontario, Canada.; Department of Otolaryngology-Head & Neck Surgery, London Health Sciences Centre, Ontario, Canada.; School of Communication Sciences and Disorders, Elborn College, Western University, London, Ontario, Canada.
Jazyk: angličtina
Zdroj: American journal of speech-language pathology [Am J Speech Lang Pathol] 2022 Jul 12; Vol. 31 (4), pp. 1588-1600. Date of Electronic Publication: 2022 May 05.
DOI: 10.1044/2022_AJSLP-21-00339
Abstrakt: Purpose: Management of head and neck cancer (HNC) can result in substantial long-term, multifaceted disability, leading to significant deficits in one's functioning and quality of life (QoL). Consequently, treatment selection is a challenging component of care for patients with HNC. Clinical care guided by shared decision making (SDM) can help address these decisional challenges and allow for a more individualized approach to treatment. However, due in part to the dominance of biomedically oriented philosophies in clinical care, engaging in SDM that reflects the individual patient's needs may be difficult.
Conclusions: In this clinical focus article, we propose that health care decisions made in the context of biopsychosocial-framed care-one that contrasts to decision making directed solely by the biomedical model-will promote patient autonomy and permit the subjective personal values, beliefs, and preferences of individuals to be considered and incorporated into treatment-related decisions. Consequently, clinical efforts that are directed toward biopsychosocial-framed SDM hold the potential to positively affect QoL and well-being for individuals with HNC.
Databáze: MEDLINE
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