- Foreword
- Preface
- Abbreviations
- Contributors
- Chapter 1 The history of communication skills knowledge and training
- Chapter 2 Journeys to the centre of empathy
- Chapter 3 Models of communication skills training and their practical implications
- Chapter 4 Shared decision-making, decision aids, and the role of values in treatment decision-making
- Chapter 5 The ethics of communication in cancer and palliative care
- Chapter 6 Gender, power, and non-verbal communication
- Chapter 7 Medical student training in communication skills
- Chapter 8 Training patients to reach their communication goals
- Chapter 9 Cancer patients’ use of the internet for cancer information and support
- Chapter 10 Audio-recording cancer consultations for patients and their families—putting evidence into practice
- Chapter 11 Learner-centred communication training
- Chapter 12 Breaking bad news
- Chapter 13 Discussing prognosis and communicating risk
- Chapter 14 Achieving shared treatment decisions
- Chapter 15 Responding to difficult emotions
- Chapter 16 Denial and communication
- Chapter 17 Communicating with relatives in cancer care
- Chapter 18 Conducting a family meeting
- Chapter 19 Communication about coping as a survivor
- Chapter 20 Dealing with cancer recurrence
- Chapter 21 Introducing or transitioning patients to palliative care
- Chapter 22 Talking about dying
- Chapter 23 Communication skills education and training in pre-registration BSc Nursing
- Chapter 24 SAGE & THYME
- Chapter 25 The implementation of advanced communication skills training for senior healthcare professionals in Northern Ireland
- Chapter 26 Training facilitators to deliver an advanced communication course for senior healthcare professionals in cancer and palliative care
- Chapter 27 Communication in the context of cancer as a chronic disease
- Chapter 28 Advancing family communication skills in oncology nursing
- Chapter 29 Ambulatory care nurses responding to depression
- Chapter 30 Communication in the last days or hours of life
- Chapter 31 E-learning as a medium for communication skills training
- Chapter 32 Enrolment in clinical trials
- Chapter 33 Working as a multidisciplinary team
- Chapter 34 Communicating genetic risk
- Chapter 35 Supporting patients considering reconstructive surgery
- Chapter 36 Discussing unproven therapies
- Chapter 37 Promoting treatment adherence
- Chapter 38 Communication strategies and skills for optimum pain control
- Chapter 39 Discussing adverse outcomes with patients
- Chapter 40 A health equity care model for improving communication and patient-centred care
- Chapter 41 Challenges in communicating with ethnically diverse populations
- Chapter 42 Communication and cancer-related infertility
- Chapter 43 Communicating about sexuality in cancer care
- Chapter 44 Screening for distress
- Chapter 45 Social work support in settings of crisis
- Chapter 46 Communication in cancer radiology
- Chapter 47 Communication in surgical oncology
- Chapter 48 Communication in non-surgical oncology
- Chapter 49 Palliative medicine
- Chapter 50 Communication issues in pastoral care and chaplaincy
- Chapter 51 Communication in oncology pharmacy
- Chapter 52 Communication challenges with the elderly
- Chapter 53 Communicating with children when a parent is dying
- Chapter 54 Facilitating communication role play sessions
- Chapter 55 The role of the actor in medical education
- Chapter 56 The Oncotalk/Vitaltalk model
- Chapter 57 The Swiss model
- Chapter 58 The United Kingdom general practitioner and palliative care model
- Chapter 59 The Belgian experience in communication skills training
- Chapter 60 Communication in cancer care in Europe and EU policy initiatives
- Chapter 61 Communication skills training in Arab countries
- Chapter 62 Evaluating communication skills training courses
- Chapter 63 Qualitative approaches to clinician–patient communication
- Chapter 64 Issues in coding cancer consultations
- Chapter 65 The Roter Interaction Analysis System
- Index
(p. 83) Achieving shared treatment decisions
- Chapter:
- (p. 83) Achieving shared treatment decisions
- Author(s):
Martin H.N. Tattersall
and David W. Kissane
- DOI:
- 10.1093/med/9780198736134.003.0014
The respect of a patient’s autonomous rights within the model of patient-centred care has led to shared decision-making, rather than more paternalistic care. Understanding patient needs, preferences, and lifestyle choices are central to developing shared treatment decisions. Patients can be prepared through the use of question prompt sheets and other decision aids. Audio-recording of informative consultations further helps. A variety of factors like the patient’s age, tumour type and stage of disease, an available range of similar treatment options, and their risk-benefit ratios will impact on the use of shared decision-making. Modifiable barriers to shared decision-making can be identified. Teaching shared decision-making includes the practice of agenda setting, use of partnership statements, clarification of patient preferences, varied approaches to explaining potential treatment benefits and risks, review of patient values and lifestyle factors, and checking patient understanding–this sequence helps both clinicians and patients to optimally reach a shared treatment decision.
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- Foreword
- Preface
- Abbreviations
- Contributors
- Chapter 1 The history of communication skills knowledge and training
- Chapter 2 Journeys to the centre of empathy
- Chapter 3 Models of communication skills training and their practical implications
- Chapter 4 Shared decision-making, decision aids, and the role of values in treatment decision-making
- Chapter 5 The ethics of communication in cancer and palliative care
- Chapter 6 Gender, power, and non-verbal communication
- Chapter 7 Medical student training in communication skills
- Chapter 8 Training patients to reach their communication goals
- Chapter 9 Cancer patients’ use of the internet for cancer information and support
- Chapter 10 Audio-recording cancer consultations for patients and their families—putting evidence into practice
- Chapter 11 Learner-centred communication training
- Chapter 12 Breaking bad news
- Chapter 13 Discussing prognosis and communicating risk
- Chapter 14 Achieving shared treatment decisions
- Chapter 15 Responding to difficult emotions
- Chapter 16 Denial and communication
- Chapter 17 Communicating with relatives in cancer care
- Chapter 18 Conducting a family meeting
- Chapter 19 Communication about coping as a survivor
- Chapter 20 Dealing with cancer recurrence
- Chapter 21 Introducing or transitioning patients to palliative care
- Chapter 22 Talking about dying
- Chapter 23 Communication skills education and training in pre-registration BSc Nursing
- Chapter 24 SAGE & THYME
- Chapter 25 The implementation of advanced communication skills training for senior healthcare professionals in Northern Ireland
- Chapter 26 Training facilitators to deliver an advanced communication course for senior healthcare professionals in cancer and palliative care
- Chapter 27 Communication in the context of cancer as a chronic disease
- Chapter 28 Advancing family communication skills in oncology nursing
- Chapter 29 Ambulatory care nurses responding to depression
- Chapter 30 Communication in the last days or hours of life
- Chapter 31 E-learning as a medium for communication skills training
- Chapter 32 Enrolment in clinical trials
- Chapter 33 Working as a multidisciplinary team
- Chapter 34 Communicating genetic risk
- Chapter 35 Supporting patients considering reconstructive surgery
- Chapter 36 Discussing unproven therapies
- Chapter 37 Promoting treatment adherence
- Chapter 38 Communication strategies and skills for optimum pain control
- Chapter 39 Discussing adverse outcomes with patients
- Chapter 40 A health equity care model for improving communication and patient-centred care
- Chapter 41 Challenges in communicating with ethnically diverse populations
- Chapter 42 Communication and cancer-related infertility
- Chapter 43 Communicating about sexuality in cancer care
- Chapter 44 Screening for distress
- Chapter 45 Social work support in settings of crisis
- Chapter 46 Communication in cancer radiology
- Chapter 47 Communication in surgical oncology
- Chapter 48 Communication in non-surgical oncology
- Chapter 49 Palliative medicine
- Chapter 50 Communication issues in pastoral care and chaplaincy
- Chapter 51 Communication in oncology pharmacy
- Chapter 52 Communication challenges with the elderly
- Chapter 53 Communicating with children when a parent is dying
- Chapter 54 Facilitating communication role play sessions
- Chapter 55 The role of the actor in medical education
- Chapter 56 The Oncotalk/Vitaltalk model
- Chapter 57 The Swiss model
- Chapter 58 The United Kingdom general practitioner and palliative care model
- Chapter 59 The Belgian experience in communication skills training
- Chapter 60 Communication in cancer care in Europe and EU policy initiatives
- Chapter 61 Communication skills training in Arab countries
- Chapter 62 Evaluating communication skills training courses
- Chapter 63 Qualitative approaches to clinician–patient communication
- Chapter 64 Issues in coding cancer consultations
- Chapter 65 The Roter Interaction Analysis System
- Index