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- Title
Supporting Patient Autonomy in Shared Decision Making for Individuals With Head and Neck Cancer.
- Authors
Jovanovic, Nedeljko; Doyle, Philip C.; Theurer, Julie A.
- Abstract
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.
- Subjects
HEAD &; neck cancer diagnosis; PATIENT autonomy; BIOPSYCHOSOCIAL model; NOSOLOGY; CAREGIVERS; PHYSICIAN-patient relations; DECISION making; QUALITY of life; HEALTH care teams; INTERPERSONAL relations
- Publication
American Journal of Speech-Language Pathology, 2022, Vol 31, Issue 4, p1588
- ISSN
1058-0360
- Publication type
Article
- DOI
10.1044/2022_AJSLP-21-00339