The peri process is a pneumonic meaning,
Problem: What is the health problem? Etiology: What is/are the contributory causes? Recommendations: What works to reduce the health impacts? Implementation: How can we get the job done?
The problem that we are facing is cervical cancer and what may be the cause of such a serious and life threatening disease. The burden of disease is astounding to say the least. The article states that in 2012 an estimated 12,170 cases of invasive cervical cancer will be diagnosed, and an estimated 4,220 women will die. The number of people that are diagnosed and die each year from this disease may sound astonishing but with medical professionals and researchers coming together to identify the true etiology of the disease may shed a light of hope to eventually finding a cure or by putting cervical cancer prevention measures into place.
The etiology of cervical cancer boils down to a few different potential issues. What causes squamous cells or glandular cells to become abnormal and develop into cancer isn't yet clear to clinicians. However,
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Identify and differentiate the three basic approaches to clinical decision-making as outlined in Chapter 3. Give specific examples illustrating each approach. (10 points)
The three types of decision making approaches are that of informed consent, inform of decision, and shared decision making. “Inform of decision” is an approach used by clinicians that are confident in themselves and their potential decisions they may make to further a patients’ treatment. This particular approach implies that all important information may be withheld from the patient and the clinician may have the power to make decisions that are in the patients’ best interest. According to the text, clinicians in the past rarely informed their patents that they had cancer. They thought that the news would possibly make the individual depressed which could potentially interfere with the treatments that were
Paper 2 A person who owns a small portion of someone's genes may be the deciding factor on whether a person's illness is further researched or put on hold. Should a person be given this much power over our very genes inside us whose research could save lives and cure diseases? A physician, Michael Crichton, who wrote “Patenting Life” and a economist, John Calfee, who wrote “Decoding the Use of Gene Patents” both discuss this medicinal dilemma.
The doctor’s diagnosis of Robson says that she has an inoperable tumor in her abdomen that will eventually spread to her liver and metastasize, and eventually killing her. The prognosis was that Robson was to undergo many rounds of chemotherapy to try to prevent the spreading of the disease. Robson later finds out about the baffling misdiagnosis of her doctors. She discovers the tumor was not inoperable, not going to be cured by chemotherapy, and not going to metastasize in her liver. Robson then devises a list of legally worded reasons as to why her diagnosis was incorrect.
Virtuous physicians always asses the decision making capacity and the competence of their patients to make sure they have adequate capacity to make their own decisions, especially for patients who refuse specific treatment, have mental illness, or have specific factors that impair their ability to make decision( _1). What make a patient competent to make a decision? , and do depressed people lose their competence and their decisional capacity? . Depression is a common side effect of cancer (2), and cancer treatment require a lot of important decisions that patients need to make which are very significant in determining their future, and respecting patient will is fundamental in term of autonomy, but what if the patient refuse the treatment, if the doctor consider him as non-autonomous he also will think about his duty in non-maleficence and about his responsibility in supporting and respecting patient wishes.
Nevertheless,