A Guardian for the patient. Someone who keeps their best interests for their health in mind.
A Counselor or Adviser. Someone who investigates their goals and tries to coach them to find a treatment that works.
A Teacher or Friend. Someone who gives them advice and focuses on what interventions will be most important to them in healthcare.
A Competent Technical Expert. Someone who gives them the information they need and lets them make their own choice.
Providing relevant and factual information to the patient and executing their selected medical intervention.
Discussing and persuading the patient what health values are most important with each treatment in their scenario and executing their selected intervention.
Promoting the patient's well-being regardless of their preferences.
Evaluating and interpreting the patients values and informing them which are prevalent in each intervention then executing their selected intervention.
A physician who tries to interpret their patients goals and informs them what intervention will work best.
A physician who makes the choices for the patient based on what they believe to be in their best health interests.
A physician who uses their knowledge to guide their patient and tries to help their patient understand what they should care about most in their situation
A physician who provides all the relevant information their patient needs, and does not try to persuade them to chose one over another
Inform the patient about the option you feel is best for their scenario. Show them the information that supports your prediction along with its risks and benefits. Ignore the other options and let the patient decide if they want to proceed with the option you presented to them.
Discuss with the patient what health care value is most emphasized with each treatment, like success rate or hospital discharge, and persuade them to choose the option you feel is most important in this scenario.
Ask the patient to describe what their ultimate goal is with treating their breast cancer. Identify which treatment best suits the goal of the patient and explain how the treatment helps them accomplish this.
Provide all the information you can about the 4 techniques available to the patient. Describe the risks, benefits, results and possible side-effects of each option and try not to persuade them to choose one over the others.
The patient being given the option to control what medical treatment they receive.
The patient being able to develop a self-understanding of their goals and how they can choose to accomplish them in treatment.
The patient being able to strengthen their moral self-development and understand and choose what treatment is most important in their scenario.
The patient being given the option to approve or disapprove a decision for treatment by a physician.
A physician can understand and share the same values as their patient.
A patient's values are well-known and already established without the physician.
A patient may have pre-established values that can be changed based on discussion with the physician.
A patient's values may be unclear or conflicting and need clarification from a physician.
The physician provides guidance to the patient and uses their knowledge to lead the patient to what the physician believes to be most beneficial treatment.
The patient is given complete control over what treatment they chose to follow.
The physician listens to the patient and helps them understand what each treatment entails.
The physician is given control over what treatment they think is best for the patient and is able to focus on that treatment.