Evaluating Cancer Treatment Choices
Your loved one may have more than one treatment option, and it can be difficult and time consuming to choose among them. Making treatment decisions usually requires numerous conversations; with one another, with doctors and other health-care professionals, as well as with family and friends. Here are some ideas about how to keep your lines of communication open, and work together to make choices about treatment. Starting the Process The first question you should ask your doctor after they make their treatment recommendations, is when your decision needs to be made. Often, the decision is not needed immediately, which can be critical in reducing everyone's anxiety about, and thorough review of, the options available. It's critical to be totally honest about the your loved one's priorities in undergoing treatment. These could range from maintaining a specific quality of life even if that means stopping or not undergoing treatment in the first place to surviving as long as possible regardless of the difficulty of treatment. Here are some specific questions to ask when your doctor makes a recommendation so everyone can really understand all the ramifications involved in each decision: Length of treatment
Short Term Side Effects
Long Term Side Effects
Risks
Medication Involved
Success Rate
Diet Restrictions Exercise Restrictions Restrictions on Going Back to Work Insurance Coverage
Challenges in Talking About Treatment OptionsThe first challenge may be the fact that it can be hard to begin these discussions. This may be due to any number of the following: Denial -- if you don't talk about it isn't really happening! Emotions such as fear, confusion, or anger Family history about talking about health care or choice. Your and your loved one may choose to communicate with some about health care options and not with others.
Religious or spiritual beliefs and approaches to health and treatment of illness Lack of knowledge about treatment, side effects, and prognosis (chance of recovery) Fear of giving up independence, affecting lifestyle and finances Fatigue/exhaustion from any previous treatments Past experiences with cancer and other illness
Support One Another Once you identify these potential barriers and start talking with each other, you can get more support and resources to make the best decisions. In each decision, your loved one's viewpoint should be considered first and foremost. This is often the most difficult realization and acceptance for caregivers. However, even when disagreements occur, remember to keep communicating openly with each other and to support your loved one in his or her choices. Download our Treatment Option Worksheet so you can help your loved one work through the options available.
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