Lack of funding will inhibit evidence based commissioning of cancer treatments

So, June; Scarffe, J. H.; Rous, Elizabeth; Foy, Robbie

doi:10.1136/bmj.320.7226.54

BMJ

2000

DOI: 10.1136/bmj.320.7226.54

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Lack of funding will inhibit evidence based commissioning of cancer treatments

June So¹,

J. H. Scarffe²,

Elizabeth Rous³

et al.

Abstract: Editor-Studies investigating the impact on mortality of socioeconomic and lifestyle factors such as smoking tend to report death rates, death rate ratios, odds ratios, or the chances of smokers reaching different ages.

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Cited by 7 publications

References 7 publications

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Using the Values-Based History to Fine-Tune Advance Care Planning for Oncology Patients

Prommer

2010

J Canc Educ

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There is no standardized approach to the discussion of advanced care planning. One approach to discussing advanced care planning involves the use of a values history. The values history focuses on questions related to overall health, personal relationships, and independence, as well as symptoms. The values history facilitates communication with the patient and allows the patient to express their view. This approach to patient communication is less threatening to patients and does not force the patient into thinking that they need the right answer. Values-based directives are less intrusive on a doctor's skill in making appropriate clinical decisions. They ask questions that require no technical skill and are easily done by other members of the health-care team. Values histories are useful in a wide range of situations where the doctor needs to understand the patient as a person. Compared to traditional, medicalized advance directives, values histories are less subject to the objections of not being clearly established at the time of their writing, or applicable in the circumstances that subsequently arise as in this case. They can help to validate preferences about treatment and also indicate appropriate courses of action that were not, or could not, be covered by traditional advance directives alone. This article illustrates the use of a values-based history in a patient with advanced head and neck cancer.

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Using the Values-Based History to Fine-Tune Advance Care Planning for Oncology Patients

Prommer

2010

J Canc Educ

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Narrative, Ethics and People with Severe Mental Illness

Baldwin

2005

Aust N Z J Psychiatry

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Starting from the premise that people are essentially narrative beings, I argue that the onset of severe mental illness compromises the narrative enterprise of being able to construct one's Self and one's relationships in meaningful and coherent ways. This is due to both the curtailment of opportunities for narrative engagement and the dispossession of those whose narratives do not conform to the current conceptualization of narrative and narrativity. In these circumstances, supporting the narrative enterprise is an ethical endeavour that requires that we examine not only which narratives we construct, but also how we construct them. This requires a re-thinking of what might constitute narrative and how we might facilitate or enhance the narrativity of people with severe mental illness. Following this, I suggest four means to support the narrativity of people with severe mental illness: through maintaining narrative continuity, maintaining narrative agency, countering master narratives and attention to small stories.

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Narrative, ethics and people with severe mental illness

Baldwin

2005

Aust N Z J Psychiatry

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Lack of funding will inhibit evidence based commissioning of cancer treatments

Abstract: Editor-Studies investigating the impact on mortality of socioeconomic and lifestyle factors such as smoking tend to report death rates, death rate ratios, odds ratios, or the chances of smokers reaching different ages.

Cited by 7 publications

References 7 publications

Using the Values-Based History to Fine-Tune Advance Care Planning for Oncology Patients

Using the Values-Based History to Fine-Tune Advance Care Planning for Oncology Patients

Narrative, Ethics and People with Severe Mental Illness

Narrative, ethics and people with severe mental illness

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