NCCN Guidelines for Patients® | Prostate Cancer - page 71

NCCN Guidelines for Patients
: Prostate Cancer
Version 1.2014
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Part 8: Making treatment decisions
8.1 It’s your choice
The role patients want in choosing their treatment differs. You may feel uneasy
about making treatment decisions. This may be due to a high level of stress. It
may be hard to hear or know what others are saying. Stress, pain, and drugs can
limit your ability to make good decisions. You may feel uneasy because you don’t
know much about cancer. You’ve never heard the words used to describe cancer,
tests, or treatments. Likewise, you may think that your judgement isn’t any better
than your doctors’.
Your doctors will give you the information you need to make an informed choice. In
early-stage disease, there are often multiple good options. It is good news to have
multiple options.
Letting others decide which option is best may make you feel more at ease. But,
whom do you want to make the decisions? You may rely on your doctors alone to
make the right decisions. However, your doctors may not tell you which to choose
if you have multiple good options. You can also have loved ones help. They can
gather information, speak on your behalf, and share in decision-making with your
doctors. Even if others decide which treatment you will receive, you still have to
agree by signing a consent form.
On the other hand, you may want to take the lead or share in decision-making.
Most patients do. In shared decision-making, you and your doctors share
information, weigh the options, and agree on a treatment plan. Your doctors know
the science behind your plan but you know your concerns and goals. By working
together, you are likely to get a higher quality of care and be more satisfied. You’ll
likely get the treatment you want, at the place you want, and by the doctors you
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