Paradigm shift in head and neck oncology patient management

Abstract Objective This article describes a paradigm shift in what is considered to be good care for patients living with and after (head and neck) cancer. HNO patients often experience severe and difficult physical and psychosocial problems due to the nature and location of the disease. Many discip...

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Main Authors: Chiquit van Linden van den Heuvell, Florence van Zuuren, Mary Wells, Geert van der Laan, Harry Reintsema
Format: Article
Language:English
Published: SAGE Publishing 2017-09-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-017-0229-8
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author Chiquit van Linden van den Heuvell
Florence van Zuuren
Mary Wells
Geert van der Laan
Harry Reintsema
author_facet Chiquit van Linden van den Heuvell
Florence van Zuuren
Mary Wells
Geert van der Laan
Harry Reintsema
author_sort Chiquit van Linden van den Heuvell
collection DOAJ
description Abstract Objective This article describes a paradigm shift in what is considered to be good care for patients living with and after (head and neck) cancer. HNO patients often experience severe and difficult physical and psychosocial problems due to the nature and location of the disease. Many disciplines are involved in their treatment, so their voice is only one amongst many others in the decision making process. For this patient group it seems complicated to put the concept of Shared Decision Making into practice. As a step in this direction, patient reported outcomes which ask patients to select the disconcerting issues and symptoms can be used as a basis for referral, supportive care and treatment decision making. We need to provide more tailored and personalized information that is specific to individual circumstances, preferences and concerns and focuses more on the impact of treatment and access to help and support. Follow up of these patients should be concentrated on both medical and emotional aspects. Practice implications A shift in the way caregivers provide their information contributes to a more profound involvement of patients in treatment decisions.
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series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj-art-9e6f01e71be94959a1e4521a4ac9a0072025-02-03T10:54:11ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162017-09-014611610.1186/s40463-017-0229-8Paradigm shift in head and neck oncology patient managementChiquit van Linden van den Heuvell0Florence van Zuuren1Mary Wells2Geert van der Laan3Harry Reintsema4Department Oral & Maxillofacial Surgery and Special Dental Care, University Medical Center GroningenFaculty of Social and Behavioral Sciences, University of AmsterdamSchool of Nursing and MidwiferyDepartment Oral & Maxillofacial Surgery and Special Dental Care, University Medical Center GroningenDepartment Oral & Maxillofacial Surgery and Special Dental Care, University Medical Center GroningenAbstract Objective This article describes a paradigm shift in what is considered to be good care for patients living with and after (head and neck) cancer. HNO patients often experience severe and difficult physical and psychosocial problems due to the nature and location of the disease. Many disciplines are involved in their treatment, so their voice is only one amongst many others in the decision making process. For this patient group it seems complicated to put the concept of Shared Decision Making into practice. As a step in this direction, patient reported outcomes which ask patients to select the disconcerting issues and symptoms can be used as a basis for referral, supportive care and treatment decision making. We need to provide more tailored and personalized information that is specific to individual circumstances, preferences and concerns and focuses more on the impact of treatment and access to help and support. Follow up of these patients should be concentrated on both medical and emotional aspects. Practice implications A shift in the way caregivers provide their information contributes to a more profound involvement of patients in treatment decisions.http://link.springer.com/article/10.1186/s40463-017-0229-8Shared decision makingHead and neck oncologyPatient involvement
spellingShingle Chiquit van Linden van den Heuvell
Florence van Zuuren
Mary Wells
Geert van der Laan
Harry Reintsema
Paradigm shift in head and neck oncology patient management
Journal of Otolaryngology - Head and Neck Surgery
Shared decision making
Head and neck oncology
Patient involvement
title Paradigm shift in head and neck oncology patient management
title_full Paradigm shift in head and neck oncology patient management
title_fullStr Paradigm shift in head and neck oncology patient management
title_full_unstemmed Paradigm shift in head and neck oncology patient management
title_short Paradigm shift in head and neck oncology patient management
title_sort paradigm shift in head and neck oncology patient management
topic Shared decision making
Head and neck oncology
Patient involvement
url http://link.springer.com/article/10.1186/s40463-017-0229-8
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AT florencevanzuuren paradigmshiftinheadandneckoncologypatientmanagement
AT marywells paradigmshiftinheadandneckoncologypatientmanagement
AT geertvanderlaan paradigmshiftinheadandneckoncologypatientmanagement
AT harryreintsema paradigmshiftinheadandneckoncologypatientmanagement