I will not take Tamoxifen...
Mrs. Adler is being treated for breast cancer. She is a good candidate for tamoxifen. She has read things about it and begins by saying she will not take it.
Cancer patients are very well informed, and do a great deal of research, especially with Internet access widely available and used. Concerns about side-effects of medications need to be taken seriously and explored, since they may also lead to non-compliance in treatment.
What to watch for
It would be tempting to respond to the patient's statement with a logical explanation of why she needs to take the drug. However, further exploration of her emotional reaction reveals several significant concerns underlying her refusal which the oncologist can address through education, problem-solving and negotiation.
|Previous||We'd Like To Discontinue Ventilation|
Free CME Credit Available
Certain material on this site is available for Continuing Medical Education Credit. To obtain credit you must use the “Earn Free CME Credit Online” link on the left.
Risk Management Education (RME) Credit Available
Certain material on this site is available for Risk Management Education Credit for physicians enrolled in the The University of Texas Professional Liability Insurance Plan only. To obtain credit you must use the “Earn Free Risk Management Credit Online” link on the left.
Applying for both CME and RME?
If you are applying for both CME and RME for the same module, you MUST view the video through the CME link and then print both the CME forms (found on the right side of the video page) and the RME forms (found below the video window) and send to the appropriate offices.