Possible adverse effects include:

Before a treatment or an important diagnostic test is performed, potential adverse effects against potential benefits in the context of individual needs and goals of the patient should be weighed. Possible adverse effects include: complications, including prolonged fatigue and disability complaints inconvenience cost need additional tests or treatments are possible advantages: Healing Functional improve prevention of complications If the treatments most likely are useful life extension slowed disease progression relief of symptoms, and it is very is unlikely to exert adverse effects, the choices are relatively simple. However, the assessment of the relative importance of these factors in quality of life for each individual patient is important in case the treatments may have opposite effects. An aggressive tumor therapy z can. B. prolong life, but serious side effects (eg. As chronic nausea and vomiting, mouth ulcers) that reduce the quality of life. In this case, the decision of whether healing, life extension or relief should be sought, is run by the patient’s preference for quality of life and life Auer and the tolerance of risk and uncertainty. The point of view of the patient’s quality of life can also affect treatment decisions when different treatments (eg. As surgical vs. medical treatment of severe angina or osteoarthritis) may have different efficiencies and / or toxicities. Medicine Siche professionals can help patients to understand the likely consequences of different treatments, so that patients can make informed decisions. In the forecast of toxicities and benefits of different treatments, the practitioner should basis the individual clinical characteristics of the patient and not just their chronological age. In general, the chronological age of the patient is irrelevant in deciding between different treatments or treatment goals. However, the life expectancy can affect the choice of treatment. Patients with limited life expectancy can,. B. not live long enough to benefit from aggressive treatment of a slowly progressive disease (eg. As radical prostatectomy for localized, slow-growing prostate cancer). Nevertheless, the quality of life is important, regardless of the life expectancy. Therefore, invasive treatments that can improve the quality of life (eg. As joint replacement, coronary bypass surgery) in patients are not automatically rejected with a limited life expectancy should. Regardless of the general goal of therapy, symptom relief should always be offered.


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