By Michal Klau-Stevens
Two of the most powerful tools a patient has in the
healthcare system are informed consent and informed refusal, and
the key word in both of those phrases is INFORMED. You make good healthcare
decisions that match your needs when they are based in scientific evidence and
thoughtful consideration of your health requirements, emotional desires, and
spiritual necessities. While you can gain clarity on the most of these with thought
and introspection, the scientific evidence piece will usually require you to do
some research.
There is plenty of information available online to give you
an overview of whatever health condition you are facing, along with information
about the benefits and risks of various treatment options available.
Except in cases of emergency, there is time to do research
before making a medical decision, and it is wise to take the time to familiarize
yourself with the science underlying your healthcare needs and to explore your
options. Your doctor may not be aware of all your concerns, which include the
emotional and spiritual ones as well as the physical ones, and may prioritize
them differently than you would. Your doctor just might make different choices
than you. To reconcile these differences in approach, you need to have a deep
enough understanding of the medical aspects of your treatment that you can have
a meaningful conversation about your care. You need to be prepared to ask
specific questions and uncover any preferences or biases which would set you on
a treatment path different from where you feel comfortable going.
PubMed, websites ending in .gov, and advocacy websites
relating to your specific concern, such as the American Cancer Society, or the American
Heart Association can offer high quality evidence-based information that is
easy to understand. Newspapers, magazines, and personal blogs may vary widely
in their reliability and should be used with caution.
You will bear the results of your treatment, not your
doctor. That fact alone changes the dynamics of the decision-making process
from a patient’s perspective. While your instinct may be to place the burden of
choice fully onto your doctor because he or she is “the expert,” that may not
be in your best interest. You are the expert on you, and you bring
valuable assets to the process which should not be discounted. It is your right
and responsibility to give your informed consent or refusal to any test or
procedure your doctor suggests as part of your treatment. As with any other
right or responsibility, it takes effort on your part to fully benefit from it.
It’s worth the effort, and your health depends on it.
Michal Klau-Stevens is a professional
speaker and healthcare consumer advocate. She is a maternity consultant, pregnancy
coach, and expert on consumer healthcare care issues, Past President of
BirthNetwork National, a Lamaze Certified Childbirth Educator, and mother. Her website is TheBirthLady.INFO. Find her on LinkedIn and on Facebook at The Birth Lady page!
Good article, Michal.
ReplyDeleteYour information is valuable. Your sentence, "You will bear the results..." is enormously important. It's best for us to think about this while we are healthy and rational, not in emotional turmoil or in crisis mode. It applies to men and women of all ages, not only pregnant women. Thanks for the wisdom.
ReplyDelete