Should a patient know the truth, the whole truth, and nothing but the truth? Every doctor is eventually faced with the question of whether to tell their patient the result of a diagnosis or prognosis. What should be said? To whom should it be said? How should it be said? When should it be said? Where should it be said? These are just some of the many questions in oncology that require a satisfactory and consistent answer within the framework of measure 40 of the first National Cancer Plan.
Should a patient know the truth, the whole truth, and nothing but the truth? Every doctor is eventually faced with the question of whether to tell their patient the result of a diagnosis or prognosis. What should be said? To whom should it be said? How should it be said? When should it be said? Where should it be said? These are just some of the many questions in oncology that require a satisfactory and coherent answer within the framework of measure 40 of the first National Cancer Plan. The patient has the right to know, and to know everything, but they also have the right not to know. Confused by these conflicting rights, the doctor alone bears the responsibility of choosing whether or not to disclose the information. How can one understand the patient's needs, their deepest desires, whether acknowledged or unacknowledged, their inner world, without revealing too much so as not to instill doubt, mistrust, anxiety, and distress? In oncology, the question is no longer: "Should we tell the patient the truth?" "But how do you tell the truth to a patient?" Speaking can be a form of abuse if it doesn't take into account each patient's individual history. How can you soften the blow of a cancer diagnosis without lying, while still preserving the spark of hope necessary to begin treatment? This book aims to encourage reflection on this difficult question, while providing concrete answers that respect the patient and promote a more humane approach to medicine. The authors propose the practical application of PROSEIC mnemonic devices, which are the result of expert recommendations and clinical experience. Numerous testimonials from patients and caregivers alike enrich this highly practical work.
