Multidimensional Analysis and Future Perspectives of Surrogate Decision-making for Lung Cancer Patients
Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v6i1.3785
Abstract
Lung cancer, being common and highly mortal, requires attention to its associated cognitive issues during diagnosis and treatment. Many patients have executive dysfunction that exacerbates with disease progression, and numerous advanced-stage patients struggle to clarify end-of-life treatment preferences due to multiple factors. Surrogate decision-making mechanisms can relieve related stress and conflicts, yet research in the lung cancer field is insufficient. This paper systematically integrates research on surrogate decision-making for lung cancer patients, analyzes the decision-making system, compares different paradigms, describes the development of support systems, and anticipates the future from aspects like dynamic decision ecosystems, technology — enabled care, ethical safeguards, and proxy care, providing theoretical guidance for clinical practice.
Keywords
Surrogate decision-making; Lung cancer patients; Strategy enhancement; Decision-aiding
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[3]Comer A R, Slaven J E, Montz A, et al. Nontraditional surrogate decision makers for hospitalized older adults[J]. Medical care, 2018, 56(4): 337-340.
[4]Weiss G B. Paternalism modernised[J]. Journal of medical ethics, 1985, 11(4): 184-187.
[5]Shepherd V, Sheehan M, Hood K, et al. Constructing authentic decisions: proxy decision making for research involving adults who lack capacity to consent[J]. Journal of medical ethics, 2021, 47(12): e42-e42.
[6]Robins-Browne K. Autonomy and advance care plans: a relationship oversimplified[J]. Internal Medicine Journal, 2008, 38(7): 612-613.
[7]Jimenez G, Tan W S, Virk A K, et al. Overview of systematic reviews of advance care planning: summary of evidence and global lessons[J]. Journal of pain and symptom management, 2018, 56(3): 436-459. e25.
[8]Schmidt K, Damm K, Prenzler A, et al. Preferences of lung cancer patients for treatment and decision‐making: a systematic literature review[J]. European journal of cancer care, 2016, 25(4): 580-591.
[9]Sinclair C, Auret K A, Evans S F, et al. Advance care planning uptake among patients with severe lung disease: a randomised patient preference trial of a nurse-led, facilitated advance care planning intervention[J]. BMJ open, 2017, 7(2): e013415.
[10]Ojha R P, Lu Y, Narra K, et al. Survival After Implementation of a Decision Support Tool to Facilitate Evidence-Based Cancer Treatment[J]. JCO Clinical Cancer Informatics, 2023, 7: e2300001.
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