shock and fear in turkeys life the moment she was diagnosed with breast cancer

soon after she met with a surgeon who suggested treatment plan

love back to me the chemotherapy than six weeks of daily radiation

which you can set

instead of k one and a mastectomy she's then

i want the cancer gone taken all take into if needed

in early stages of invasive breast cancer one back to be the preferred method of

treatment for most women

it is less surgically and based

and there was no significant difference in overall survival between women one trickle mastectomy

persons women wonder goal of actually

provided these women also have radiation therapy

so it was a rational by requesting the removal of her entire breast

yes or no she's not a low

although spectrum is preferred medically

mastectomy is being performed at high rates in canada

overall there is a trend towards more surgically aggressive treatment than medically necessary in breast

cancer

i study how decision making because i see a gap between what is expected

and what actually occurs

decision making is the cognitive process that is fundamental to all aspects of health care

and little is known about it

despite this

many decision making tools exist for patients which assume that patients make decisions so called

rationally

however

in the real world when faced with life threatening illness patients do not necessarily make

decisions as expected

twenty and this

i will be interviewing women of various ages with breast cancer

i will be exploring their preferences and their motivations across the range of decisions

i will

compare and contrast those experiences to explain decision making for younger middle age and older

women in this population because women that are younger and older have different social and

emotional needs in cancer

in this way

the patient perspective that is the perspective of your grandmother's and your mother's your sisters

you're i don't daughters

their respective will drive the development

of tools and resources for cancer decision making

and they will inform best practises for clinicians where counselling patients early in the cancer

journey

and what about eight

she's a real women it's not real name a real woman i contribute

who is a mother to for young children who lives far from radiation facility

this work may encourage her to process for decision making in a way

that recognises for social and emotional needs

well still eliciting

optimal health outcomes

thank you