TL;DRAbstract
The primary reasons for Mrs. S's refusal of treatment related to the emotional distress of an unexpected treatment recommendation (chemotherapy) and inaccurate beliefs regarding the therapeutic/toxicity ratio of the treatment. Overcoming her initial refusal involved the use of empathy, knowledge of her perceptions of illness and chemotherapy, education regarding treatment, ample time for information processing, and the involvement of her daughter in decision-making.
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The primary reasons for Mrs. S's refusal of treatment related to the emotional distress of an unexpected treatment recommendation (chemotherapy) and inaccurate beliefs regarding the therapeutic/toxicity ratio of the treatment. Overcoming her initial refusal involved the use of empathy, knowledge of her perceptions of illness and chemotherapy, education regarding treatment, ample time for information processing, and the involvement of her daughter in decision-making.
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