| 0:00:12 | shock and fear in turkeys life the moment she was diagnosed with breast cancer |
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| 0:00:17 | soon after she met with a surgeon who suggested treatment plan |
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| 0:00:21 | love back to me the chemotherapy than six weeks of daily radiation |
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| 0:00:26 | which you can set |
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| 0:00:28 | instead of k one and a mastectomy she's then |
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| 0:00:31 | i want the cancer gone taken all take into if needed |
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| 0:00:37 | in early stages of invasive breast cancer one back to be the preferred method of |
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| 0:00:41 | treatment for most women |
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| 0:00:43 | it is less surgically and based |
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| 0:00:45 | and there was no significant difference in overall survival between women one trickle mastectomy |
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| 0:00:51 | persons women wonder goal of actually |
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| 0:00:53 | provided these women also have radiation therapy |
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| 0:00:57 | so it was a rational by requesting the removal of her entire breast |
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| 0:01:02 | yes or no she's not a low |
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| 0:01:05 | although spectrum is preferred medically |
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| 0:01:07 | mastectomy is being performed at high rates in canada |
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| 0:01:10 | overall there is a trend towards more surgically aggressive treatment than medically necessary in breast |
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| 0:01:16 | cancer |
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| 0:01:18 | i study how decision making because i see a gap between what is expected |
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| 0:01:22 | and what actually occurs |
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| 0:01:25 | decision making is the cognitive process that is fundamental to all aspects of health care |
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| 0:01:30 | and little is known about it |
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| 0:01:32 | despite this |
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| 0:01:34 | many decision making tools exist for patients which assume that patients make decisions so called |
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| 0:01:40 | rationally |
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| 0:01:41 | however |
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| 0:01:42 | in the real world when faced with life threatening illness patients do not necessarily make |
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| 0:01:47 | decisions as expected |
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| 0:01:50 | twenty and this |
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| 0:01:51 | i will be interviewing women of various ages with breast cancer |
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| 0:01:55 | i will be exploring their preferences and their motivations across the range of decisions |
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| 0:02:01 | i will |
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| 0:02:02 | compare and contrast those experiences to explain decision making for younger middle age and older |
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| 0:02:08 | women in this population because women that are younger and older have different social and |
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| 0:02:13 | emotional needs in cancer |
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| 0:02:15 | in this way |
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| 0:02:17 | the patient perspective that is the perspective of your grandmother's and your mother's your sisters |
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| 0:02:23 | you're i don't daughters |
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| 0:02:24 | their respective will drive the development |
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| 0:02:27 | of tools and resources for cancer decision making |
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| 0:02:30 | and they will inform best practises for clinicians where counselling patients early in the cancer |
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| 0:02:36 | journey |
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| 0:02:37 | and what about eight |
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| 0:02:40 | she's a real women it's not real name a real woman i contribute |
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| 0:02:43 | who is a mother to for young children who lives far from radiation facility |
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| 0:02:49 | this work may encourage her to process for decision making in a way |
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| 0:02:53 | that recognises for social and emotional needs |
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| 0:02:56 | well still eliciting |
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| 0:02:57 | optimal health outcomes |
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| 0:02:59 | thank you |
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