By E. Maex MD, C. De Valck PhD (auth.), Prof. Friedrich Stiefel MD (eds.)
This booklet covers the entire appropriate points of verbal exchange in melanoma care, reminiscent of conversation in melanoma prevention and genetic counseling, conversation at diversified levels of affliction and verbal exchange with the kinfolk and youngsters. additionally, extra basic issues are mentioned, reminiscent of the advantages and proof of conversation abilities education and the demanding situations of interdisciplinary and cross-cultural communique.
Besides precious info on direct medical relevance, present theoretical frameworks and examine on communique in oncology are provided. The chapters are written via prime figures within the box of psycho-oncology and conversation, who paintings and train in numerous ecu countries.
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Brédart 42. van Dijk S, Otten W, van Asperen CJ, Timmermans DR, Tibben A, Zoeteweij MW, Silberg S, Breuning MH, Kievit J (2004a) Feeling at risk: how women interpret their familial breast cancer risk. Am J Med Genet 131:42–49 43. van Dijk S, van Asperen CJ, Jacobi CE, Vink GR, Tibben A, Breuning MH, Otten W (2004b) Variants of uncertain clinical significance as a result of BRCA1/2 testing: impact of an ambiguous breast cancer risk message. Genet Test 8:235–239 44. Wooster R, Bignell G, Lancaster J, Swift S, Seal S, Mangion J, Collins N, Gregory S, Gumbs C, Micklem G (1995) Identification of the breast cancer susceptibility gene BRCA2.
Risk estimators also comprise uncertainty, particularly for penetrance of genes. Estimates of penetrance values of BRCA genes appear to vary between 60% and 85% at age 70 for breast cancer and between 10% and 40% for ovarian cancer (Struewing et al. 1997; Ford et al. 1998; Antoniou et al. 2003). Certain non-contributive or unexpected results can lead to a highly paradoxical situation, because the subject expects a result which should decrease uncertainty about her genetic status, but the results sometimes increase uncertainty by information she does not know how to use.
2003). The different models currently implemented should be further evaluated, looking for the most convenient one. 5 Process and Content of Familial Breast Cancer Genetic Consultations Butow and Lobb (2004) conducted a major study, examining in detail the process and content of genetic counselling in initial consultations with women from high-risk breast cancer families. Over 158 consultations of women unaffected and affected with breast cancer, conducted in 10 familial breast cancer clinics throughout Australia, were audiotaped and transcribed.
Communication in Cancer Care by E. Maex MD, C. De Valck PhD (auth.), Prof. Friedrich Stiefel MD (eds.)