Can nhs family therapy be ethical AFT Conference September 2014
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This document outlines a process for reflection and decision making. It includes 10 questions to consider, such as how people feel, what they are afraid of, and whether the decision will be solution focused. It also lists 5 principles to guide decisions, including considering rules, integrity, who benefits and is harmed, and truth. The document concludes by posing additional questions to help make decisions with compassion and wisdom that build trust and stand the test of time.
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Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
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- 7. Experience Being Applying Reflecting Sharing and Conversation Process and Reflection Application Generalise Knowledge
- 8. Who We Are (Character) What We Do (Culture and Behaviour) What We Are About (Principles) How We Decide What’s Right (Perception)
- 9. 1. Time Out! 2. How Do We Feel? 3. What Are We Afraid Of? 4. Who’s Involved? 5. What Do We Know? 6. Have We Perceived Generously? 7. What Are Our Motives and Intentions? 8. What Sort Of Dilemma Is This? 9. Are We Being Solution Focused? 10. Is Our Decision Safe, Fair & Constructive?
- 10. Rules – What Are The Rules? Integrity – How Do Our Principles Guide Us? Good – Who Would Benefit And How? Harm – Who Will Be Harmed And How? Truth – Are We Being Honest And Responsible?
- 11. How would we feel in their shoes? How can we act with compassion? What would build trust and respect? What would be most useful? What would stand the test of time? Have we the courage to do what’s right? What can we learn from this dilemma?
Editor's Notes
- Reason and Emotion, p.141
- Andrew Cooper & Julian Lousada (2005) Borderline Welfare
- Roger’s book and report
- 8 eg drama triangle; 10 consider all parties
- Some suggestions rather than a comprehensive list