When making any treatment decision, you should consider the risks, benefits, and supporting evidence for the treatment. In addition, you should consider if the treatment is compatible with your personal values and preferences and if it is accessible at a reasonable cost.
Can a therapist change modalities in the midst of treatment?
EXAMPLE: Therapist decides to change modalities offered in the midst of client treatments. Therapist needs to allow client the chance to consent or object to the changes to remain ethical. 6. Could the action lead to future breakdowns of the client-therapist relationship?
When is treatment as needed The most appropriate choice?
For example, if the natural history indicates that cure is unlikely with standard therapy, and the clinical course is indolent, treating as needed to manage the condition with lower toxicity could be the most appropriate choice. · Question 5: What’s the Level of Evidence for the proposed therapy?
How do I determine if a modality is right for me?
Be sure to review state laws to determine if a modality or technique is allowed by one’s state massage board. Be sure to ascertain one’s skill set and level of training before attempting new modalities and techniques. EXAMPLE: Client requests a modality of which the therapist has no knowledge.
What factors may determine my eligibility for treatments?
Other factors that may determine your eligibility for treatments: We recommend that you take an inventory of these items (that describe your treatment setting) to help the doctors you consult to more easily identify appropriate treatment protocols. Diagnosis-lymphoma subtype (including phenotype markers, such as CD20, CD19, etc.)
What is the goal of aggressive therapy?
The goal of aggressive therapy is to get a durable response, and a possible cure. It may be that the aggressive approach is more reasonable for the young patient, especially if it's determined that you have high-risk disease.
What is the most appropriate goal of lymphoma therapy?
For example, for aggressive lymphomas the most appropriate goal of therapy is usually to cure . For lymphomas with a variable clinical course a period of observation might be needed to judge its behavior.
What is the intent of therapy for indolent lymphoma?
Curative intent: to achieve a possible cure where the disease might be eradicated and never returns. This is a common intent of therapy for aggressive lymphoma and Hodgkin disease.
Is aggressive therapy better than cure?
Virtually every treatment approach has potential tradeoffs: An aggressive therapy might give a better chance for a complete and more durable remission (or cure), but can have greater toxicities in the short or long term.