Question

A 68-year-old man is diagnosed with metastatic colorectal cancer. His oncologist recommends palliative chemotherapy, which may extend life by several months but carries significant side effects. The patient is unsure and asks for your advice as his GP. What is the most appropriate approach to consent and shared decision-making?

Accepted Answer

Present balanced information about benefits, risks and alternatives, explore his values and support him to reach an informed decision

Answer

Tell him he must follow the oncologist’s recommendation

Answer

Avoid discussing risks to prevent him becoming anxious

Answer

Make the decision on his behalf as his doctor

Answer

Ask his family to decide without involving him

Practice question