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S HOULD LIFESTYLE CHOICES INFLUENCE CLINICAL DECISIONS REGARDING - PowerPoint PPT Presentation

S HOULD LIFESTYLE CHOICES INFLUENCE CLINICAL DECISIONS REGARDING SURGERY ? Owen Davis Keele Medical School W HAT DO WE MEAN BY A CLINICAL DECISION ? Have a patients lifestyle choices made him/her an unsafe candidate for surgery? Evidence


  1. S HOULD LIFESTYLE CHOICES INFLUENCE CLINICAL DECISIONS REGARDING SURGERY ? Owen Davis Keele Medical School

  2. W HAT DO WE MEAN BY A CLINICAL DECISION ?  Have a patient’s lifestyle choices made him/her an unsafe candidate for surgery? Evidence Appetite Base for Risk YES • Shared decision- making process. • Offer suitable Case alternative. Specific

  3. D O PEOPLE WHO HAVE MADE ‘ THE WRONG ’ LIFESTYLE CHOICES DESERVE SURGERY ? When is a lifestyle choice a choice? 1. Why do we consider some choices ‘ wronger ’ 2. than others?

  4. P ICTURE Q UIZ N O .1

  5. H EALTH S URVEY FOR E NGLAND , 2014 [NS]  31.2% of children aged 2 to 15 were classed as either overweight or obese.  Around 25% of adults were classed as obese.

  6. P ICTURE Q UIZ N O .2

  7. P ICTURE Q UIZ N O .3

  8. S UMMARY  Do I think that lifestyle choices should influence our clinical decisions?  Selecting a procedure based on minimising risks that are present as a result of a patient’s lifestyle choices?  Make judgments on which lifestyle choices are ‘morally wrong’?  Allow this to be the basis for our clinical decisions without considering the influences present throughout a patient’s life?

  9. Q UESTIONS ?

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