We published our “Ten Commandments for patient-centred treatment” in the British Journal of General Practice and created a web site dedicated to this common sense approach to doing the right thing when considering treatment: http://www.therapeuticcommandments.org
Lehman R, Tejani AM, McCormack J, Perry T, Yudkin JS. Ten Commandments for patient-centred treatment. British Journal of General Practice 2015;65:532-3. DOI: 10.3399/bjgp15X687001 http://bjgp.org/content/65/639/532
Ten Commandments for patient-centred treatment
- Thou shalt have no aim except to help patients, according to the goals they wish to achieve.
- Thou shalt always seek knowledge of the benefits, harms, and costs of treatment, and share this knowledge at all times.
- Thou shalt, if all else fails or if the evidence is lacking, happily consider watchful waiting as an appropriate course of action.
- Thou shalt honour balanced sources of knowledge, but thou shalt keep thyself from all who may seek to deceive thee.
- Thou shalt treat according to level of risk and not to level of risk factor.
- Thou shalt not bow down to treatment targets designed by committees, for these are but graven images.
- Honour thy older patients, for although they often have the highest risk, they may also have the highest risk of harm from treatment.
- Thou shalt stop any treatment that is not of clear benefit and regularly reassess the need for all treatments and tests.
- Thou shalt diligently try to find the best treatment for the individual, because different treatments work for different people.
- Thou shalt seek to use as few drugs as possible.