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It should only be given after very careful consideration and after there is an appreciation and understanding of the facts given. The patient should be made aware of not only the benefits, but also the demerits. In other words the patient should be made aware of the implications of their decisions, which would then be based on the intimate understanding of the facts.
It used to be that patients trusted their doctors completely and had absolute confidence in whatever decisions were made for them, but these days the doors of communication are now 2-way streets and the patient's right to autonomy is encouraged...
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