How do cancer patients make complex decisions about their treatment and future?
In the newest episode of ‘Beyond the Cancer Diagnosis’, Adrian Pogacian delves into Shared Decision-Making Process with focus onco-fertility issue, along with Prof. Michelle Peate, Program Leader for the Psychosocial Health and Wellbeing Research (emPoWeR) Unit based at the Department of Obstetrics and Gynaecology, University of Melbourne.
Prof Michelle Peate is the Program Leader for the Psychosocial Health and Wellbeing Research (emPoWeR) Unit based at the Department of Obstetrics and Gynaecology, University of Melbourne. In her current role she is overseeing a number of research projects in psychology, cancer and reproductive health. Her main goals involve the development of resources for people who need them, and their evaluation through prospective, multi-centre psycho-oncology studies.
Adrian Pogacian, licensed clinical psychologist, with executive education in Psycho-oncology, holding a degree in Global Health Diplomacy from Geneva Graduate Institute and a certificate in Medical Intel Course from NATO School, Oberammergau.
Currently, invited speaker and associate lecturer with focus on Impact of Cancer Diagnosis on Couples and Families, Communication in Cancer Care and managing Fear of Recurrence. His expertise is on Coping with Cancer and Posttraumatic Growth.
Additionally, Founder of INCKA Psycho-oncology Center incka.org, Host of Beyond the Cancer Diagnosis Interview Series at OncoDaily.com, Journalist at CancerWorld.net, co-author of the first Romanian Multimodal Care Guideline in Pediatric Onco-hematology, active contributor to the International Psycho-oncology Society, presently IPOS Fear of Cancer Recurrence (FORwards) Special Interest Group Board Member (2025-2027), IPOS Early Career Professionals in Psycho-Oncology CommitteeFounding Member (2023-2026) and Multinational Association of Supportive Care in Cancer (MASCC) member.
00:00 Introduction
01:10 Defining decision-making in cancer care
02:15 Complex decisions and oncofertility explained
04:40 The impact of cancer treatments on fertility
06:00 Fertility preservation options: before, during, and after treatment
08:00 Supporting patients through informed choices
09:15 Communication, relationships, and decision-making as a process
11:00 Time pressure vs. allowing space for patient decisions
13:00 Role of multidisciplinary teams in guiding treatment choices
15:30 Caregivers’ influence and cultural differences in decision-making
17:30 Barriers: health literacy, clinician discomfort, system-level challenges
19:15 Patient advocacy and real-world examples
22:30 Social pressures around parenthood and fertility
26:30 The importance of informed, personal choices
27:10 Where hope fits into the cancer journey
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