Narrator: A team of doctors and nurse’s conduct a symposium and free consultation in a barangay.

CJ: Good morning ladies and gentleman, we are gathered here today to educate each and everyone
of us regarding the decision’s you guys can share to your surgeons or doctors whenever you will
go for surgery. This symposium is just a short explanation and afterwards we will have a check-
up and free consultation.
First and foremost is the informed consent process this involves discussion of risks, benefits and
alternatives. Understanding the common risks of surgery, most surgeons develop their discussion
points for the pre-op visit, may provide written material, or even digital media for education, often
combining the complications as an aside to the description of the surgery and the post-op recovery.
Second, implementing SDM in surgical practice, SDM stands for shared decision making, greater
patient involvement in the decision-making process led to greater satisfaction with the outcome
for these procedures.
Lastly, Take-home message, for preference-sensitive surgeries, determining the true indication of
the surgery should be based on mutual discussion of risks, benefits, and alternatives combined
with the patient’s preferences and values.
That’s all for this symposium ladies and gentleman, you may now go to our tent and let us talk
about your conditions.
Narrator: After the symposium there is this husband and wife that choose to go and ask for a help
because the wife have a breast cancer and they do not know what is the best surgery for the wife.
Kastner: good morning doc, my wife feels something in her breast we are afraid that she have a
breast cancer, may we consult what is the best alternative for her condition?
CJ: what part did you felt wrong misis?
Fel: In my left breast doc.
CJ: if you don’t mind, may I ask if your family have history of breast cancer?
Fel: My great grandmother died because of breast cancer doc, so when I felt this stone-like thing
in my left breast I am worried and we planned to go in Manila for further check ups but your team
came so we decided to come here first.
CJ: I see, thank you for the trust ma’am and sir. We will conduct some tests to clarify things and
to get rid of your worry. Here is my calling card and our hospital address, you can come when the
surgery is already settled. May I get your number as well ma’am so that we can just contact you
when the result came.
Fel: Doc may I know how much will it cost? And what is the percentage that I will survive. Is
there no other option doc. I’m afraid that I might die during the surgery.
Doc: To be honest it cost a lot, 100,000 is the smallest amount. If you want alternatives misis, you
can take medication first, we will try to give you medicines that will help to diminish the cancer
but the percentage of it is not predictable. When surgery will be conducted, there will be 80%
chance because we will conduct further examination.
Fel: Thank you Doc. I will talk first to my family regarding this matter. I will surely visit your
hospital after.
Narrator: On the other hand, there is this teenager who is about to give birth and she wants to
consult for the betterment of her labor.
Chua & Aly: Good morning, Doc.
Lea: Good morning. How are you? Are you feeling any contractions?
Chua: None yet, Doc.
Lea: Hmm, it’s your due on February 14 and yet none?
Aly: If that’s the case, Doc, what are we going to do?
Lea: This is how it will work, there’s this process called inducing labor, it’s a forced labor, that is
when I will give you a medicine and I will break your water to make labor start. We recommend
this, inducing labor if your health or your baby's health is at risk or if you're past your due date.
Aly: Is that okay and safe, Doc?
Lea: Yes, mommy and don’t worry I will give her anesthesia, if you’ll agree with this.
Chua: Doc, wouldn’t it be hard for me to give birth?
Lea: Don’t worry, because usually, women at your age gives birth properly. But if anything
happens, there’s this C-section, cesarean. This is when the baby is taken out through the mother's
abdomen. Because we have no control over what will happen.
Aly: Is that too expensive, Doc?
Lea: Mommy, it’s expensive but a c-section may be safer than vaginal birth because it can help
women who are at risk for complications avoid dangerous delivery. But it takes a long time to
recover.
Aly: What’s your plan? (talking to her daughter)
Chua: If that’s what the doctor says. If it’s my due already and still no signs for delivery, let’s do
the inducing labor, Doc. And if something happens, it’s C-section.
Lea: Then, if that’s the decision, you have to sign a letter, ma’am. Nurse will you lend us the letter
of agreement.
Lalaine: Here, Doc.
Chua & Aly: (Signs.) Thank you, Doc.
Lea: Okay, February 14, if still no signs of delivery yet, come here after lunch and I will admit
you, okay?
Chau & Aly: Yes, Doc. Thank you!
Lalaine: Good luck, Mommy!
Narrator: Shared Decision Making is key to a successful breast reconstruction journey, every
patient has the right to be informed of all their options when considering breast cancer surgery.
Risks associated with all surgeries should be fully discussed, along with the expected recovery
time. Equally important is that the patient shares their preferences, values, and any personal and
family factors that can influence treatment planning. The physician and patient then decide the best
surgical plan together. This collaborative approach is known as shared decision-making. Studies
show that shared decision-making improves patient satisfaction and outcomes.

On the other hand, for most woman , participation in decision making during maternity care has a
positive impact on their childbirth experiences. Maternity care providers can support and advise
pregnant women in the many decisions they face during pregnancy, birth and postnatal; enabling
women to take charge of their own choices in deliberation with their provider. Birth is more than
a physical experience, it is a family event influenced by cultural context and beliefs and has a large
emotional and social impact. Decisions in the perinatal period often affect the physical, social, and
psychological well-being of mothers and their babies.