ABSTRACT

This chapter dedicates to the application of the pragmatic set in various common situations encountered in radiotherapy (RT). Today’s medicine benefits from a multi-disciplinary approach and patient care no longer rests in the hands of the treating physician alone. In radiotherapy, the duty of care once considered as appropriate solely to the doctor is now shared by nurses, social workers, dieticians, clinical psychologists, radiation therapists and medical physicists. The scenarios were created to reflect the cross-pollination of values amongst the different disciplines. Radiotherapy is a discipline characterised by rapid evolution both in the techniques available for treatment and in its use in combination with other treatment modalities, such as immunotherapy and/or surgery. The irreversibility of the effect is one of the reasons radiotherapy accidents make headline news and makes the proverb ‘measure twice, cut once’ particularly relevant.