Management options

Management decisions are based on risk:benefit of not treating vs treating
Management options for any disease can be divided into:



Occasionally doctors choose to do nothing with their patient because they are waiting for more information to come to hand:


 Waiting is reasonable if::
  1. The hypothesized disease(s) is not going to abruptly worsen (with or without current treatment) *
  2. There is careful observation and good followup
  3. The patient (or carers) knows what to look out for and will respond appropriately (patient education / staff instructions)
MICLO = Masterful Inaction and Cat Like Observation
But good practice needs the -CLO not just the MI-

* therefore MICLO only works if you know how long it usually takes for the treatment to work and how severe the condition is or how quickly it will progress