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No one goes into healthcare with the intention of hurting people, or wanting to come off as callous, cold, or unfeeling. Fortunately, most people working in healthcare understand that kindness and compassion are key, even foundational to success in the care they provide to patients and families. And yet, all too often, there are instances when contact with healthcare is tainted by experiences ranging from vaguely annoying or abrasive to outright emotionally assaultive. Patients may confront experiences that chip away at their sense of pride and personhood; this can be as subtle as being kept waiting for an appointment, as insidious as being required to wear a plastic hospital bracelet that tracks them according to an institutional number or code, as jarring as being referred to as an aberrant body part - the proverbial "GI bleed in room two" or "breast tumor in room three." Dignity in Care aims to provide readers with what they need to know about the humanity of care and the tone of care; and how they can engage in these facets of care in a thoughtful and meaningful way that will satisfy their patients' needs to be seen and appreciated as "whole persons." The author will explore how the humanity of care can get overlooked and how to avoid this happening. It will teach how to communicate better with patients, helping them to feel not just cared for, but cared about. Sir William Osler said, "The good physician treats the disease; the great physician treats the patient who has the disease." Dignity in Care applies this outlook to all of healthcare, because many people can gain technical competency, but success within healthcare requires more.
Eight years has passed since the first edition of The Handbook of
Psychiatry in Palliative Medicine
Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying take hold. Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.
Maintaining dignity for patients approaching death is a core principle of palliative care. Translating that principle into methods of guiding care at the end of life, however, can be a complicated and daunting task. Dignity therapy, a psychological intervention developed by Dr. Harvey Max Chochinov and his internationally lauded research group, has been designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as they grapple with the reality of life drawing to a close. Tested with patients with advanced illnesses in Canada, the United States, Australia, China, Scotland, England, and Denmark, dignity therapy has been shown to not only benefit patients, but their families as well. In the first book to lay out the blueprint for this unique and meaningful intervention, Chochinov addresses one of the most important dimensions of being human. Being alive means being vulnerable and mortal; he argues that dignity therapy offers a way to preserve meaning and hope for patients approaching death. Dignity Therapy: Final Words for Final Days is a beautiful introduction to this pioneering and innovative work. With history and foundations of dignity in care, and step by step guidance for readers interested in implementing the program, this volume illuminates how dignity therapy can change end-of-life experience for those about to die - and for those who will grieve their passing.
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