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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
was published. In that time, psychiatric (or psychosocial)
palliative care has evolved; the net effect on palliative medicine
has been transformative. Palliation that neglects psychosocial
dimensions of patient and family experience, de facto, 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 beginning to take hold.
The first comprehensive textbook of psychiatric palliative care,
this new edition has been fully updated, reorganized and expanded
to include eleven new chapters. Written by 67 internationally known
psychiatry and palliative care experts, the book is truly an
essential reference for all providers of palliative care including
psychiatrists, psychologists, mental health counselors,
oncologists, hsopice workers and social workers. Each chapter has
been updated to address new therapeutic modalities and approaches
as well as new research trends and opportunities for each topic.
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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