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OverviewMaintaining 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. Full Product DetailsAuthor: Harvey Max ChochinovPublisher: Oxford University Press Inc Imprint: Oxford University Press Inc Dimensions: Width: 15.70cm , Height: 1.00cm , Length: 23.60cm Weight: 0.454kg ISBN: 9780195176216ISBN 10: 0195176219 Pages: 224 Publication Date: 26 January 2012 Audience: Professional and scholarly , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: To order  Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us. Table of ContentsChapter 1: Dignity and the End of Life Why Study Dignity? Dignity and Empirical Research The Model of Dignity in the Terminally Ill Illness-Related Concerns - Level of Independence - Symptom Distress Dignity-Conserving Repertoire - Dignity-Conserving Perspectives - Dignity-Conserving Practices Social Dignity Inventory - Privacy Boundaries - Social Support - Care Tenor - Burden to Others - Aftermath Concerns References Chapter 2: Moving Dignity into Care How the Dignity Model Informs Dignity Therapy - Form - Tone - Content Dignity Therapy Revealed The First Clinical Trial is Published What about Families? Gold Standard Evidence Time to Move On References Chapter 3: Introducing Dignity Therapy to Patients and Families Patient Selection for Dignity Therapy Who Should Not Take Part in Dignity Therapy? Chapter 4: Doing Dignity Therapy Setting up the Dignity Therapy Session The Role of the Dignity Therapist References Chapter 5: The Generativity Document The Rationale for Editing Dignity Therapy Transcripts Transcribing the Audio-Recorded Interview Editing the Verbatim Transcript - Cleaning Up the Transcript - Clarifying the Transcript - Finding a Suitable Ending - The Patient Has the Final Say Chapter 6. From Start to Finish Chapter 7. Moving ForwardReviews<br> This is truly a remarkable book-- it simultaneously brings together the best we know of the science of palliative care with the essence and best of compassionate care. -- Jimmie C. Holland, Wayne E. Chapman Chair in Psychiatric Oncology and Attending Psychiatrist, Memorial Sloan-Kettering Cancer Center <br><p><br> For all health professionals who find themselves struggling to help patients face the complex process of dying, this book is both a detailed roadmap and an extraordinary guide that dispels the myth that 'there is nothing else they can do.' Embodying the essence of professionalism and caring, this text describes an innovative, evidence-based, therapeutic intervention to address the psychological and existential distress of patients with serious life threatening illnesses. Most importantly, the book sets a high standard for creating an environment that enables patients' exploration of personhood and suffering and enhances their dignity in the final days of their lives. - <br> This is truly a remarkable book-- it simultaneously brings together the best we know of the science of palliative care with the essence and best of compassionate care. -- Jimmie C. Holland, Wayne E. Chapman Chair in Psychiatric Oncology and Attending Psychiatrist, Memorial Sloan-Kettering Cancer Center <br><p><br> For all health professionals who find themselves struggling to help patients face the complex process of dying, this book is both a detailed roadmap and an extraordinary guide that dispels the myth that 'there is nothing else they can do.' Embodying the essence of professionalism and caring, this text describes an innovative, evidence-based, therapeutic intervention to address the psychological and existential distress of patients with serious life threatening illnesses. Most importantly, the book sets a high standard for creating an environment that enables patients' exploration of personhood and suffering and enhances their dignity in the final days of their lives. -- Kathleen M. Foley, Attending Neurologist, Pain and Palliative Care Service, Memorial Sloan-Kettering Cancer Center <br><p><br> People often ask how palliative care clinicians can do this work day in, day out. I struggle to articulate the profound experience of witnessing patients and families find meaning and transcendence through their illness, but now I will refer them to Dr. Chochinov's remarkable book. He not only relays story after story of such healing, but he also gives us all clear guidance to help our patients and their families to make meaning of their lives in a consistent and standardized manner. Because it will help us to better help our patients and their families, his work is a gift to palliative care clinicians everywhere. -- Diane E. Meier, Director, Center to Advance Palliative Care; Director, Hertzberg Palliative Care Institute; and Professor of Geriatrics and Internal Medicine, Mount Sinai School of Medicine <br><p><br> Dr. Chochinov has pioneered the wor Author InformationDr. Harvey Max Chochinov is an international leader in palliative care. He is Distinguished Professor of Psychiatry at the University of Manitoba and Director of the Manitoba Palliative Care Research Unit at CancerCare Manitoba. His seminal publications on psychosocial issues in advanced illness have helped define core competences and standards of palliative end-of-life care. Dr. Chochinov has been a guest lecturer in many major academic institutions around the world. He has been lauded for his contributions to palliative care, with awards and recognitions coming from the Canadian Medical Association, the International Psycho-oncology Society, the Canadian Cancer Society, the Canadian Association of Psychosocial Oncology, the Canadian Psychiatric Association, the Academy of Psychosomatic Medicine, and the American Association of Hospice and Palliative Medicine. He is Fellow of the Royal Society of Canada and the Canadian Academy of Health Sciences. In 2014 he was inducted as an Officer in the Order of Canada. Tab Content 6Author Website:Countries AvailableAll regions |
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