Dignity-conserving cre - A new model for palliative care - Helping the patient feel valued

被引:415
作者
Chochinov, HM
机构
[1] Univ Manitoba, Dept Psychiat, Winnipeg, MB R3T 2N2, Canada
[2] Canc Care, Winnipeg, MB, Canada
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2002年 / 287卷 / 17期
关键词
D O I
10.1001/jama.287.17.2253
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The basic tenets of palliative care may be summarized as the goal of helping patients to die with dignity. The term "dignity" provides an overarching framework that may guide the physician, patient, and family in defining the objectives and therapeutic considerations fundamental to end-of-life care. Dignity-conserving care is care that may conserve or bolster the dignity of dying patients. Using segments of interviews with a patient with advanced lung cancer, his wife, and his palliative care physician, this article illustrates and explores various aspects of dignity-conserving care and the model on which it is based. Dignity-conserving care offers an approach that clinicians can use to explicitly target the maintenance of dignity as a therapeutic objective and as a principle of bedside care for patients nearing death.
引用
收藏
页码:2253 / 2260
页数:8
相关论文
共 70 条
  • [1] Abbott T. K., 1987, FUNDAMENTAL PRINCIPL
  • [2] ABIVEN M, 1991, World Health Forum, V12, P375
  • [3] Development of a theoretical framework describing relatives' involvement in palliative care
    Andershed, B
    Ternestedt, BM
    [J]. JOURNAL OF ADVANCED NURSING, 2001, 34 (04) : 554 - 562
  • [4] Physician-assisted suicide and euthanasia in Washington State - Patient requests and physician responses
    Back, AL
    Wallace, JI
    Starks, HE
    Pearlman, RA
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (12): : 919 - 925
  • [5] Barthow C, 1997, Int J Nurs Pract, V3, P206, DOI 10.1111/j.1440-172X.1997.tb00103.x
  • [6] PATIENT REQUESTS TO HASTEN DEATH - EVALUATION AND MANAGEMENT IN TERMINAL CARE
    BLOCH, SD
    BILLINGS, JA
    [J]. ARCHIVES OF INTERNAL MEDICINE, 1994, 154 (18) : 2039 - 2047
  • [7] Psychological considerations, growth, and transcendence at the end of life - The art of the possible
    Block, SD
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (22): : 2898 - 2905
  • [8] Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer
    Breitbart, W
    Rosenfeld, B
    Pessin, H
    Kaim, M
    Funesti-Esch, J
    Galietta, M
    Nelson, CJ
    Brescia, R
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (22): : 2907 - 2911
  • [9] BREITBART W, 1998, TXB PSYCHOONCOLOGY, P437
  • [10] Byock I R, 1994, J Palliat Care, V10, P8