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    Dignity in the terminally ill: revisited

    Access Status
    Fulltext not available
    Authors
    Chochinov, H.
    Kristjanson, Linda
    Hack, T.
    Hassard, T.
    McClement, S.
    Harlos, M.
    Date
    2006
    Type
    Journal Article
    
    Metadata
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    Citation
    Chochinov, Harvey and Kristjanson, Linda and Hack, Thomas and Hassard, Thomas and McClement, Susan and Harlos, Mike. 2006. Dignity in the terminally ill: revisited. Journal of Palliative Medicine 9 (3): 666-672.
    Source Title
    Journal of Palliative Medicine
    DOI
    10.1089/jpm.2006.9.666
    Faculty
    Division of Health Sciences
    URI
    http://hdl.handle.net/20.500.11937/43046
    Collection
    • Curtin Research Publications
    Abstract

    Several studies have been conducted examining the notion of dignity and how it is understood and experienced by people as they approach death.The purpose of this study was to use a quantitative approach to validate the Dignity Model, originally based on qualitative data.Themes and sub-themes from the Dignity Model were used to devise 22 items; patients were asked the extent to which they believed these specific issues were or could be related to their sense of dignity.Of 211 patients receiving palliative care, "not being treated with respect or understanding" (87.1%) and "feeling a burden to others" (87.1%) were the issues most identified as having an influence on their sense of dignity. All but 1 of the 22 items were endorsed by more than half of the patients; 16 items were endorsed by more than 70% of the patients. Demographic variables such as gender, age, education, and religious affiliation had an influence on what items patients ascribed to their sense of dignity. "Feeling life no longer had meaning or purpose" was the only vaiable to enter a logistic regression model predicting overall sense of dignity.This study provides further evidence supporting the validity of the Dignity Model. Items contained within this model provide a broad and inclusive range of issues and concerns that may influence a dying patient's sense of dignity. Sensitivity to these issues will draw care providers closer to being able to provide comprehensive, dignity conserving care.

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