[Dignity in the care of terminal ill and dying patients. Definitions and supportive interventions in palliative care].
Most patients, family members, health care professional as well as volunteers would agree that dignified care and being allowed to die with dignity are superior and unquestionable goals of palliative care. Although the majority of people have a more or less vague concept of dignity and despite its significance for palliative care, only a few empirical approaches to describe the sense of dignity from patients' and health care professionals' perspectives have been undertaken. However, individual descriptions of the dignity concept and definitions can serve as an impetus to improve the current palliative care practice by the development and evaluation of psychotherapeutic interventions for patients near the end of life and the allocation of resources. This article considers an internationally developed empirical-based model of dignity in severe and terminal ill patients by Chochinov et al. Furthermore, it illustrates the understanding of dignity as well as self-perceived exertions of influence on a patient's dignity from the perspective of health care professionals and volunteers. Psychotherapeutic interventions and strategies are introduced that can help conserve the sense of dignity of patients during palliative care.
Mehnert
A
A
Universitätsklinikum Hamburg-Eppendorf, Hamburg-Eppendorf, BRD. mehnert@uke.uni-hamburg.de
Schröder
A S
AS
Puhlmann
K
K
Müllerleile
U
U
Koch
U
U
D001293:Attitude to Death; D005858:Germany; D006738:Hospices / Q000379:methods; D006801:Humans; D010166:Palliative Care / Q000379:methods* / Q000523:psychology*; D011613:Psychotherapy / Q000379:methods*; D012297:Right to Die; D013727:Terminal Care / Q000379:methods* / Q000523:psychology*; D019452:Terminally Ill / Q000523:psychology*