Dignity Therapy: Final Words for Final Days

Hardcover | December 14, 2011

byHarvey Max Chochinov

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Congratulations to Dr. Harvey Chochinov, winner of the Canadian Medical Association's Frederic Newton Gisborne Starr Award 2012.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 Chochinovand 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 inCanada, 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 patientsapproaching 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 changeend-of-life experience for those about to die - and for those who will grieve their passing.

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From the Publisher

Congratulations to Dr. Harvey Chochinov, winner of the Canadian Medical Association's Frederic Newton Gisborne Starr Award 2012.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...

Dr. 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 competencies and...
Format:HardcoverDimensions:224 pages, 9.25 × 6.12 × 0.98 inPublished:December 14, 2011Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195176219

ISBN - 13:9780195176216

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Table of Contents

1. Dignity and the End of LifeWhy Study Dignity?Dignity and Empirical ResearchThe Model of Dignity in the Terminally IllIllness-Related Concerns- Level of Independence- Symptom DistressDignity-Conserving Repertoire- Dignity-Conserving Perspectives- Dignity-Conserving PracticesSocial Dignity Inventory- Privacy Boundaries- Social Support- Care Tenor- Burden to Others- Aftermath ConcernsReferences2. Moving Dignity into CareHow the Dignity Model Informs Dignity Therapy- Form- Tone- ContentDignity Therapy RevealedThe First Clinical Trial is PublishedWhat about Families?Gold Standard EvidenceTime to Move OnReferences3. Introducing Dignity Therapy to Patients and FamiliesPatient Selection for Dignity TherapyWho Should Not Take Part in Dignity Therapy?4. Doing Dignity TherapySetting up the Dignity Therapy SessionThe Role of the Dignity TherapistReferences5. The Generativity DocumentThe Rationale for Editing Dignity Therapy TranscriptsTranscribing the Audio-Recorded InterviewEditing the Verbatim Transcript- Cleaning Up the Transcript- Clarifying the Transcript- Finding a Suitable Ending- The Patient Has the Final Say6. From Start to Finish7. Moving Forward