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Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.3/192634
- Dignity in the terminally ill: a cross-sectional, cohort study
- Chochinov, Harvey Max; Hack, Thomas; Hassard, Thomas; Kristjanson, Linda J.; McClement, Susan; Harlos, Mike
- Considerations of dignity are often raised in reference to the care of dying patients. However, little research that addresses this issue has been done. Our aim was to identify the extent to which dying patients perceive they are able to maintain a sense of dignity, and to ascertain how demographic and disease-specific variables relate to the issue of dignity in these individuals. We did a cross-sectional study of a cohort of terminally ill patients with cancer, who had a life expectancy of less than 6 months. We enrolled 213 patients from two palliative care units in Winnipeg, Canada, and asked them to rate their sense of dignity. Our main outcome measures included: a 7-point sense of dignity item; the symptom distress scale; the McGill pain questionnaire; the index of independence in activities of daily living (IADL); a quality of life scale; a brief battery of self-report measures, including screening for desire for death, anxiety, hopelessness, and will to live; burden to others; and requirement for social support. 16 of 213 patients (7.5%; 95% CI 4-11) indicated that loss of dignity was a great concern. These patients were far more than likely than the rest of the cohort to report psychological distress and symptom distress, heightened dependency needs, and loss of will to live. Loss of dignity is closely associated with certain types of distress often seen among the terminally ill. Preservation of dignity should be an overall aim of treatment and care in patients who are nearing death.
- Publication type
- Journal article
- The Lancet, Vol. 360, no. 9350 (Dec 2002), pp. 2026-2030
- Publication year
- FOR Code(s)
- 11 Medical and Health Sciences
- Activities of daily living; Cohort analysis; Cohort studies; Cross-sectional studies; Death; Distress syndrome; Dying; Euthanasia; Jurisprudence; Life expectancy; Manitoba; Mental disease; Neoplasms; Pain; Palliative care; Quality of life; Right to die; Scale up; Self report; Social support; Terminal disease; Will to live
- The Lancet Publishing Group
- Publisher URL
- Copyright © 2002 Elsevier Ltd.
- Peer reviewed