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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Related Experiment Videos

Dignity therapy implementation in a community-based hospice setting.

Lori Montross1, Kathryn D Winters, Scott A Irwin

  • 1Institute for Palliative Medicine at the San Diego Hospice, San Diego, California 92103, USA.

Journal of Palliative Medicine
|May 10, 2011
PubMed
Summary
This summary is machine-generated.

Dignity Therapy was successfully implemented in a community hospice, providing valuable insights into end-of-life care. The study details practical aspects and common themes discussed by patients, aiding future clinical applications.

Related Experiment Videos

Area of Science:

  • Palliative Care
  • Psychotherapy
  • End-of-Life Studies

Background:

  • Dignity Therapy is an established psychotherapy for end-of-life legacy needs.
  • Previous implementations have not occurred in community-based hospice settings.
  • This study addresses the practicalities of real-world hospice implementation.

Purpose of the Study:

  • To assess the feasibility and pragmatic aspects of implementing Dignity Therapy in a community hospice.
  • To identify common themes discussed by patients undergoing Dignity Therapy near end of life.

Main Methods:

  • Dignity Therapy was provided to 27 patients in a community hospice setting.
  • Referral, enrollment, and logistical procedures were monitored.
  • Legacy transcripts were qualitatively analyzed for emergent themes.

Main Results:

  • Patients were typically referred by social workers.
  • Transcripts averaged 3000 words, with a mean of 4 sessions (380 minutes) per patient.
  • Key themes included life lessons, accomplishments, relationships, and guidance for others.

Conclusions:

  • This is the first study to implement Dignity Therapy in a community hospice sample.
  • Findings offer practical data for clinicians considering Dignity Therapy implementation.
  • Provides insight into prevalent legacy topics for end-of-life patients.