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The Patient Dignity Inventory: applications in the oncology setting
Harvey Max Chochinov1, Susan E McClement, Thomas F Hack
1Department of Psychiatry, Manitoba Palliative Care Research Unit, Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada. harvey.chochinov@cancercare.mb.ca
The Patient Dignity Inventory (PDI) helps clinicians identify patient distress, facilitating targeted support. This study shows the PDI is useful in clinical practice for improving care for cancer patients.
Area of Science:
- Psychosocial Oncology
- Clinical Psychology
- Palliative Care
Background:
- The Patient Dignity Inventory (PDI) is a 25-item instrument to identify distress in terminally ill patients.
- It aims to guide psychosocial clinicians but its clinical utility is unexamined.
Purpose of the Study:
- To assess the clinical utility of the PDI among psychosocial oncology professionals.
- To determine how the PDI could be used across the cancer care spectrum.
Main Methods:
- Psychosocial oncology clinicians across Canada used the PDI between October 2008 and January 2009.
- Clinicians provided feedback on their experience using the PDI with patients.
Main Results:
- Ninety clinicians submitted 429 feedback questionnaires.
- The PDI revealed previously unreported concerns in 76% of cases and facilitated work in 81% of cases.
- Clinicians found the PDI useful for identifying distress and informing targeted therapeutic responses, particularly in active treatment or palliation.
Conclusions:
- The study suggests various clinical applications for the PDI in cancer care.
- Further research involving patients is recommended to explore the PDI's utility directly.
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