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Top Ten Tips Palliative Care Clinicians Should Know About Dignity-Conserving Practice
Rachel A Hadler1,2, Seth Weeks3, William E Rosa4
1Department of Anesthesiology, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA.
Journal of Palliative Medicine
|October 13, 2023
Summary
Promoting dignity in palliative care is crucial for person-centered care. This article provides 10 actionable tips for clinicians to integrate dignity-conserving care, enhancing patient-clinician relationships and outcomes in serious illness.
Area of Science:
- Palliative Care
- Medical Ethics
- Gerontology
Background:
- Dignity is central to person-centered care and palliative care, yet its practical application remains unclear to many clinicians.
- Understanding dignity in care involves various theories, influencing factors, and strategies for conservation.
- Existing dignity-focused interventions can reduce end-of-life distress and improve patient-clinician communication.
Purpose of the Study:
- To clarify the concept of dignity in palliative care for clinicians.
- To present practical strategies for implementing dignity-centered care.
- To highlight dignity as an actionable goal in serious illness.
Main Methods:
- Review of theories and validated instruments related to dignity in care.
- Synthesis of factors impacting dignity and strategies for conservation.
- Development of 10 practical tips for clinicians.
Main Results:
- Dignity-related distress has significant impacts that clinicians must recognize.
- Adaptable solutions exist to integrate dignity-conserving care into practice.
- Implementing dignity-based constructs enhances patient-clinician relationships, reduces bias, and supports patient agency.
Conclusions:
- Palliative care clinicians play a vital role in integrating dignity into healthcare experiences.
- Dignity can be effectively measured and achieved as a palliative care outcome.
- This article offers 10 evidence-based tips to facilitate dignity-centered care in serious illness.
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