Harvey Max Chochinov - Böcker

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 Chochinov and 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 in Canada, 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 patients approaching 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 change end-of-life experience for those about to die - and for those who will grieve their passing.

Eight years has passed since the first edition of The Handbook of Psychiatry in Palliative Medicine was published. In that time, psychiatric (or psychosocial) palliative care has evolved; the net effect on palliative medicine has been transformative. Palliation that neglects psychosocial dimensions of patient and family experience, de facto, fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying beginning to take hold. The first comprehensive textbook of psychiatric palliative care, this new edition has been fully updated, reorganized and expanded to include eleven new chapters. Written by 67 internationally known psychiatry and palliative care experts, the book is truly an essential reference for all providers of palliative care including psychiatrists, psychologists, mental health counselors, oncologists, hsopice workers and social workers. Each chapter has been updated to address new therapeutic modalities and approaches as well as new research trends and opportunities for each topic.

No one goes into healthcare with the intention of hurting people, or wanting to come off as callous, cold, or unfeeling. Fortunately, most people working in healthcare understand that kindness and compassion are key, even foundational to success in the care they provide to patients and families. And yet, all too often, there are instances when contact with healthcare is tainted by experiences ranging from vaguely annoying or abrasive to outright emotionally assaultive. Patients may confront experiences that chip away at their sense of pride and personhood; this can be as subtle as being kept waiting for an appointment, as insidious as being required to wear a plastic hospital bracelet that tracks them according to an institutional number or code, and as jarring as being referred to as an aberrant body part - the proverbial "GI bleed in room two" or "breast tumor in room three."Dignity in Care provides readers with what they need to know about the humanity and tone of care, and how they can engage in these facets of care in a thoughtful and meaningful way that will satisfy their patients' needs to be seen and appreciated as "whole persons." The author explores how the humanity of care can get overlooked and how to avoid this happening. It teaches how to communicate better with patients, helping them to feel not just cared for, but cared about. Sir William Osler said, "The good physician treats the disease; the great physician treats the patient who has the disease." Dignity in Care applies this outlook to all of healthcare, because many people can gain technical competency, but success within healthcare requires more.

'In Search of Dignity' is a collection of candid and insightful publications from one of the world's leading palliative care researchers. It follows Dr. Harvey Max Chochinov's decades-long career, beginning as a young psychiatrist from the University of Manitoba to his experience at the prestigious Cornell Medical College and Memorial Sloan Kettering Cancer Centre. Shaped by patient interaction, his deeply human journey formed the basis of a novel program of research and clinical innovations that have helped to shape the field of palliative medicine and person-centered care worldwide.Dr. Chochinov's research and reflections explore issues that strike at the heart of what it means to be human, vulnerable, and mortal. The chapters reveal the story behind the story of each published paper or speech, the wisdom gained from patients nearing death, and their relevance today. Topics include maintaining self-identity during illness, understanding depression, the impact of illness on the will to live, and how affirmation shapes dignity. Engaging and empathetic, Dr. Chochinov pays homage to individuals who inspired his research. He reveals their wisdom in a kind, insightful, and sometimes humorous style that is easily readable for anyone interested in the psychological and spiritual dimensions of end-of-life care, especially medical students, clinicians, nurses, researchers, or those caring for loved ones.

No one goes into healthcare with the intention of hurting people, or wanting to come off as callous, cold, or unfeeling. Fortunately, most people working in healthcare understand that kindness and compassion are key, even foundational to success in the care they provide to patients and families. And yet, all too often, there are instances when contact with healthcare is tainted by experiences ranging from vaguely annoying or abrasive to outright emotionally assaultive. Patients may confront experiences that chip away at their sense of pride and personhood; this can be as subtle as being kept waiting for an appointment, as insidious as being required to wear a plastic hospital bracelet that tracks them according to an institutional number or code, as jarring as being referred to as an aberrant body part - the proverbial "GI bleed in room two" or "breast tumor in room three." Dignity in Care aims to provide readers with what they need to know about the humanity of care and the tone of care; and how they can engage in these facets of care in a thoughtful and meaningful way that will satisfy their patients' needs to be seen and appreciated as "whole persons." The author will explore how the humanity of care can get overlooked and how to avoid this happening. It will teach how to communicate better with patients, helping them to feel not just cared for, but cared about. Sir William Osler said, "The good physician treats the disease; the great physician treats the patient who has the disease." Dignity in Care applies this outlook to all of healthcare, because many people can gain technical competency, but success within healthcare requires more.

Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying take hold.Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.