The Sense of Dignity at the End of Life: Reflections on Lifetime Values through the Family Photo Album.
PhotoTherapy
dignity therapy
end of life
human values
palliative care
Journal
Behavioral sciences (Basel, Switzerland)
ISSN: 2076-328X
Titre abrégé: Behav Sci (Basel)
Pays: Switzerland
ID NLM: 101576826
Informations de publication
Date de publication:
23 Nov 2020
23 Nov 2020
Historique:
received:
09
10
2020
revised:
18
11
2020
accepted:
19
11
2020
entrez:
26
11
2020
pubmed:
27
11
2020
medline:
27
11
2020
Statut:
epublish
Résumé
This study focuses on the dimensions of dignity, linking Chochinov's Dignity Therapy to Schwartz's Theory of Values. The use of family photo albums has enriched the application of dignity therapy. Seven terminal patients in home-based palliative care participated in the therapeutic intervention. To measure the effects of the intervention, we administered the Edmonton Symptom Assessment Scale and the Patient Dignity Inventory, then, at the end of the meetings, collected the opinions of participants, available nurses, and relatives who attended the sessions. The resulting generativity documents were then analyzed through thematic analysis, which revealed three main themes linked to both fundamental values and the dimensions of dignity: The relationship between continuity of self and myriad values in the context of family relationships; personal dignity as characterized by the values of personal success, hope, and wisdom; and hope and generativity. The fourth theme reflected the participants' final judgements on the intervention, which were highly positive and greatly encouraged further use of photographs in similar therapeutic interventions. The assessment protocol highlighted a significant decrease in tiredness amongst the participants and a trend towards a significant decrease in drowsiness after the intervention.
Identifiants
pubmed: 33238420
pii: bs10110177
doi: 10.3390/bs10110177
pmc: PMC7700553
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
BMC Palliat Care. 2010 Sep 22;9:21
pubmed: 20860786
Psychooncology. 2016 Jan;25(1):2-10
pubmed: 25787699
J Adv Nurs. 2014 Dec;70(12):2920-31
pubmed: 24866233
J Cancer Surviv. 2012 Mar;6(1):82-94
pubmed: 22198806
Psychooncology. 2010 Jun;19(6):565-72
pubmed: 19916163
Palliat Support Care. 2018 Oct;16(5):511-519
pubmed: 28789719
JAMA. 2002 May 1;287(17):2253-60
pubmed: 11980525
Support Care Cancer. 2006 Jan;14(1):30-7
pubmed: 15937688
Cancer. 2015 Nov 1;121(21):3779-88
pubmed: 26258730
Community Ment Health J. 2019 Feb;55(2):360-368
pubmed: 29948630
J Clin Oncol. 2005 Aug 20;23(24):5520-5
pubmed: 16110012
Tumori. 2012 Jul-Aug;98(4):491-500
pubmed: 23052167
CA Cancer J Clin. 2006 Mar-Apr;56(2):84-103; quiz 104-5
pubmed: 16514136
J Palliat Med. 2011 Jun;14(6):729-34
pubmed: 21548823
Palliat Support Care. 2004 Jun;2(2):149-55
pubmed: 16594244
J Pain Symptom Manage. 2008 Dec;36(6):559-71
pubmed: 18579340
Lancet Oncol. 2011 Aug;12(8):753-62
pubmed: 21741309
J Palliat Med. 2015 Jan;18(1):31-7
pubmed: 25314244
Ann Palliat Med. 2018 Jan;7(1):63-74
pubmed: 28595440
Lancet. 1991 Sep 14;338(8768):669-74
pubmed: 1715962
J Pain Symptom Manage. 2005 Aug;30(2):154-9
pubmed: 16125030
J Palliat Care. 1991 Summer;7(2):6-9
pubmed: 1714502
Ann Palliat Med. 2019 Nov;8(5):542-550
pubmed: 31865719
N Engl J Med. 2007 May 10;356(19):1957-65
pubmed: 17494928
Cancer. 2015 Nov 1;121(21):3769-78
pubmed: 26258536
Health Psychol Open. 2018 Nov 19;5(2):2055102918809759
pubmed: 30479826
Soc Sci Med. 2002 Feb;54(3):433-43
pubmed: 11824919
Lancet. 2002 Dec 21-28;360(9350):2026-30
pubmed: 12504398
Clin Geriatr Med. 1996 May;12(2):237-52
pubmed: 8799345