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Patient autonomy and criminal law
Published in Paweł Daniluk, Patient Autonomy and Criminal Law, 2023
There is no doubt that human dignity should determine the way of treating people also in the process of providing health services.19 It is obvious that the fact of becoming a patient does not automatically mean depriving or restricting the freedoms and rights that they are entitled to as a human being.20 Dignity, in particular, prevents a patient from being reduced to the role of the subject of actions of physicians and other healthcare providers.21 Such objectification may be the result of not taking into account the value system presented by them and the decisions resulting from this system regarding undergoing treatment, or ignoring their will in enduring the violation of bodily integrity accompanying a therapeutic procedure, or in taking the risk of complications that are dangerous to life and health.
Concealment: All My Sons, Arthur Miller (1947)
Published in Ewan Jeffrey, David Jeffrey, Enhancing Compassion in End-of-Life Care Through Drama, 2021
The public, patients and their families expect doctors to be honest. The trusting doctor–patient relationship depends on this honesty. We have looked at areas of practice where it may be difficult for the doctor to be honest. However, the real issue is not confined to questions of honesty but also how the truth is communicated to patients and their families. The manner of informing a patient can show respect for their dignity. In Chapter 9 we explore cultural issues in palliative care, but it is relevant to point out here that in some Eastern cultures individual autonomy is not given pride of place. In such cultures there may be patients who expect to be shielded from the truth and in these cases it might be an infringement of their autonomy for the doctor to force unwanted information onto the patient.13
Dignity in care: the way forward
Published in Milika Ruth Matiti, Lesley Baillie, Paula McGee, Dignity in Healthcare, 2020
Lesley Baillie, Milika Ruth Matiti
We have established the importance of dignity in healthcare for patients and clients, whether they are in hospital or community, acutely ill or living with a long-term condition, and whether they are at the beginning or end of their lives. A commitment to the concept of human dignity (seeChapter 2) is an important starting point for healthcare as it follows that all health service users should be treated as valued human beings by the healthcare system as a whole, and by the staff who work within healthcare organisations.
How the war on drugs impacts social determinants of health beyond the criminal legal system
Published in Annals of Medicine, 2022
Aliza Cohen, Sheila P. Vakharia, Julie Netherland, Kassandra Frederique
In their day-to-day practice, healthcare professionals must understand the deep roots of the drug war as well as their role in both perpetuating and undermining drug war logic and practices. Healthcare providers can treat people who use drugs with dignity, respect, and trust and ensure that healthcare and treatment decisions are made in partnership with individuals. Medical professionals can also work to situate drug use within a larger social and economic context [152], understanding that drug-related harms often stem from lack of resources – like housing and food precarity, economic insecurity, and insufficient healthcare – rather than from drugs themselves. Treatment need not be the only antidote for people who experience drug-related harms but should be one option among an array of health services, resources, and support.
Psychosocial determinants associated with quality of life in people with usher syndrome. A scoping review
Published in Disability and Rehabilitation, 2020
Marine Arcous, Olivier Putois, Sophie Dalle-Nazébi, Sylvain Kerbourch, Anaelle Cariou, Ines Ben Aissa, Sandrine Marlin, Rémy Potier
As mentioned in the discussion, the majority of studies focus more on the difficulties encountered by people with Usher syndrome rather than on the positive adaptive strategies used to improve their quality of life. Moreover, some topics need deeper exploration, especially the relationship to caregivers, and the particularities of psychotherapeutic support. In addition, only one study directly analyzed the impact of Usher syndrome on quality of life. Therefore, it is necessary to shed light on all these different topics in order to compare previously obtained results with new research increasing the knowledge about Usher syndrome and offer better-adjusted psychotherapeutic and medical responses. Psychotherapy should, for example, focus on promoting patients’ well-being through the identification of individual resources, promoting personal adaptive strategies (e.g., developing strategies to cope with negative emotions using mindfulness-based therapy), and managing depressive periods by developing each patient’s resilience capacity. Medical responses should apply the patient-centered care principles in treating patients with dignity and respect, by inviting them to engage in all decisions concerning their health.
From disability to human flourishing: how fourth wave psychotherapies can help to reimagine rehabilitation and medicine as a whole
Published in Disability and Rehabilitation, 2020
Omar Sultan Haque, Yusuf Lenfest, John R. Peteet
Therapies that promote gratitude or conserve dignity, such as that developed by Harvey Chochinov, enable patients to come to grips with their illness in a way that can heighten meaning and purpose for their life [37]. While this therapy has been used in palliative care and terminally ill patients, it is equally applicable to those with chronic illness or disability. Ethical questions about how best to approach ultrabilitation whilst also balancing nursing work-load and patients’ feelings of self-worth and dignity have also been discussed, with evidence pointing to a positive correlation between autonomy and dignity [38]. Dignity in clinical care includes multiple subconcepts, including providing safety and security, patient autonomy, listening to and including and respecting patient experience and concerns, attending to little things, treating others as one wants to be treated, attending to the aesthetic environment of the patient, staff being able to cope with the patient impairment, and putting caregiving for the patient first [38–40]. Health care systems can benefit by accounting for patients' dignity via comprehensive educational measures incorporating the patient, family members, and health professionals into discussions about patients’ dignity [41].