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Dignity in Care: The Human Side of Medicine de Harvey Max Chochinov

Dignity in Care: The Human Side of Medicine

Autor Harvey Max Chochinov
en Limba Engleză Paperback – 4 feb 2025

În ultimii ani, practica medicală a fost marcată de o tehnologizare accelerată și de o presiune administrativă care, deși au crescut eficiența clinică, au dus adesea la o erodare a relației medic-pacient. Observăm cu interes cum Dignity in Care vine să corecteze această derivă, reamintindu-ne că succesul terapeutic depășește competența tehnică. Subliniem abordarea autorului față de 'tonul îngrijirii', un element subtil, dar critic, care face diferența între un act medical corect și unul cu adevărat vindecător.

Structura volumului este una pragmatică, bazată pe dovezi, oferind cititorului cadrul ABCD al competențelor de bază, menit să protejeze demnitatea pacientului în fața vulnerabilității. Notăm rigoarea cu care Harvey Max Chochinov analizează micro-agresiunile instituționale, de la utilizarea codurilor numerice în locul numelor, până la identificarea pacienților prin prisma patologiei lor. Această lucrare reprezintă o evoluție firească a cercetărilor autorului, continuând temele explorate în Dignity Therapy și Handbook of Psychiatry in Palliative Medicine, însă cu o aplicabilitate extinsă la nivelul întregului sistem de sănătate.

Manual de referință comparabil cu Care of the Soul in Medicine de Thomas Moore, dar actualizat conform nevoilor contemporane de umanizare a medicinei, volumul se distinge prin rigoarea academică specifică Oxford University Press. Spre deosebire de alte titluri care tratează subiectul din perspectivă pur spirituală, Dignity in Care oferă instrumente de comunicare concrete. Ritmul este unul alert, susținut de ilustrații clinice care ancorează conceptele teoretice în realitatea cotidiană a spitalelor.

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Specificații

ISBN-13: 9780197798133
ISBN-10: 0197798136
Pagini: 184
Ilustrații: 5 B&W H/T Illustrations and 2 B&W line illustrations
Dimensiuni: 156 x 236 x 10 mm
Greutate: 0.31 kg
Editura: Oxford University Press
Colecția OUP USA
Locul publicării:New York, United States

De ce să citești această carte

Recomandăm această carte tuturor profesioniștilor din sănătate care doresc să își rafineze abilitățile de comunicare și să evite burn-out-ul prin reconectarea cu latura umană a profesiei. Cititorul va dobândi un cadru metodologic clar pentru a transforma interacțiunea clinică într-un spațiu al respectului reciproc. Este un instrument esențial pentru a trata pacientul, nu doar boala, asigurând o îngrijire centrată pe persoană.

Despre autor

Harvey Max Chochinov este un cercetător de renume mondial în domeniul medicinei paliative și profesor de psihiatrie la Universitatea din Manitoba. Cariera sa, marcată de stagii la Cornell Medical College și Memorial Sloan Kettering Cancer Centre, a fost dedicată studierii demnității umane în contextul bolilor terminale. Este creatorul 'Dignity Therapy', o intervenție psihoterapeutică standardizată utilizată global. Prin lucrările sale, printre care și In Search of Dignity, Chochinov a redefinit standardele îngrijirii paliative moderne, punând accent pe dimensiunea psihosocială și etică a suferinței umane.

Descriere

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.

Recenzii

This is a book of profound humanity, wisdom, and insight. Chochinov calls clinicians to become aware not only of the patienthood of the people we serve, but also of the intrinsic dignity of their personhood
His latest book [is] a wonderful example of Dr. Harvey Chochinov's clear writing... Drawing on the ABCD's of Dignity-conserving Care (attitude, behavior, compassion, and dialogue), he moves into the Model of Optimal Therapeutic Communication, which was derived from focus groups with experienced psychosocial clinicians... The clinical examples are excellent, and he provides clear guidance, even when situations are not working out the way the clinician would hope... This book provides great wisdom for the experienced clinician, but if all health care undergraduate students could be guided to integrate the concepts in this wonderful book, into their care of themselves and their patients, health care could be radically transformed.
The book provides students and clinicians with a master class on how to preserve patient dignity in the face of the tough tasks of health care professionals, including helping patients understand their treatment options and how to sensitively break the news, if need be, that their prognosis is poor. This book will be of interest primarily to students, trainees, and practitioners in the health professions. Its rich stories drawn from the author's experience are often moving and well told. It should be a required addition to hospital and medical libraries, and for schools with health professions programs.
This book serves as a strong reminder that genuine healthcare requires not only scientific knowledge but also a profound understanding of
This wonderful book is the result of the lifelong clinical and academic journey of one of the giants in psychooncology and palliative care. The book is packed with practical and inspiring stories and recommendations. Everyone involved in healthcare must read this book to better help patients and families and to infuse more meaning and fulfillment into their own practice.
Dr. Chochinov has gathered his decades of clinical experience and wisdom and distilled it into this gift to the field of healthcare, Dignity in Care: The Human Side of Medicine. The book is rich in stories of patients and their families, and in the deep narratives of the clinicians who care for them. He has written eloquently about the pillars of patient-centered care, including the patient experience of illness, communication, and dignity-affirming care. The book speaks to all disciplines and is a tribute to Dr. Chochinov's very distinguished career and to his enduring contribution to advance our understanding of the concept of dignity and why it is so critical in these challenging times. It is vital reading for novices to experts.
Dr. Chochinov has spent a long and highly distinguished career caring about people while he has been providing care to patients
Bolstered by decades of research and richly illustrated with vignettes of people's lived experiences, Dignity in Care: The Human Side of Medicine illuminates the tenets of authentic human caring. Dr. Chochinov reminds us that, even in the midst of suffering, feeling out of control and utterly vulnerable, the inherent dignity of each patient is there
Dr. Chochinov is a global leader in palliative care and a tireless advocate for honoring the dignity of all patients entrusted to our care. Patients with chronic and serious illness can become trapped in their physical illness story within healthcare systems which afford no room for the inner story of the patient to be heard
In Dignity in Care: The Human Side of Medicine, Dr. Harvey Max Chochinov offers insight into a critical piece of healthcare: how to recognize, respect, and affirm the humanity of patients and their families. Drawing on decades of personal experience in psychosocial oncology, Dr. Chochinov elucidates the complexity of the physician-patient relationship. He encourages healthcare providers to adopt a holistic approach to understand how patients and families experience profound changes in their health. A sensitive and empathic exploration of an overlooked topic, Dignity in Care presents a particularly important perspective as we continue to battle the COVID-19 pandemic.
[This book] is an essential therapeutic treasure map for any healthcare professional committed to preserving and expanding what it means to be a person in the context of serious illness. [It]... is a serious look at the heart and soul of what it means to be human and specific ways to deeply connect with people in distress through emotional connection, dignity, trust, and agency. Boldly, Dr. Chochinov also unveils the barriers and opportunities in healthcare education and hospitals to humanize the illness experience. Dignity in Care is first and foremost about clinical care. Dr. Chochinov deftly distills and shares the best compilation of how to provide dignity in care to date. The added bonus is the robust psychological, social, and spiritual growth implications for all of us.
...Dignity in Care [contains] clinical anecdotes, personal reflections, research data, and memorable ABCD core competencies [that] provide profound and practical insights into the concepts of personhood and patienthood... It offers an evidenced-based therapeutic communication framework to address the range of aspects of dignity-related stress. There is a brilliance and simplicity to creating an environment for delivering dignity in care, and this text uniquely advances a way forward for healthcare professionals to intentionally integrate this approach into their patient encounters and expand their therapeutic armamentarium. This book will have a profound influence on how we strive to achieve dignity in care for all.

Notă biografică

Dr. Harvey Max Chochinov is an internationally renowned clinician and researcher in palliative and end-of-life care. He is an officer in the Order of Canada and an inductee in the Canadian Medical Hall of Fame. His more than 350 career publications include his book, Dignity Therapy: Final Words for Final Days, winner of the 2011 Prose Award. He has led a large program of research on dignity in the healthcare setting and is the co-founder of the Canadian Virtual Hospice. He is the editor of The Handbook of Psychiatry in Palliative Medicine 3rd Edition: Psychosocial Care of the Terminally Ill (Oxford University Press). Dr. Chochinov is Distinguished Professor of Psychiatry at the University of Manitoba Research Institute whose pioneering work in the field of palliative medicine and end-of-life care has provided comfort and dignity for countless patients and their families around the world.