Dignity in Dying: A Preliminary Study of Patients in the Last Three Days of Life

Author:

Turner Kristen1,Chye Richard2,Aggarwal Ghauri3,Philip Jennifer4,Skeels Andrew5,Lickiss J. Norelle6

Affiliation:

1. Sydney Institute of Palliative Medicine, Royal Prince Alfred Hospital, Camperdown, New South Wales

2. Palliative Medicine Specialist, Prince of Wales Hospital, Randwick, New South Wales

3. Palliative Medicine Specialist, Concord Hospital, New South Wales

4. Palliative Care Clinician, Alfred Hospital, Monash University, Pahran, Victoria

5. Director of Hospice, Ann Caudle Centre, Bendigo, Victoria

6. Director of Palliative Care, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia

Abstract

The final three days of life of 50 consecutive patients on a busy integrated palliative care service is described, with regard to final cause of death, symptom control, drug prescription, retention of personal function, and other measures possibly relevant to dignity in dying. Good symptom relief was maintained without rapid or high escalation of doses of morphine or sedatives. Personal function was maintained in at least a moderate degree in the majority of patients. This study also illustrates some of the difficulties in describing and evaluating the concept of “dying with dignity”.

Publisher

SAGE Publications

Subject

General Medicine

Reference21 articles.

1. HintonJ. Dying. 2nd edition. Hammondsworth, Middlesex: Penguin, 1972: 65–78.

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