Living well with XXXX : enhancing dignity and quality of life, using a  novel intervention, Dignity Therapy.

@entity1 @entity303 @entity458
AIMS AND OBJECTIVES: To assess the feasibility, acceptability and potential effectiveness of Dignity Therapy to improve the quality of life and reduce @entity458 in older @entity1 with early stage @entity303 . BACKGROUND: @entity303 is a syndrome with several causes that leads to a progressive decline in multiple areas of functioning. The maintenance of dignity and enhancement of quality of life are key elements of care. Meaningful communication may become more difficult with condition progression. Improvements in communication may have positive effects on the @entity1 's quality of life. Dignity Therapy is a short psychotherapeutic intervention that uses a trained therapist to take the @entity1 with @entity303 through a guided interview process, producing a 'generativity' document that creates a lasting, written legacy during a time when they are still able to communicate well. DESIGN AND METHOD: This was a feasibility mixed method study. Dignity Therapy was undertaken with @entity1 diagnosed as having early stage @entity303 . Data were gathe-red from pre- and post-Dignity Therapy interviews, a focus group, interviews with key  stakeholders, and three outcome measures: The Herth Hope Index; The @entity1 Dignity Inventory; Perceived Quality of Life/Satisfaction with Quality Life Ratings. FINDINGS: This study demonstrated that Dignity Therapy is feasible, acceptable and potentially effective for older @entity1 with @entity303 . Three overarching themes emerged: A life in context, A key to connect and Personal legacy. CONCLUSIONS: We recommend that this feasibility study forms the basis for further study, advocating the prospective benefits to @entity1 with @entity303 , families and nursing practice. IMPLICATIONS FOR PRACTICE: Dignity Therapy, as a psychosocial intervention, has the potential to improve the quality of life and enhance @entity1 centred care for @entity1 with @entity303 .
