The LCP is an EoL tool developed in consort with the
The DCP is an EoL tool developed in consort with the
. University of Dundee
The casual assumption - and it is understandable - might be that DCP stands for
Dundee Care Pathway. If you
have formed that assumption, you would be wrong. The DCP is the Dignity Care Pathway.
This is the QNIS Project Report -
QNIS REPORT EJDCl01 DR BRIDGET JOHNSTON
Final Project Report
Dignity Conserving Intervention - Developing and testing a dignity conserving
intervention for people with advanced illness at the end of life
QNIS Reference number EJDCI01
Report prepared by Dr Bridget Johnston- first author and grant holder with
input from Hilary Brown and Dr Ulrika Ostlund
13th January 2011
This intervention study was underpinned by the UK Medical Research Council (MRC) complex intervention framework. The study designed, tested and implemented an intervention developed by the authors, the Dignity Care Pathway (DCP). The DCP is designed for use by community nurse caring for patients nearing the end of life at home. The DCP is based on the theoretical model developed by Chochinov (Chochinov et al. 2002).
The Patient Dignity Inventory (PDI) developed by (Chochinov et al.2008) was used to identify dignity related distress and key concerns from the patient viewpoint The Reflective questions and care actions in the DCP were evidenced from a systematic literature review and focus group interviews with patients, carers, and HCPs.
What is PDI?
This is PubMed -
The Patient Dignity Inventory: applications in the oncology setting.
The PDI (Patient Dignity Inventory) is a novel psychometric designed to measure various sources of dignity-related distress among patients nearing the end of life. [The Patient Dignity Inventory: A Novel Way of Measuring Dignity-Related Distress in Palliative Care]
The PDI is a 25-item psychometric instrument or questionnaire.
What is a psychometric questionnaire?
Psychological tests (see psychological testing) are used both to generate empirical data on mental processes and to refine their understanding of measurement techniques and the statistical analysis of results. Major concerns include test reliability and validity and the norming or standardization of results. [psychometrics (Concise Encyclopedia)]
Psychological testing, also called psychometrics, the systematic use of tests to quantify psychophysical behaviour, abilities, and problems and to make predictions about psychological performance. [Britannica]
Psychometric testing is also a tool devised by Ron L Hubbard and used by the
The DCP "was acceptable to the community nurses, helped them identify when patients were at the end of life..." [Evaluation of the Dignity Care Pathway for community nurses caring for people at the end of life.]
"Nurses identified that using the DCP allowed them to reconsider which patients required palliative care. In line with Scottish Government (Scottish Government 2008) policy, this study encouraged nurses to consider approaching any patient who the nurse considered was in the last months of their illness, regardless of diagnosis, and including the frail elderly."
[PAGE 12 - QNIS Project Report]
The Pathway, clearly, is a multi-headed Hydra that, whatever the outcome of the current review, is determined to outlive us all.