DIGNITY THERAPY IN A CHRONIC KIDNEY PATIENT IN PALLIATIVE CARE: CASE REPORT

Abstract

This study aimed to evaluate the effects of the Dignity Therapy intervention to alleviate suffering and preserve the dignity of a patient in palliative care. This is a case study of a 41-year-old Brazilian married woman with chronic kidney disease in palliative care. The study was developed over five meetings, in which the Hospital Anxiety and Depression Scale (HADS) and the Patient Dignity Inventory (PDI-Br) instruments were administered before and after the intervention to assess anxiety, depression and dignity. The data analysis was qualitative, through thematic categorization and the results obtained through the instruments. The results indicated that, although there was a temporary increase in the levels of anxiety and depression, through the HADS, the Dignity Therapy contributed to the reduction of existential and psychological suffering, evidenced by the PDI-Br, revealing a decrease in the suffering related to dignity, suggesting that the DT provided positive effects on the patient's emotional well-being. The intervention provided the patient with a space to reflect on her life and legacy, preserving her dignity and strengthening the meaning of life.