Forging Dr. Dix's name, he penned more than three hundred letters, causing the Reverend no end of distress and annoyance.
There were policy debates: Adolf Strauss, in "Heimweh" ("Homesickness"), argued that "we need a land of our own/to make an end of distress and pain," while Carlo Sigmund Taube, in "Ein Jüdisches Kind" ("A Jewish Child"), wrote that "as long as you are not filled by the word 'homeland,' your heart will stay unfettered".
The aim of this study was to use the Patient Dignity Inventory (PDI), a novel, reliable, and validated measure of end-of-life distress, to describe a broad landscape of distress in patients who are terminally ill.
Each PDI item is rated by patients to indicate the degree to which they experience various kinds of end-of-life distress.
Interventions targeting end-of-life distress are therefore highly relevant, to help patients live as fully as possible and to support the bereaved.
ACTRN Trial Number: ACTRN12611000410954 As a result of elevated interest in hastened death at the end of life by people with motor neurone disease (MND), also known as amyotrophic lateral sclerosis (ALS), numerous studies have examined factors that affect quality of life, psychological health, and end-of-life distress in this population.
Findings indicate that quality of life in MND-diagnosed individuals is independent of physical decline [ 1, 2]; that interest in hastened death is correlated with hopelessness [ 3, 4]; and that MND patients with higher levels of spirituality and sense of meaning experience less end of life distress [ 5, 6].
Moreover, previous studies have not directly compared distress at the end of treatment to distress during treatment, and therefore, it is unknown whether the distress reported following treatment represents an increase or simply maintenance of previous distress.
The PDI is a valid and reliable new instrument, which could assist clinicians to routinely detect end-of-life dignity-related distress.
This 22-item PDI prototype was later revised and became the 25-item PDI, a measurement instrument which can be used by clinicians to detect end-of-life dignity-related distress [ 15].
This will come as no surprise to fans of the original novel: Lydia's husband is the caddish Wickham, who elopes with her in that book, causing the family no end of shame and distress.
