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But this discrimination is not strictly adhered to.

An analytical approach was adopted to the publications reviewed, focusing on the objectives of the review.

We review a range of theoretical and empirical accounts of dignity and identify key dignity promoting factors evident in the literature, including staff attitudes and behaviour; environment; culture of care; and the performance of specific care activities.

Although there is scope to learn more about cultural aspects of dignity we know a good deal about dignity in care in general terms.

abandon, careless abandon, carelessness, casualness, cursoriness, disregardfulness, easiness, hastiness, heedlessness, inconsiderateness, inconsideration, indifference, insouciance, lack of foresight, laziness, lethe, oblivion, obliviousness, offhandedness, perfunctoriness, recklessness, regardlessness, sprezzatura, tactlessness, thoughtlessness, unaccommodatingness, unheedfulness, unhelpfulness, unmindfulness, unobligingness, unpreparedness, unreadiness, unsolicitousness, unsolicitude, unthinkingness, unthoughtfulness , amnesia, obliteration of &c, insensibility to the past, short memory, treacherous memory, poor memory, loose memory, slippery memory, failing memory, decay of memory, failure of memory, lapse of memory, waters of Lethe, waters of oblivion, amnesty, general pardon, repressed memory, forgotten, unremembered, past recollection, bygone, out of mind, buried in oblivion, sunk in oblivion, clean forgotten, gone out of one's head, gone out of one's recollection, forgetful, oblivious, mindless, Lethean, insensible to the past, heedless, non mi ricordo, the memory failing, the memory deserting one, being at fault, being in fault, To the Future.

Dignity has become a central concern in UK health policy in relation to older and vulnerable people.

The empirical and theoretical literature relating to dignity is extensive and as likely to confound and confuse as to clarify the meaning of dignity for nurses in practice.

The aim of this paper is critically to examine the literature and to address the following questions: What does dignity mean? And how might dignity be operationalised in the care of older people?

This paper critically reviews the theoretical and empirical literature relating to dignity and clarifies the meaning and implications of dignity in relation to the care of older people.

If nurses are to provide dignified care clarification is an essential first step.


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