***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: To enable dem and -based palliative care , it is important to know the perceptions of terminally ill patients and their family members regarding home and hospice as places of care at the end of life . Eight women and five men suffering from cancer and with a life expectancy of 3 months or less were interviewed . In each case one of the family members was also interviewed . Four patients spent their last phase of life at home , nine in a hospice . This paper provides further insight in the patient perspective in palliative care . The results reveal that a cohabiting partner seems an important prerequisite for  terminally ill patients to stay at home . For spouses it is an obvious choice to facilitate the patients ' stay at home , even when it becomes too dem and ing , something not discussed between spouse and patient . When sufficient care at home seems impossible and the negotiation between patients and family members results in the opinion that living at home is no longer an option , it is decided that the patient moves to a hospice . The choice for the specific setting of the patients ' new residence seems to be r and om ; one possibility is pointed out to them and seems appropriate CONTEXT Dignity is poorly conceptualized and little empirically explored in end-of-life care . A qualitative evaluation of a service offering integrated palliative and respiratory care for patients with advanced disease and refractory breathlessness uncovered an unexpected outcome , it enhanced patients ' dignity . OBJECTIVES To analyze what constitutes dignity for people suffering from refractory breathlessness with advanced disease , and its implication s for the concept of dignity . METHODS Qualitative study of cross-sectional interviews with 20 patients as part of a Phase III evaluation of a r and omized controlled fast-track trial . The interviews were transcribed verbatim , imported into NVivo , and analyzed through constant comparison . The findings were compared with Chochinov et al. 's dignity model . The model was adapted with the themes and subthemes specific to patients suffering from breathlessness . RESULTS The findings of this study underscore the applicability of the conceptual model of dignity for patients with breathlessness . There were many similarities in themes and subthemes . Differences specifically relevant for patients suffering from severe breathlessness were as follows : 1 ) physical distress and psychological mechanisms are interlinked with the disability and dependence breathlessness causes , in the illness-related concerns , 2 ) stigma is an important component of the social dignity inventory , 3 ) conditions and perspectives need to be present to practice self-care in the dignity-conserving repertoire . CONCLUSION Dignity is an integrated concept and can be affected by influences from other areas such as illness-related concerns . The intervention shows that targeting the symptom holistically and equipping patients with the means for self-care realized the outcome of dignity 
    Output:
    
Conclusions : The Dynamic Reciprocity of Dignity model highlights the importance of adopting a systemic lens to address dignity-related needs and concerns at the end of life , while providing insights on how compassionate care and self-compassion can serve as the foundation of dignified care , which in turn serve as a buffer against patients ’ existential suffering as well as caregivers ’ burnout and fatigue .