In contemporary Russian healthcare, there is growing attention to safeguarding patient dignity. Clinicians do not always explain the purpose behind every maneuver, and in intensive care settings patients may be required to undress in front of staff. Articulating the reasons for procedures and offering clear, respectful communication are essential steps in protecting dignity. The focus on patient-centered ethics is highlighted by experts from the Bioethics Department and in discussions with medical authorities about improving practices in hospitals. A senior specialist emphasized the need to implement a consistent standard that upholds patient dignity across all departments, including critical care.
“Depersonalization in medical care undermines a patient’s sense of self and dignity. It is natural for a patient to feel embarrassment, confusion, or vulnerability when undressed in front of others, whether the observer is a stranger or a familiar clinician. Any intimate examination should begin with a clear explanation of its goals and processes. Patients should see healthcare workers wash their hands and don fresh gloves, and they should be offered support to undress or dress if they request it.”
Additional concerns raised relate to the ICU environment, where patients may be exposed in shared spaces or subjected to bright lighting. Such conditions can be distressing, especially for someone who is regaining consciousness. Considerations for a respectful atmosphere include ensuring privacy, providing appropriate draping, and minimizing exposure when feasible. Suggestions include simple methods like using modest coverings and controlling lighting to balance clinical needs with comfort. A practical approach is to enable a dimmed setting accessible with a single control, allowing patients to rest more comfortably while maintaining necessary visibility for care.
Experts advocate applying straightforward, humane principles to patient care, ensuring that dignity is preserved throughout hospitalization. They urge healthcare teams to adapt procedures in a manner that respects privacy without compromising safety or treatment outcomes. This includes training staff to communicate effectively, protect modesty, and create an environment that supports recovery. The ongoing dialogue about bioethics in medicine today underscores the possibility for patients to participate more actively in their treatment choices and to receive care that aligns with their values and preferences. Subjects such as patient autonomy, informed consent, and respectful bedside practices remain central to modern medical ethics. This conversation continues as hospitals seek practical ways to implement patient-centered care in every department, from general wards to intensive care units, reflecting a commitment to dignity as a fundamental component of healing.