{"id":43291,"date":"2018-10-19T12:33:04","date_gmt":"2018-10-19T11:33:04","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43291"},"modified":"2018-10-29T18:39:26","modified_gmt":"2018-10-29T17:39:26","slug":"esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/","title":{"rendered":"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts"},"content":{"rendered":"<p class=\"standfirst\">Dignity in healthcare should be enacted at every step of a patient\u2019s care, including when parts of people\u2019s bodies have to be disposed of, says Esm\u00e9e Hanna<\/p>\n<p><!--more--><span style=\"font-weight: 400\">Recent reports of <\/span><a href=\"https:\/\/www.hsj.co.uk\/policy-and-regulation\/exclusive-trusts-alerted-as-firm-stockpiles-clinical-waste-and-body-parts\/7023511.article\"><span style=\"font-weight: 400\">hospital waste<\/span><\/a><span style=\"font-weight: 400\">, including body parts, being stockpiled clearly has major environmental implications, as well as raising questions about how NHS procurement processes are handled. These points are hugely important and further investigation of the impact(s) of such stockpiling is required. While exposing this \u201cstockpiling scandal\u201d is vital to understanding\u00a0how this can be prevented in the future, discussions around the scandal have not, as yet, fully captured the implications for patients. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Patients should remain at the heart of all practice. While classified as \u201cwaste\u201d in the context of its disposal, body parts originate from patients and the news of any mismanagement of these parts undoubtedly creates questions about the dignity they\u2019re afforded within disposal. We have seen rightful outrage about undignified handling of amputated limbs in other places, such as in a recent case in <\/span><a href=\"https:\/\/www.washingtonpost.com\/news\/worldviews\/wp\/2018\/03\/13\/indian-doctors-amputated-a-mans-leg-then-it-was-used-as-a-pillow\/?noredirect=on&amp;utm_term=.c905d7c97e18\"><span style=\"font-weight: 400\">India<\/span><\/a><span style=\"font-weight: 400\">, and we must therefore ensure that the conceptualisation of limbs as \u201cwaste\u201d does not prevent similar fears about the dignity of disposal being expressed within the NHS context.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Human Tissue Authority <a href=\"https:\/\/www.hta.gov.uk\/sites\/default\/files\/HTA%20Code%20A_1.pdf\">states that<\/a> \u2018\u2018the disposal of human tissue should be managed sensitively and the method of disposal should be appropriate to the nature of the material.\u201d Appropriate disposal would encapsulate the disposal being timely, which a stockpile is clearly not. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The loss of a body part through amputation can be seen as a bereavement to some patients and adaptation to amputation requires both physical and psychosocial adjustment. As <a href=\"https:\/\/www.bmj.com\/content\/bmj\/336\/7647\/776.2.full.pdf\">medical professionals<\/a> have <a href=\"https:\/\/journals.rcni.com\/nursing-standard\/starting-out-a-request-to-cremate-an-amputated-limb-raised-issue-of-spiritual-care-ns2014.04.28.33.28.s30\">noted<\/a>, how limbs are disposed of after amputation is a cause for concern for some patients. Religious beliefs can also motivate preferences around how amputated limbs are disposed of, although, as our work into this area has begun to uncover, often there are limited solutions available to healthcare professionals to ensure that <\/span><a href=\"https:\/\/www.bbc.co.uk\/news\/uk-england-somerset-34879100\"><span style=\"font-weight: 400\">patient preferences<\/span><\/a><span style=\"font-weight: 400\">\u00a0can be enacted. Patients tell us that dignity is the key concern around the disposal of their limb; the amputated part is still seen as \u201ctheirs,\u201d and therefore it is understandable that they want respect to be afforded to their lost limbs. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The scale of the stockpiling problem raised by the <\/span><i><span style=\"font-weight: 400\">Health Services Journal<\/span><\/i><span style=\"font-weight: 400\"> expos\u00e9, which refers to tonnes of waste, fails to fully articulate how this could affect patients. In the backlog of 350 tonnes of waste, the expectations of patients that their amputated limbs will be properly handled in their disposal reside. <\/span><\/p>\n<p><span style=\"font-weight: 400\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29493472\">Research from Europe<\/a> has suggested that medical professionals have an ethical and legal imperative to ensure that patients have a clear understanding of how their amputated limbs will be disposed of. Yet news of this stockpiling of sensitive waste raises questions about how patient centred current disposal practices are. This will also be worrying for doctors, who will have expectations that the byproduct of surgery, which is often life prolonging or life saving, will be appropriately dealt with. <\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cWaste\u201d from hospitals originates from the treatment of patients. While we may often as societies be less keen to consider such \u201cbackroom\u201d parts of medicine, ensuring that this material, including body parts, is handled appropriately is critical. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Trust in healthcare requires confidence in all parts of the infrastructure, including in the way in which private firms are selected to conduct vital work for the NHS. This is especially important as patients currently have limited options for the disposal of their limbs, and even if they are invited to consider disposal as part of their amputation care, they are often unable to enact any preferences they may have. If patients are to entrust the disposal of their limbs to the healthcare system, then ensuring that such systems are reliable and competent is essential. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The environmental impacts of waste stockpiling are undoubtedly serious, and the procurement systems that enable such situations to arise require immediate scrutiny, but, ultimately, we must also ensure that the consideration of patients is central to how this process is handled. Dignity in healthcare should be enacted at every step of a patient\u2019s care, including when parts of people\u2019s bodies have to be disposed of. <\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Dr Esm\u00e9e Hanna<\/strong> (<a href=\"https:\/\/twitter.com\/DrEsmee\">@DrEsmee<\/a>) is a lecturer in health, wellbeing, and society at De Montfort University, Leicester. Her research focuses on health, gender, and the body and she is currently exploring the disposal of limbs after amputation within patient care.<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400\"><strong>Competing interests:<\/strong> None declared.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dignity in healthcare should be enacted at every step of a patient\u2019s care, including when parts of people\u2019s bodies have to be disposed of, says Esm\u00e9e Hanna [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":43293,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-43291","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Dignity in healthcare should be enacted at every step of a patient\u2019s care, including when parts of people\u2019s bodies have to be disposed of, says Esm\u00e9e Hanna [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-10-19T11:33:04+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-10-29T17:39:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/10\/hospital_waste.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts\",\"datePublished\":\"2018-10-19T11:33:04+00:00\",\"dateModified\":\"2018-10-29T17:39:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/\"},\"wordCount\":756,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/10\\\/hospital_waste.jpg\",\"articleSection\":[\"NHS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/\",\"name\":\"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/10\\\/hospital_waste.jpg\",\"datePublished\":\"2018-10-19T11:33:04+00:00\",\"dateModified\":\"2018-10-29T17:39:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/10\\\/hospital_waste.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/10\\\/hospital_waste.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/10\\\/19\\\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/","og_locale":"en_US","og_type":"article","og_title":"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts - The BMJ","og_description":"Dignity in healthcare should be enacted at every step of a patient\u2019s care, including when parts of people\u2019s bodies have to be disposed of, says Esm\u00e9e Hanna [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2018-10-19T11:33:04+00:00","article_modified_time":"2018-10-29T17:39:26+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/10\/hospital_waste.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts","datePublished":"2018-10-19T11:33:04+00:00","dateModified":"2018-10-29T17:39:26+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/"},"wordCount":756,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/10\/hospital_waste.jpg","articleSection":["NHS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/","url":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/","name":"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/10\/hospital_waste.jpg","datePublished":"2018-10-19T11:33:04+00:00","dateModified":"2018-10-29T17:39:26+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/10\/hospital_waste.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/10\/hospital_waste.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/10\/19\/esmee-hanna-patient-dignity-central-appropriate-disposal-body-parts\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Esm\u00e9e Hanna: Patient dignity must be central to appropriate disposal of body parts"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/43291","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=43291"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/43291\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/43293"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=43291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=43291"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=43291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}