|
|
Rescue service as a provider of first aid medical services under the Integrated Rescue System
Peková, Blažena ; Haškovcová, Helena (advisor) ; Mathauser, Radek (referee)
The presented master thesis tries to solve the problem of poor administration of providing emergency care in the IZS (Integrated Rescue Systém) by the RZP and LSP. The first part is literary and deals with concepts such as the IZS, the IZS divisions, the ambulance, explanation of the term "patient", describing the relationship between patient and physician and with the components of the IZS and the relevant legislative and ethical codes that are associated with providing care in the ZZS IZS. The second part is practical. The content of the practical work is the emergency services and rescue services in the IZS, which in the past 20 years was and still is undergoing a significant number of ongoing changes. In the context of these changes has been newly created the complex IZS, which concentrates the potential of rescue forces and non-medical resources in our country. The work concerns with incorrect indication of the IZS trips during providing emergency services in the city of Prague. The IZS proposed some editions to the current state. The research has partially been interested in the complexity of position and classification of the IZS in the czech legislative. The actual research was conducted on a territorial unit of an emergency rescue services unit within the city of Prague by the technique of...
|
|
|
Involuntary admission to psychiatry departments
Korbelová, Eva ; Haškovcová, Helena (advisor) ; Šustek, Petr (referee)
The translated thesis deals with the topic of admission to psychiatry departments without the patient consent, which is a so called involuntary admission and involuntary treatment. The teoretical part mentions briefly how social and ethic norms leading to the creation and respecting patient rights have been developing. Basic documents establishing patient rights are indicated, including the right to accept or refuse treatment. Next, there is a description of the history of psychiatry hospitalization without the patient consent and the development of legal rules in the field of involuntary hospitalization. The following chapters are concerned with the incidence of involuntary admission cases. Descriptions of elementary terms referring to the informed consent and hospitalization without patient consent can be found as well. The applied part is focused on a more delailed analysis of some rules of law. It mainly compares Convention on Biomedicine with existing national legislation and deals with the application of the regulations resulting from the Convention on Biomedicine into routine. A topic related to admission and treatment without the patient consent is the issue of informed agreement and competence to legal acts. The text also extends to the domain of patient rights and the patient-health care...
|
|
|
Seriously ill children in care of their families in Třebíč region and Wayne county
Mayerová, Lucie ; Haškovcová, Helena (advisor) ; Víchová, Radka (referee)
The following master's thesis is divided into two parts: part one is based on available sociological literature and deals with issues related to families caring for children in vegetative states. It begins by defining a few basic concepts and ideas and moves on to lay out processes by which families adjust to the onset of severe handicaps in their children (or when their children are born with handicaps) and to some of the main changes they confront and challenges they face. It continues by looking at these families' needs (which should be the basis for determining what services to provide them) and concludes by summarizing the social services that support the home care of children in vegetative states, both historically and in the present day. Part two is based on my own experience and research. It compares and contrasts services provided to families in two places: Wayne County in New York State in the U.S. and the Trebic Region of the Czech Republic. I begin by describing services available in both regions to families with children in vegetative states living at home and continue with a brief comparison of these services. Main part of the research is based on an analysis of interviews conducted with parents (mostly mothers) of severely handicapped children in both Trebic and Wayne County. The interviews...
|
|
|
Training and Education of Volunteers in the Home Hospice "Cesta domů" - the Homecoming
Matochová, Jana ; Haškovcová, Helena (advisor) ; Váňová, Věra (referee)
The issue of death and dying affects everyone, it is not easy and yet a natural part of everyone's life. Hospice care offers help and support a dying man and his close on the last trip "home". This thesis describes the possibilities of a preparatory course for the volunteers who play an irreplaceable role in hospice care. The practical part describes the specific example from the conditions of the Czech home hospice - The Home Coming, which is being commented on the ground of literature and my personal experience. The outcome of the research is the feedback for the management of the home hospice - The Home Coming, including recommendations for changes of the preparatory course.
|
|
|
Women refusing treatment for breast cancer
Pokorná, Štěpánka ; Haškovcová, Helena (advisor) ; Skovajsová, Miroslava (referee)
Breast cancer is most frequent malignant tumour at woman in the Czech republic, annually fall ill across 5000 women and this number has rising tendency over the last years. On the other hand mortality curve on breast cancer hasn't rising tendency. Reasons are two. First is the development method of treatment and their targeted indication so-called tailoring treatment. Second is diagnostics of tumour at initial stadium diseases, it is in phase without clinical symptons. Over those progress we still meet with women, which come to doctor, when she have advanced tumour or with women which refusing oncology treatment and turn to inefficiently methods of alternative medicine. Interviews performed among 85 oncologists and specialists of radiology - mamodiagnostician shown that 71 % of them meet with patient which refusing oncology treatment or its part. In opinion 90% of them, specialists should give greater attention to problems with refusing oncology treatment and questions of inefficiently methods of alternative medicine. In accordance with adressed doctors, improvement of health education of the community about treatment of malignat diseases and about inefficiently methods of alternative medicine, can improve negative picture of oncological treatment and inform the general public on risks connected with using...
|
|
|
The Ethics of the Clinical research from the perspective of a Clinical research associate
Norková, Olga ; Haškovcová, Helena (advisor) ; Rohanová, Eva (referee)
Monitoring is one of the most important methods of overseeing the pursuit of the clinical research. A monitoring person (Clinical research associate) is responsible for verifying correctness of the monitoring process in the trial site and checks that the respect for dignity and rights of individual subjects exposed to the clinical research are being abided by. The theoretical part of the MA thesis examines the issue of the clinical research of medicinal products and explains the basic terminology pertaining to the performance of the clinical research. The thesis further analyses the position of Clinical research associate and describes the monitoring process. Concurrently, the ethical problems, which Clinical research associate encounters in practice, are traced. The empirical section studies the outcomes of an investigation conducted via a questionnaire, which focused on how Clinical research associate perceive the ethical problems. As a result, the study identifies the most frequently observed ethical issues. Respondents of the questionnaire view the ethical issues as less significant. Clinical research associates are not united in tagging the most frequent occurrence of ethical problems (in the field of medicine and the catchment area). In the same section, the MA thesis rebuts a hypothesis...
|
|
|
The use of Informed consent on the intensive care unit
Machálková, Dana ; Haškovcová, Helena (advisor) ; Holmerová, Iva (referee)
The author talks in this assignment about inform consent used in acute cardiology. Firstly the explanation is used to show the main differences between the information given out to patients prior and after taking Convention for Protection of Human Rights and dignity of the Human Being with regard to the Aplication of Biology and Medicine. Then it points out the reasons behind why the informed consent was needed, its forms and related legalization. After that the theoretical and practical problems in use of this consent are discussed. The methods used in the practical part are quantitative and qualitative such as questionnaires, patients' interviews on intensive units and cardiac ward and content analysis. The outcome from the information obtained is that the consent is not used correctly in practice. Also those patients expect the consultant to make the decision for them and they do not understand the significance of informed consent. Written consent does not match the expectation with regulation vyhláška č. 64/2007 Sb., o zdravotnické dokumentaci at all. Also they are too long, contains terminology which are not used by patients which leads to a misunderstanding. On the basis of these findings the reviews and recommendations are suggested.
|
|
|
The heart is not just muscle. Ethical issues of interventional cardiology
Slanina, Petr ; Haškovcová, Helena (advisor) ; Dušek, Jaroslav (referee)
Interventional cardiology is currently one of the fastest developing fields in modern medicine and it is therefore essential to consider its connection with ethical issues. Theoretical part of this thesis deals with interventional cardiology as a clinical discipline, introduces cardiac catheterization as a diagnostic and therapeutic method and traces the historical development of the field as well. It also outlines the ethical issues, dilemmas and problems that exist in invasive cardiology, as described in the literature. Some of them, such as the issue of informed consent and the impact of ratification of the Convention on Biomedicine, then in more detail. The author also intends to reflect the relationship of patients with doctors and the rest of the medical staff. In the empirical part the thesis deals with the knowledge of ethical issues among the paramedical staff working in the catheterization departments in the Czech republic and identifies the views of this staff on the selected ethical context in interventional cardiology. The thesis is using quantitative research methods. The results are showing that the level of ethical knowledge among non-physician staff employed in departments of invasive cardiology is rather low and some of their views related to the field of ethics are more or less...
|
|
|
Copmplex conception of health and sustainable developement
Krýslová, Simona ; Rynda, Ivan (advisor) ; Haškovcová, Helena (referee)
My diploma thesis deals with the topic of health and sustainable development. I am working with two topical Euro-American concepts, the socio-ecological model of health as promoted by the WHO (holistic concept of health) and the strategy of sustainable development as I acquainted myself with it during my studies at the School of Humanities of the Charles University. First of all, I analyse both concepts by means of expert sources. I emphasize their characteristic features, compare them and carry out a synthesis. On grounds of that I demonstrate three established hypotheses: 1. the holistic concept of health and the strategy of sustainable development with regard to their historical development are not only complementary but also mutually conditional concepts; 2. the holistic concept of health and the strategy of sustainable development have many common features; 3. the holistic concept of health is a natural and indispensable part of sustainable development. I began to be interested in interconnecting those topics in my diploma thesis in the moment I found out what both these interdisciplinary and systematic concepts have in common. At the same time, the interconnection was the most precarious part of my work. I did not expect to have any particular difficulties with separating individual features from...
|
|
|
Present system of nurse's education and nurse's competention in the health education area (in intensive care units).
Povolná, Pavla ; Haškovcová, Helena (advisor) ; Holmerová, Iva (referee)
Autor highlights present situation of health education providing by nurses and thinking about nurse's competentions and knowledges in the education and information area as well. Transmission of information in health care is difficult, irritable, unclearly task, perceiving by nurse's often as potentionally danger. There are descripted different contexts of the problem in each part of theoretical view of the graduation thesis (legal, historical, social, relational, educational). Practice part gives an overview of quantitative research and explanation of some tasks by confirmation or negation of hypothesis generated by qualitative research. Results of questionnaire investigation shows, that nurse's competentions to educate are uncrearly area neither nor nurses, nor for experts in health care or public. Recognizing of present situation is a first step to the future improvement. Frame 0standardization of providing health education by nurses could be a way out of the maze.This way must be announced, consisted, commemorated and continually evaluated on each care unit.
|
guest ::
