|
| |
|
| |
|
|
Respect for human rights of mentally ill. Ethical aspects of involuntary hospitalization.
Petr, Tomáš ; Haškovcová, Helena (advisor) ; Holmerová, Iva (referee) ; Bankovská Motlová, Lucie (referee)
The thesis is devoted to the issue of involuntary hospitalization in the field of psychiatry. Involuntary psychiatric hospitalization is accompanied by a wide range of ethical issues and practical problems. In the theoretical part of the thesis I describe the involuntary hospitalization from several different points of view. I pay attention to international conventions and documents relating to the issue, reveal the historical roots of involuntary hospitalization, compare the situation in different European countries and mention some important judicial decisions concerning the involuntary admission of a person. Using a comprehensive approach I map all the important aspects of this sensitive area in health care provision. In the research part, using both - the quantitative and the qualitative approach, I offer a more detailed look at two selected aspects surrounding the involuntary hospitalization. The first part of the research is focused on the subjective experiences of involuntarily admitted patients. 88 patients participated in the research. These patients described their perception of coercion, the possibility or impossibility of influencing decisions about hospitalization and subsequent treatment, the level of autonomy and emotional experience. The second part of the research is aimed at...
|
|
|
Alzheimer's Disease and Family Caregiver Burden. Impact of Alzheimer's Disease on Family Caregiver Psychosocial Health.
Zvěřová, Martina ; Jirák, Roman (advisor) ; Holmerová, Iva (referee) ; Zvolský, Petr (referee)
Alzheimer's Disease is a progressive, irreversible neurodegenerative illness and the most common of the dementing disorders. Only few diseases disrupt patients and their relatives so completely or for so long a period of time as Alzheimer 's. Caring is held to be very demanding and emotionally involving. Caregiver burden has been defined as a multidimensional response to emotional, social, physical, psychological, and financial stressors associated with the caregiving experience. The objective of the 1st study was to assess the degree of burden and its possible change in family caregivers of the long-term sick family member with progressive Alzheimer's disease during eight-month monitoring. In addition to the common psychiatric examination the Mini- Mental State Examination (MMSE) was administered in patients to indicate the severity of the dementia and the Zarit Burden Interview was administered in caregivers to assessed degree of burden. The total of 60 people have been examined - 30 patients with AD and 30 their caregivers (24 females, 6 males) were recruited from the Department of Psychiatry, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague. At the beginning of the study there were 18 patients with mild stage of AD (60%), 11 patients suffered...
|
|
|
Effectiveness of intensive care for the elderly
Flégrová, Veronika ; Holmerová, Iva (advisor) ; Jurašková, Božena (referee)
Title: Efficiency of Intensive Care of Seniors Senior patient is very fragile being, that often faces different illnesses and outgoing complications. In advanced age is senior's body already losing some defensive and compensational functions, which works good in adult age. Sometimes even clinical picture of current condition is not typical, in comparison with adult patient in productive age. Senior patients are troubled with hardly recognizable illnesses, hidden symptoms or more illnesses simultaneously. Beside this, there is complex impact on senior as a individuality, especially on his mental condition. Therefore is important to start recovery including rehabilitation, self-attendance training and optimization of social environment, in which will senior live after returning from hospital. In moment, when senior's basic living functions are seriously endangered, hospitalization on intensive care unit is required. Mostly it's intern care unit. In Czech Republic there is only one geriatric intensive care unit, which is situated in the Faculty Hospital in Hradec Králové, on Gerontology and Metabolism Clinic. The main objective of this diploma paper is to describe this unit's activities and approach. Other goals are to compare data and work achievements with other units of similar care, respectively...
|
|
|
The Application of Ethical Principles in the Development of the Health Care System
Válková, Monika ; Holmerová, Iva (advisor) ; Pinc, Zdeněk (referee) ; Jurašková, Božena (referee)
Univerzita Karlova v Praze Fakulta humanitních studií Název oboru Filozofie Disertační práce (obor Aplikovaná etika) Uplatňování etického principu při tvorbě zdravotnického systému The Application of Ethical Principles in the Development of the Health System Mgr. Monika Válková Vedoucí práce: Doc. prim. MUDr. Iva Holmerová, Ph.D. Praha 2013 2 Anotace Disertační práce na téma Uplatňování etického principu při tvorbě zdravotnického systému je zaměřena na etické principy, které se promítaly ve vývoji zdravotnického systému v České republice. Solidarita, spravedlnost , rovnost a právo na zdraví jsou základní etické principy uplatňované ve zdravotnických systémech Z historického hlediska je solidarita nejstarším etickým principem , která měla vliv na utváření jednotlivých typů sociálních států v Evropě. Solidarita je zkoumána z pohledu vývoje sociálního zabezpečení v době nemoci a chudoby. Zdravotnický systém v České republice je hodnocen z hlediska uplatňování etických principů v různých etapách společenského uspořádání země od Rakouska Uherska a ž do současnosti. V praktické části disertační práce byly srovnávány s Českou republikou zdravotnické systémy Švédska a Francie dle etických principů solidarita, spravedlnost, rovnost a právo na zdraví Hlavním cílem disertační práce bylo prokázat na základě vybraných...
|
|
|
The implementation of social services quality standards in residential facilities for elderly people - Ethical aspects
Štegmannová, Ingrid ; Havrdová, Zuzana (advisor) ; Holmerová, Iva (referee) ; Janečková, Hana (referee)
1 Name of paper / Name of work The implementation of social services quality standards in residential facilities for elderly people - Ethical aspects Abstract The changes in the approach to the clients and adjustments of the run of the facility to their needs are one of the biggest long-term challenges for the service providers. The basis for the correct setting of all the parameters of service (process, personnel and operating) are standards in the quality of social services which involve certain principles and ethical values altogether. One of the essential tools in the changes in approach to clients is the principle of individualization of care, which can be achieved by setting the services to each client individually so that the service provided reflects their real need as much as possible. This dissertation focuses on the individualization of care as a significant indicator in the changes of approach to clients. We tried to figure how the individualization of care reflects in the attitudes of organizations to implement quality standards and how it affects the worker's personality and chosen organizational aspects. An interim goal of this paper was also to identify the ethical aspects which can accompany the introduction of quality standards into practice. We have chosen a method of quantitative...
|
|
|
Factors Affecting Job Satisfaction in the Healthcare Workplace
Vránová, Lucie ; Kožená, Ludmila (advisor) ; Holmerová, Iva (referee)
The theme of the work is to identify and understand factors that contribute to overall employee satisfaction in the healthcare workplace. The theoretical part of the work is focused specifically on the main aspects of job satisfaction and covers important areas with an emphasis on psychosocial environment. The research section contains a comparison of anonymous testimony of the workers from two different wards on health, subjective perception of workload, the feeling of life satisfaction and well-being, working conditions and job satisfaction. The results should serve to develop a general guide, how to prevent staff stress and how the employer could help.
|
|
|
Satisfying of needs of retirees in a retirement home
Koubová, Věra ; Pečenková, Jaroslava (advisor) ; Holmerová, Iva (referee) ; Vostrovská, Helena (referee)
66 Theoretical part of the bachelor's thesis handle with problems of aging, old-age and the most common physical and psychosocial changes in a retirement age. Further on there is a focus dedicated to satisfying of basic human needs and satisfying of not only biological, but also psychological and social needs of retirees. Finally, satisfying of needs according to the Henderson nursing model is described. Research survey, realised by a questionnaire, included mainly questions from a social area. Retirees could express their perception of own health status and evaluation of self-care and could evaluate satisfaction with the care in the retirement house and utilization of freetime activities. At the end of the survey retirees could mark the rank of importance of satisfying of own needs.
|
|
|
The Role of Family Carers in the Nursing Home for Persons with Cognitive Impairment
Kastlová, Barbora ; Holmerová, Iva (advisor) ; Tollarová, Blanka (referee)
Thesis subject: The Role of Family Carers in the Nursing Home for Persons with Cognitive Impairment. The theme of this thesis is the role of the family carers in the nursing home for persons with cognitive impairment. This topic is very actual due to the aging of society and to the increasing of life expectancy. A proportion of the old people in society increases but in the same time there is a decreasing number of people who could take care of them at home (due to negative population balance, disintegration of traditional family, economic situation and high requirements of the care etc.). Many seniors who are depending on the help of the others (such as people with dementia) spend their old age in institutional care. The qualitative research in this thesis shows that families continue in caregiving even after the admission of their relatives to a nursing home. The aim of this research was to describe the involvement of families in the institutional care and to identify factors that influence this phenomenon. Research was conducted in one nursing home for persons with cognitive impairment. Semistructured interviews were conducted with a sample of informants consisting of five professional nurses and four family carers. The analysis of data was carried out using the grounded theory. Research...
|
guest ::
