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Analysis of home hospice care sesrvices considering the needs of users
DOSTÁLOVÁ, Zdislava
In the theoretical part the terms hospice, home hospice care and palliative care are defined. History, principles, objectives and the concept of hospice care in the Czech Republic are mentioned. The phases of psychological responses to a serious illness undergone by a patient and the patients´ reaction to impending death are described. The traditional model of dying in the Czech Republic in the home environment, the gradual institutionalization and the taboos surrounding death, and the new inception of humane methods in the care for the dying after the year 1989 are particularized. The current types of hospice care in the Czech Republic and especially home hospice care are described in detail, and also the needs of the dying and those of their loved ones, which is the main topic of my thesis. The aim of this work is to survey the availability of palliative home care services in the Vysočina region, to compare the range of offered services, to map the users´ experience and to identify the risk factors in providing this care. In the realized qualitative research the availability of these services was surveyed through the content analysis of data by the technique of official documents and virtual data analysis. In order to map the users´ experience, managers of two agencies providing home hospice care in the town of Třebíč were addressed, as well as the users or their families to whom these agencies provide their services. The interview method, the technique of a semi-structured interview was used. There are eight providers of home hospice care in the Vysočina region. The Vysočina region supports not only home hospice care, but also supported the establishment of residential hospice services in the Long-Term Care Hospitals in three towns in the Vysočina region and the Palliative Care Department in the Jihlava hospital. These facilities have partially substituted a non-existent hospice in the Vysočina region. Hospice care in the Vysočina region is relatively new. It is necessary to get some experience and discover possible shortcomings. The complexity of the care for the seriously ill can be extended, which may enable the seriously ill patients to stay at home with their relatives as long as possible. Although home hospice care has its limits in terms of pain alleviation and complications resulting from a disease, the users´ experience is satisfactory and meets their expectations. The contribution of the thesis lies in uncovering deficiencies in home hospice care and the provision of identified information to the care providers and other health care workers, thus enhancing the awareness of this care among health professionals and family members of seriously ill patients.
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Possibilities and utilization methods of the old age care allowance in the region around Třebíč
DOSTÁLOVÁ, Zdislava
Old age is a natural course of life. Permanent prolongation of the life in the old age also prolongs the period when the old people need help and care. One of the possibilities of the care of the old people is the development of the field and outpatient social services. The scope of the assistance and support provided by means of the social services demands the old people codetermination, and it has to hold their human dignity. The assistance has to result from the individually defined needs of the old people, it has to bring an active impact on them and encourage their individuality. The Social Services Act modifies the conditions of awarding the care allowance not only to old people but to all those who, in view of the health condition, need the assistance of another individual to cope with everyday routines in care of their own body. The development of the field social services allows the old people to persist in their natural environment as long as possible and, simultaneously, it helps in care the relatives of the old person. Presently, within the region around Třebíč there are four basic providers of the field social services altogether. The main aim of this Thesis is to determine whether there is a combination of the professional and non professional care, to map which are the most favoured services within the region around Třebíč, and to compare the possibility of utilization of services of the social services providers in old people in municipalities up to 3,000 inhabitants and old people in the town of Třebíč. These aims make up the base for the following hypotheses: I. Old people prefer the assistance of their families to the field services II. Old people in the town of Třebíč utilize the assistance of the registered social services providers more than the old people in municipalities up to 3,000 inhabitants The results of this Bachelor Thesis will be available to the social services providers, if appropriate, to improve the supply of the social services in the region around Třebíč.
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