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Dying and Death as Regarded by the Social Welfare Institutions Workers.
RUDOLFOVÁ, Martina
The theses deal with the last period of the person´s life and the possibilities of the care focused on the spiritual, psychic, physical and social aspect of the issue. It offers possibilities of ethical way how to cope with this life´s stage having the help of social workers, family and also the dying person. The practical part compares opinions of the hospice workers with the views of the workers from old people´s homes with respect to this issue. It also points at the demnad of the work and some of its difficulties.
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Effective communication in paliative care.
PLECEROVÁ, Jana
The topic of this bachelor{\crq}s degree diploma work is effective communication in paliative care. This diploma work focuses on the nurse-patient interaction in terminal stage of the disease, the communication with the patient{\crq}s family and hospice and paliative care. The aim of this diploma work has been to ascertain whether the patients being in terminal stage of their disease are content with the nurses{\crq} communication and whether the existing way of communication brings a moral support, whether the patient{\crq}s families are informed about the possibilities of paliative care. Next step was to map out both ways and effect of communication with a nurse working with the patients in the terminal stage.
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The Empathy in Volunteer and Hospice Worker Caregiving
VÁCHOVÁ, Lucie
The goal of the theoretical part is to deal and understand issues as death and dying, human personality and sel ess help in volunteer and hospice worker caregiving. The aim of the research part is to evaluate personal characteristics of volunteers who take care of dying people. It also includes a questionnaire which examines the level of interpersonal orientation, the volunteers´ capability to organize their work, their endurance and motivation. The questionnaire also focuses on the volunteers´ altruism structure, empathy and willingness to help. I addressed volunteer caregivers in civic associations Sdileni (Sharing) and Cesta domu (Homecoming), St. Alzbeta Hospice in Brno and some volunteer caregivers who have experience with dying or terminally ill people. I compared the results of my research on 15 volunteers with the results of the research carried out by Assoc. Prof. Helena Zaskodna on 828 students of assisting professions in 2006-2008. Both my results and those reached by Assoc. Prof. Helena Zaskodna confirmed that the volunteers showed a higher degree of empathy, exocentric altruism, endurance, and kindness, as it was expected. I tried to write this thesis in a way easy to understand for everybody. I also tried to provide enough evidence to motivate the reader to re-evaluate his or her way of thinking and behaviour and to understand that we ourselves create our lives: Let compassion beget compassion.
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Prerequisites for the work of nurses in a hospice
KNĚŽKOVÁ, Klára
The philosophy of our hospices is the human and professional attitude, also team work of all caring. It focuses on ensuring the quality of life in incurably ill until its end. Hospices are slowly getting into people ´s minds; they are becoming the part of care. Yet, general opinion of healthcare workers, also nurses, is still distorted. It is often said that mostly believers or those who do not have sufficient feeling of satisfaction in their personal life go to work in hospices. The view of these nurses on dying could have been changed by education, the more profound study of the problems concerning the care for dying. The thesis is focused on nurses in hospice care. The aim was to find out the real motivation of nurses who decided to work in a hospice. The next aim was to find out if the education of nurses influences their attitudes to the care of ill and dying. Three hypotheses were stated: Religious persuasion is a crucial factor for the nurse ´s choice to work in hospice. The work in hospice is sought out by nurses in connection to the failures in their personal lives. The attitude of nurses to the care of terminally ill depends on their education.Research group was created by 107 nurses from all Czech from sick-bed hospices (including manager nurses). The form of quantitative research by questionnaire method was used.The results of the research might be used for the understanding of nurse role development in palliative and hospice care and for the creating of nurse profile in hospice care. Further, it can contribute to the creation of standard requirements on nurses who are recruited to a hospice.
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Accompanying of Dying People in Retirements Homes Including the Elements of Hospice Care
VALÁŠKOVÁ, Michaela
The thesis deals with accompanying of dying people in retirements homes including the elements of hospice care. First, the difference between mission of retirements homes and hospices is described. Based on theoretical pieces of knowledge from literature, there are defined: the dying, the reaction of a dying man to the message about his health state, needs of a dying man, care for the family of a dying man, engagement of a multidisciplinal team, death and care for surviving relatives. In the second half, the research on internal rules is described. The research is aimed at findings, if and how the single retirements homes treat the topic of accompanying of dying people in their internal rules. Last chapter results from the previous and offers the plan for creating the internal rules for accompanying of dying people.
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Needs of dying people in Štrasburk Hospice
MIKŠOVÁ, Libuše
The title of the bachalor{\crq}s thesis is: The needs of dying people in Štrasburk Hospice. It deals with the issue of how to accommodate needs of dying people. A dying human being has needs of various kinds: biological, psychological, social and spiritual. Palliative care in hospices is characterised by the fact it provides the client, i.e. the dying man/woman, with complex treatment which is focused on satisfying all of the said needs. The goal of such care is to accomplish the best possible quality of life in clients and their families. The theoretical part dwells on palliative care and palliative medicine, history of hospices, the status quo in palliative care in hospices around the Czech Republic, and particular details of the care provided in hospices. Later, it explains in detail the terms of suffering, pain, dying, and death. It takes a perspective of human needs and subsequently the needs of dying man, it includes a detailed summary of individual needs. Futher on, it discusses the issues of tellin people the truth, how tu attend the dying people, and pastoral care/counselling. The research part of the thesis is based on the qualitative survey using the methods of questioning and technique of non-standardized, semi-controlled interview. Another additional method introduced in the research was involved observation. The research group contained 9 clients of the Štrasburk Hospice. The objective was to monitor the fulfilment of a holistic approach to hospice clients and to find out which of their needs are saturated only thanks to hospice care and, while dying, which needs are considered most important by the clients. The outcome of the survey showed that the hospice provides a complex care which includes meeting the biological, psychological, social, and spiritual needs of the clients. Fulfilment of the spiritual needs could be improved in some aspects. It was also concluded that among the needs saturated only thanks to the hospice care, sufficient privacy ended first as the most valued service provided, staff attitude was the second most valued quality, and better surroundings ended third. The most essential needs from clients` perspective are: not to be left alone, stay close to their families and friends, not to suffer from pain.
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The comparison of communication skills of nurses with a deathward client in hospitals and hospice homes.
ADAMCOVÁ, Lenka
This Bachelor's work examines nurses' skills in communicating with terminally ill patients in hospital and hospice facilities. The aim of this work is to present a detailed overview of the communication skills of nurses treating dying patients in hospital and hospice facilities as well as to identify what approaches nurses working in hospital and hospice facilities are not taking when treating terminally ill patients and to identify the specific issues that nurses must deal with when treating terminally ill patients in hospital facilities. A method of quantitative research was used to obtain findings for this Bachelor's work, and questionnaires were used to collect data. The addressed respondents were medical staff treating patients at the Central Military Hospital in Prague as well as at the St. Agnes of Bohemia Hospice in Červený Kostelec, the St. Lazarus Hospice in Plzeň and the Hospice on the Holy Little Hill in Olomouc. A total of 129 questionnaires were distributed, and only 33 were not returned. Therefore, 74% of the respondents did complete and return the questionnaires. However, 12 questionnaires were excluded for being incomplete. A total of 85 questionnaires, 66% of the original number of questionnaires distributed, were used to process the data. Therefore, the answers of 85 respondents were used for the research. Four hypotheses were established: 1. The methods and the level of communication of nurses caring for terminally ill patients are influenced by education and awareness {--} this was confirmed; 2. The process of caring for terminally ill patients depends on the conditions for providing comprehensive treatment care in hospital departments and in hospital facilities {--} this was confirmed; 3. Nurses in hospital facilities lack sufficient education for communication with terminally ill patients, and the conditions for providing comprehensive care are insufficient as well {--} this was confirmed; 4. Nurses in hospice facilities are familiar with communication techniques and regularly use them when accompanying dying patients {--} this was confirmed. The results of the research will be provided to employees in management positions in the examined hospital facilities and two hospices in order to improve the quality of the care provided to terminally ill patients.
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Helping hand in crossing over
LASCHOVÁ, Daniela
The thesis deals with palliative and hospice care. The thesis is divided into two parts - theoretical and practical. In the theoretical part there are provided with basic information about palliative care, it describes aspects of palliative care in terms of spiritual, social, psychological and physical. There are also recorded information on facilities that provide palliative care, their characteristic, mission and goals. The thesis is also reported on problems of dying, suffering and death. The work also records a pastoral and social care about dying seniors, a description of a multidisciplinary team of hospice care. The practikal part of the thesis is reported on a detection rate of awareness of palliative and hospice care at the clients of caritas Týn nad Vltavou. Next the research found out the respondents opinion of dignified dying in a domestic care
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Nursing care as provided to ante finem patients
JANSOVÁ, Markéta
The subject of death and dying is still considered a taboo in our society. It is awkward and anachronistic since our times require people full of life and vigor. The terminally ill are often snubbed by the society. Though being well aware of the unfavorable prognosis, many a doctor tries to treat the patients to the very last moment, and he or she perceives the death as a personal defeat. In 1967 Cicely Saunders, an English doctor familiar with the dismal conditions of dying in the then society, founded in London the St. Christopher's Hospice, the first modern facility of this kind. The philosophy of this effort has been perpetuated in the Hospice of the Agnes of Bohemia established in 1995 as the first hospice in the Czech Republic. The Bachelor Paper aimed to assess the possibilities of providing the ante finem care by health-care personnel at a hospital and a hospice. The Paper investigated these hypotheses: H1 - Health-care workers provide the ante finem patients with health care in conformity to the standards applicable to both types of the facilities; H2 - Approach of the personnel to the care is dependent on their emotional stability; H3 - Health-care personnel in hospitals are not aware that the art of accompanying is a part of the nursing process. The surveyed sample was compiled of nurses on the staff of the Internal Medicine Ward and the Post-Treatment Ward of hospitals in České Budějovice, Jihlava and Třebíč and the hospices in Prachatice, Červený Kostelec and Brno. The data were gathered through a questionnaire. Altogether 170 questionnaires were distributed and 136 out of them were processed in the final assessment. As follows from the assessment results, the care provided to the terminally ill patients in hospitals is affected primarily by time pressures and by the fact that the nursing staff are not fully aware of the possibilities that palliative care offers, while in hospices the conditions available for the palliative care have a quality basis. Results of the Paper will be given to one of the hospitals and two hospices specified above, where they can inspire some new ideas about possible improvement in providing the palliative care.
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THE POSSIBILITIES AND LIMITS OF HOME´S HOSPICE IN THE CZECH CONDITIONS AND A VIEW - POINT TO FUTURE
SVOBODOVÁ, Martina
Seriously diseased people need their families and their families need support and help. Such support can be offered in home-care hospices. Home atmosphere is certain1yoptimal for most of diseased people; however, even domestic care has its own limited possibilities and boundaries. Therefore, there are three kinds of hospice care: home-care hospices, stationary hospice care and in-patient hospice care. The main target of this bachelor thesis was to found out what the limitations in the field of home-care hospices in the Czech Republic are. The expected hypothesis that the development of home-care hospices in the Czech Republic is limited more due to economic than organisation reasons was confirmed. It results from insufficient legislative conditions for hospice care in the Czech Republic. There is no system of fmancing of home-care hospices by insurance companies. Other existing problems are insufficient information, both for the public and for medical workers, insufficient education in the field of palliative care, poor knowledge of the issue of dying and care of dying people among the laic public, lack of communication between doctors and patients, and others.
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