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The Needs of the Dying and Their Care-Taking Family Members in a Mobile Hospice
NOVOTNÁ, Jana
This bachelor thesis focuses on identifying the needs of the dying and family caregivers in a mobile hospice. The aim of the thesis is to find out what the needs of patients and carers in a mobile hospice are and how the hospice meets these needs. The bachelor thesis is divided into theoretical and practical parts. The theoretical part deals with the services of mobile hospice, the most common problems that are solved for patients, their caregivers and also for the bereaved. The practical part focuses on the research and its results. The research was conducted using semi-structured interview and observation method. The research revealed that the most common problems are concerns about pain, loneliness, and securing medication that will control other negative symptoms of the illness. In addition, the concern of the family and hospice staff is important to the patients. Psychological support, help with care, medical devices are most important for carers. The research part of the thesis showed that mobile hospice helps to meet the needs of the dying and their family members. All respondents were maximally satisfied with the care provided by the mobile hospice. The results of the bachelor thesis will be provided to mobile hospices in the South Bohemia region, where they can be interpreted as feedback to the entire mobile hospice team.
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The development of providing palliative and hospice care in the Czech Republic - the teoretical study
VĚCHTÍKOVÁ, Monika
The diploma thesis deals with the development of palliative and hospice care in the Czech Republic. The development of palliative care in the Czech Republic began about thirty years ago. The beginnings were difficult because there was no tradition of this kind of service in our country to build on. Hospice care, which started in the 1990ies, was first provided only in hospitals or sanatorium for long term sick patients. Later basic hospices were established and also home hospices began to expand. The aim of thediploma thesis was to map the komplete development of palliative care and also additional aspects of its existence and providing of palliative care in the Czech Republic, all based on accessible literky sources. Data analysis from (books, magazines and the archive) was used, opinions and different wals of providing care to people at the end oftheir lives were described. Based on the results of the diploma thesis the Czech Republic isabout ten years behindhand withthe care fori ll and dying people compared to other states. Public awareness about palliative and hospice care is increasing slowly. The biggest lack lies in pediatric palliative and hospice care. There are still not enough hospices for children, and especially home hospice care for pediatric patients. Furtherl acks are in the financing which is still not sufficient or satisfactory. Palliative education centres at the Faculties of Medicine are slowly starting to develop in the Czech Republic. Very delikte for experts and also for the public is the very much discussed topic of euthanasia. Some experts cannot agree on its legalisation. Despite all this the quality of palliative and hospice care has started to improve, but we still have a long way to go.
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Participation of Children at the Funeral
RATAJOVÁ, Eva
The thesis deals with the topic of children's participation at funerals from younger school age to adolescence and examines the significance of personal participation or non-participation in funerals of close persons. In the theoretical part, it describes the importance of funerals from various points of view and describes ecclesiastical and secular funeral rites. It focuses attention on the psychological perception of death and burial in children of defined age categories, on interviews and on the moral and ethical point of view. He comments on the rituals of children. In the practical part, the empirical research reveals the lived experience of the respondents, from which we have the opportunity to find out the significance of personal participation or non-participation of children at funerals of close persons in the context of the family environment.
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Ethics in Social Work
POLÁČKOVÁ, Radka
The thesis deal with the theme of death and dying. Above all, it focuses on the ethical issues of palliative care oriented to quality of life for terminal patients. The main goal is to formulate ethical principles of care, reflections on the ethics of care for patients with terminal illnesses and difining ethical problems and dilemmas associated with the process of dying.
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The social worker's role in the multidisciplinary hospice team
LEŠETICKÁ, Dagmar
The aim of the bachelor thesis is to describe the role that a social worker plays in a multidisciplinary hospice team. The subject of my research will therefore be primarily the job description of a social worker, the requirements for his personal qualities and abilities that arise from his position within the multidisciplinary team. The method for processing the work will be a search of professional literature.
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Palliative care in intensive and resuscitation care units
ZIMOVÁ, Eva
The diploma thesis deals with the topic of palliative care in Intensive and Resuscitation Care units. Intensive care aims to save lives, while palliative care accompanies the patients and improves their last moments. Although it would appear that these two fields has not much in common, this is not the case. Both touch the death and work with people who balance between life and death. The theoretical part describes the various fields, including their history. The chapter is further dedicated to the connection of these two areas. The following chapters cover the ethical aspects of palliative care provided in Intensive and Resuscitation Care units. Following chapters deal with dying and death. The last chaptersof the theoretical part are focused on the relatives of dying and deceased patients. The aim of the thesis was to map the awareness of medical staff working in Intensive and Resuscitation Care, discover the approach of medical staff working in Intensive and Resuscitation Care to the provision of palliative care in Intensive Care units, to identify problems and shortcomings on the part of medical staff in providing palliative care to Intensive and Resuscitation Careunitsand to identify the factors which influence the medical staff in the provision of palliative care in Intensive and Resuscitation Care units. The research was carried out at the Department of Anaesthesiology and Intensive Care of one of the South Bohemian hospitals. Results are showing that the medical staff working at the Department of Anaesthesiology and Intensive Care staff have excellent theoretical knowledge in the field of palliative care. They try to provide the best possible care to patients and do their best for them. Despite all this, problems related to insufficient and inappropriate communication were found, which is underlined by the environment in which it takes place. Due to the great specificity of the ward, it is often very difficult to ensure the best possible conditions for the dying patient and his beloved ones. Another shortcoming was the absence of psychological support and care for medical professionals, who are constantly exposed to stress. There was also a complete absence of support and care for the bereaved which is part of and a prerequisite for providing quality palliative care. Based on the interviews, we can say that at Department of Anaesthesiology and Intensive Care is highly educated stuffandthey do their work with passion and want to provide it with the best possible quality. However, in this case, it would be appropriate to offer healthcare professionals sufficient training opportunities in palliative care and communication. The results of this work could help to minimize the problems identified and could serve as a basis for lectures and seminars for Department of Anaesthesiology and Intensive Care staff.
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The issue of death and dying from the perspective of the paramedic
RŮŽIČKOVÁ, Tereza
This bachelor thesis is titled The Issues of Death and Dying from the Perspective of a Paramedic. The topic of death and dying has always been a part of human life, especially in health care. The views on death and its definition have been constantly changing throughout the centuries, as there was a change in the care for the dying. Death is omnipresent and the paramedic is expected to cope with it, accept it, or else talk about it. At the same time the paramedic has to act professionally during difficult responses in the field, he or she is expected to act humane and with respect towards the patient or the grieving. The main goal of the thesis was to determine how the paramedics perceive the issue of death and dying in the conditions of pre-hospital medical care (PMC), and also to compare their experience in these conditions. Through this goal were then set down questions for this study: What are the experiences of paramedics with death and dying in the conditions of pre-hospital medical care? How do they perceive the issue of death and dying in these conditions? The thesis is divided into the theoretical and practical part. In the theoretical part is concerned with definitions of death and dying, their history and ethical level. Death and dying are then described when happening directly in the of pre-hospital medical care, their specifics, and also the position of paramedics themselves. In the more extensive, empirical part of the thesis there was employed a qualitative inquiry with the use of semi-structured interview with paramedics working at a previously chosen centre of emergency medical services. Acquired responses were analyzed by using the method of open coding and categorization. The data were interpreted by a technique of card sorting. The inquiry provided answers for both of the research questions. We compared the experiences of paramedics with the given issues and interpreted their perception of death in PMC. The results express that paramedics consider the course of dying in pre-hospital medical care more problematic than the death itself. Also, the majority of paramedics agree that the most mentally challenging are the medical responses involving children, especially their resuscitation. The results of the analysis also showed that paramedics after finishing their studies did not feel informed and educated enough in the field of death and palliative medicine. The thesis thus may serve as a supplementary educational material for students of final years of the paramedic study programme. The results may also serve as a foundation for a more profound studies or inquiries.
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The nurse's work in the care of the patient in the terminal stage.
LAŠKOVÁ, Vendula
The bachelor thesis submitted deals with the topic of palliative treatment of dying people. Its aim is to map the approaches used by nurses during palliative treatment of dying patients admitted either to hospitals for long-term patients (LDN) or to inpatient hospices. This work explores the differences in treatment and in meeting the requirements of these hospitals. Three research questions were identified in the present work: 1. "How does a nurse take care of patient's biological needs when he/she is effectively dying?" 2. "How does the nurse take care of patient 's psychological and spiritual requirements?" 3. "How does the nurse take care of patient's social needs?" The research part was conducted methodologically and qualitatively by using the technique of semi-structured interviews with nurses who work either in LDNs or in inpatient hospices. The interviews were steered on the basis of a prepared questionnaire. The research group consisted of a total of sixteen nurses. The interviews were recorded and subsequently typed. The gained data yielded evidence that was put it through the coding method (via "pencil and paper" technique) in order to obtained the categorized results. Based on the obtained information, the research shows the differences in terms of treatment provided in hospitals for long-term patients (LDN) and in inpatient hospices. Whereas LDN nurses are focused primarily on patients' biological needs, nurses in inpatient hospices, apart from providing the biological needs of patients, focus more on spiritual and psychosocial requirements. Another difference can be seen in the individual approach to patients provided adequately in inpatient hospice. This difference is justified by LDN nurses' saying that they have to look after a large number of patients while facing a lack of medical staff. Despite the difficult conditions, LDN nurses try to ensure that this lack of staff is not reflected in their work. Clearly, many of them take their work as a mission. The bachelor thesis can be a source of information for both nursing students and nurses. A brochure has been created that can help nurses work with patients who are terminally ill.
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The subjective view of nurses on the issue of dignified dying
FORMÁNKOVÁ, Kateřina
This bachelor's thesis deals with dignified dying from the subjective point of view of nurses. Whether it is possible to die with dignity in the hospital. What is important to ensure a dignified death. Which factors affect the quality of care for dying people. What are the needs of dying people. Furthermore, the attitudes of nurses to education in this area and also to the creation of palliative teams in hospitals. The empiric part is in the form of a qualitative research with the use of a semistructured interview. The focus group was made of 9 nurses working on hospital wards.
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The benefit of a social worker in a multidisciplinary team
KOHELOVÁ, Veronika
The bachelor thesis focuses on the post-social worker in the hospice multidisciplinary team. What is his role in the multidisciplinary hospice team. What is his job description and his working abilities and skills. Next, the thesis describes the forms of hospice care and histories in the Czech Republic. Furthermore, I focus on the patient's needs for dying. In general, I also focus on palliative care and its division into general and specialized.
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