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The question about stress in family dying
PATKOVÁ, Dagmar
The aim of this thesis was to refer to possible reactions to stress, impacts and, finally, advice on how to cope with this factor. This bachelor thesis is divided into two main parts. The first part deals with the definition of basic terms such as palliative care, death, dying, accompanying the dying and psychological burden for families of the dying. Besides, it describes psychology of this specific situation and other circumstances concerning death, dying, grief, mourning, and mourning determinants stages. To achieve the objective of this bachelor thesis, the qualitative research method with semi-structured interview technique was used. The respondents were members of one family wife, father, brother and children of the deceased. It has been six years since the unanticipated death of the loved one. The respondents were selected on purpose. Based on the investigation results, social family functioning and impact of the death of a loved one to the family were described. In accordance with the research, it can be claimed that the grief after the death of a loved one is for the bereaved family members lifelong. The death of the father caused changes in the social functioning of the family, in the relations among the family members and also changed the attitude to life of the bereaved family members. The research shows that the bereaved family members had very good relationship, which even consolidated after the experience of unexpected loss of the father. It was also discovered that each family member coped with the bereavement in their own way and that it had a different impact on each of them. In the conclusion of the thesis, there is a summary of interview results. The research shows that none of the family members were offered neither professional nor lay support, which would be appreciated, as they now re-evaluate. Support not only in the acute grief is very important for the bereaved as it has an impact on the whole process of mourning.
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Death and dying in a home for the elderly Being Netolice
KŘENEK, Josef
This thesis deals with the phenomenon of death and dying. The paper tries to compare the obtained findings from research conducted in their own home for elderly Welfare Centre Netolice and social assistance Vodnany and results from the literature. The aim of the study was to determine how workers home for the elderly perceive death and dying.
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The possibility of using elements of palliative care in a nursing home
KADLECOVÁ, Lucie
The thesis focuses on the possibilities to use elements of palliative hospice care in the retirement home. The work describes basic theoretical themes such as human dignity, its interpretation and dignified dying. It also presents basic issues concerning dying and death, ethical problems of different phases of dying, as well as the dying person's needs. The thesis tries to answer the question about the possibility of dignified dying through the use of hospice care. It also defines palliative care provided in hospices as one of the approaches to long-term care of dying people. The research analyses two standards of nursing care in retirement homes The care of a dying person and The care of a dead person. It presents results of its own research method realized through semi-structured interviews with clients of a retirement home. The aim of the research is to find out whether the clients themselves are interested in application of hospice palliative care in the retirement home.
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The Role of Social Work and Social Worker Accompanying a Man in Dying
URBÁNEK, Lukáš
The objective of this Thesis is to outline the role of social work and social worker when accompanying a man in dying. The Thesis focuses on defining the social work and, at the same time, it points to the enormous diversity of the social work. The Thesis thus deals with the unclear definition of the field of social work as a particular helping profession, with the competency of social workers and with the current discussion about the need for a law on social workers. The Thesis also treats the phenomena of death and dying and how these issues are viewed from the perspective of social work. In the Thesis, these questions are highlighted in the context of the impact of the postmodern society. A large part of the Thesis is dedicated to finding the role of social work and social worker in hospice environment. Interest in dying clients and their loved ones represents an integral part of the Thesis, which also points out their needs, wishes and troubles. The Thesis outlines the issue of advisory for bereaved persons as well. Furthermore, it analyzes the ethical dimension of death and dying, especially with regard to human dignity. Critique of professional literature is confronted with author's own practical experience and with the output from an interview with a social worker.
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The death and the dying in a view of a worker in a direct care in a small establishment for seniors
TEJKALOVÁ, Blanka
This work deals with improving the provision of palliative care in institutions such as social residential facility, the factors that affect the provision of palliative care. All this from the perspective of direct care staff employed at this facility. Installations center Blanka Diakonie ČCE in town Písek, which provides its clients with comprehensive quality social services. This quality is due to the employees who perform their job with love and tend to their services increasingly improved.
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Attitude toward death and psychical stress of nurses at work stations with an increased risk of death.
VONEŠOVÁ, Petra
The diploma thesis deals with the issue of dying and death within the job of a nurse. Nurses very often see dying and death. Death rate also depends on type of the ward. A healthy person usually does not think about death, but being ill one is uncertain and starts to ask many questions, which may also include questions about dying and death. Meeting a dying person is psychically demanding for the medical staff as well as for the family, friends and the dearest. The medical workers are expected to be professional and empathic. It is a question if the nurses are prepared to face the death and if they can cope with the physical and psychical stress. Long-term excessive psychical stress may result in numerous diseases. A nurse must know how to avoid such negative impacts. The theoretic part of the thesis describes the present status, explains specificities of palliative treatment within intensive care, within care for chronically ill patients and in paediatrics, it specifies attitudes and their functions in connection with difficult life situations. Furthermore, the theoretical part deals with psychical stress imposed on nurses in connection with dying and rules of communication in a multi-disciplinary team within palliative care. There are four objectives of the thesis. The first objective is to find out whether nurses feel ready to meet death after finishing qualification studies. Another objective is to find out whether death rate in the workplace affects psychical stress imposed on the nurses and their attitude to death. The third objective is to find out whether the nurses think that the information and experience gained during studies affected their attitude to death and professional skills of care for dying patients. The research part made use of quantitative research. Data collection was made through anonymous questionnaires. Respondents answered 35 questions. Out of that, 17 questions were closed and 18 questions were semi-closed. The research survey was completed with statistical survey. Nurses, who work in wards with higher risk of death, were contacted. We have made up four hypotheses. H1: Nurses? attitude to death depends on the level of education was not confirmed. The results of research and statistic survey showed that there is no difference in attitude in connection with the level of education reached. H2: Nurses? attitude to death depends on experience with death in personal life was not confirmed either. The respondents? answer showed that their attitude to death is mostly influences by experienced acquired in practice. H3: Death rate reduces psychical stress of nurses, was confimed. The respondents said they had still the same feelings and at most they answered that they did not feel anything, or they did not think about their feelings and they consider the death to be a part of their occupation. H4: Subjective readiness of nurses to meet death does not depend on finishing of qualification studies, but it depends on exeprience acquired in practice. The last hypothesis was confirmed by research and statistic survey, as well. The research and tests of hypothesis have revealed that sufficient attention has not been paid to the issue of care for dying patients within studies. Nurses acquire their experience mostly in practice. Furthermore, the survey showed that it is an important thing to teach the nurses to communicate effectively and to feel empathy. The conclusion, that nurses are more stressed with conflicts at the workplace, bad inter-personnel relationships, low wages than with care for dying patients, is alarming . Thus the labour force is wasted unnecessarily and it is obvious that the occupation of a nurse has not been appreciated properly, yet. Such factors influence quality of the work done and may cause the burn-out syndrome.
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The attitude of helping workers in hospice facility to death and their way of handling stress.
ŠANDEROVÁ, Romana
The bachelor thesis deals with attitudes to death among helping professionals in the hospice centres and their way of coping with stress. The theoretical part consists of four main chapters. The first chapter is purely devoted to attitudes towards death, where terms such as attitude or death are described. Briefly outlined is how death guides us through life and also the taboo of death issue is mentioned. The second chapter focuses on palliative care. What is the definition, how is it provided, who provides it and at the end of this chapter I mentioned the resources of palliative care. The third chapter deals directly with the hospice facility and the hospice care itself. It introduces the hospice movement, the first Czech experience with hospice facilities and the service workers of palliative and hospice care. The last chapter is about coping with stress, where the symptoms of stress, burnout and coping strategies are described. In the research part of the thesis a qualitative research is used, which is based on semi-structured interviews from 6 employees in a selected hospice facility. The main research question is following: 'What are the attitudes to death among helping workers in the selected hospice centre and what is their way of coping with stress? "
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Problems in families with oncological patients
SLÁDKOVÁ, Tereza
For my bachelor thesis I have chosen the theme: "Problems in families with oncological patients." I believe that this topic is relevant and it is important to pay attention to it. The aim of this work is to explore the family's problems with a client with an oncological disease. These families get into a very difficult situation due to a serious illness of a family member. I divided my thesis into a theoretical and a practical part. The theoretical part includes five main chapters. The first chapter presents basic information about tumours. The second and third chapter outline the problems of both a client in the terminal stage and his family. The fourth chapter focuses on the most common benefits for ill clients. The fifth chapter describes oncology care providers available to clients. Here I will focus mainly on hospice facility, which is intended for those clients. The practical part focuses on the basic information about the client and family. Then it focuses on the detection, progression and treatment of the disease and last but not least, on the last days of the client. These data have been processed in the case reports and evaluated in the discussion.
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Ethical dilemmas in hospice
KRATOCHVÍLOVÁ, Lucie
The work is written in order to create an ethical justification for each of the considered solutions to the ethical dilemmas with which hospice workers can meet. The thesis is divided into three blocks. The first block is focused on the palliative, hospice care, on the issue of dying and death. Second block deals with general ethical issues, explaining the basic ethical concepts needed for my thesis and also contains my selected ethical theories that are relevant to meet the objectives of my thesis. The last block contains specific ethical dilemmas I have observed and experienced during my training in the Hospice of St. John N. Neumann based in Prachatice. First in this block are shown the values, which in my opinion, affect the decisions of workers. Subsequently is taken in account each identified ethical dilemma and is determined by its possible solution. Each option of the solution is justified by the argument supported by ethical theories, principles and values.
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The dignified dying in the long-stay hospital
ŽILINOVÁ, Michaela
1. Present state of the issue concerned: the Bachelor thesis is focused on the area of palliative care in LDNs (institutions for long term sick people). Terminal care is an up-to-date topic, because in our society the percentage of long-term incurably ill who need professional care is continuously rising. The care of dying people in the Czech Republic is still not sufficient and therefore it is appropriate to deal with this issue. 2. Objective of the thesis is to find out whether crucial differences exist in the perception of the complex palliative care between the professional care providers and the family in the bio-psycho-socio-spiritual framework. 3. Research questions: What is the weakest point of the complex palliative care according to the professional care providers? 2. What is the weakest point of the complex palliative care according to the family? 4. Description of the method: use of qualitative research, basic group present health workers, family members and friends of the patients hospitalised in the LDN. Methods and techniques of the data collection: structured interview, participating observation, analysis of personal documents. 5. Assumed practical use of the thesis: improving awareness of lay and professional public in the issue concerned.
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