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Work with the client family home hospice?s care
MACANOVÁ, Miriam
The diploma thesis entitled: ?A work with a home hospice care client´s family? focuses on an issue associated with a dying at home. The care for a dying man is in such a case provided by family members with a help of a home hospice. The theoretical part clarifies an area connected with providing of hospice services and amodern concept of the hospice care in the Czech Republic as well as in the world. This chapter´s key is a clarification of an issue of the home hospice care and its characteristics. Further it contains topics: a family, a finality of life, phases of dying according to Kübler- Ross, a palliative care, social work in the hospice care. The aim of the thesis was to map a system of the work with a family caring for a patient in the home hospice care. To work out the diploma thesis I used a strategy of a qualitative research. I applied a method of an oral questioning through a technique of a narrative interview with the caring people. As a complementary method I used a semi-structured interview with a social worker and a nurse of the home hospice. Respondents were chosen among people caring for dying men who are patients of the Tabitha Home hospice in Brno. I realized interviews during the month of February until early April 2012. The interviews took place after a mutual agreement, at respondent´s home or in the home hospice rooms. The interviews with women-home hospice workers were carried out in the hospice rooms. 10 interviews with respondents were realized. Data processing was done by categorizing data. Results show that respondents are satisfied with services of the home hospice and they evaluate them positively. They appreciate an approach, a work of the home hospice staff and their respect for the dying as well as wishes of theirs. A support from the side of the home hospice is provided in material, technical, psychological and also spiritual forms. Despite demands of the care provided by the respondents, they would care for the dying at home again. The diploma thesis has been intended for professionals dealing with the given issue, but also for a lay public who wants to learn more about the home hospice services. The thesis should show benefits of this service.
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Common topics of Science and Theology in high school education
ČANDOVÁ, Jana
In the introduction this thesis classifies different conceptions of the relationship between science and faith. Then, it focuses on common topics of natural science and theology in secondary education. It summarises and reflects the experience of teaching practice and deals with the practical options for Christian issues which the students are usually interested in. The topics are presented in relation to a specific high school curricula and sorted into three parts: Death and dysthanasia, Time and rheology, Deus vere ludens et homo ludens. Some practical examples and recommendation for teaching practice are also mentioned.
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Comparison of nursing care of clients at terminal stage provided in a hospital facility and in a hospice in the view of family members and general nurses.
MACÁKOVÁ, Jana
The bachelor thesis deals with nursing care provided to patients at terminal stage of a disease and possible differences in provision of this care in a hospital and in a hospice. The theoretical part focuses on the issues of palliative care and particularly on the needs of patients at terminal stage and a role of a nurse on their satisfying. The first aim of the thesis was to find out whether family members of patients feel possible difference in provision of nursing care in a hospice and a hospital. The other aim was to examine opinions of general nurses about provision of care of terminally ill patients in a hospice and a hospital. Qualitative research, questioning method was applied. Deep interviews with general nurses and family members of patients at terminal stage were used for data collection. The selection of family members and general nurses for the research sample was intentional. Selection of general nurses was conditioned by the following criterion: to be a general nurse with experience with care of patients at terminal stage from a hospital and a hospice. Selection of family members was conditioned by the following criterion: to be a relative of a patient at terminal stage of an illness who was first hospitalized in a hospital and then transferred to a hospice. The interviews were conducted in the Prachatice Hospital and in St. John N. Neumann Hospice in Prachatice. The data from the interviews were processed into categories corresponding to satisfying the individual needs of patients. The research results show that the general nurses as well as the family members do perceive difference between provision of care to terminal patients in a hospital and in a hospice. The biggest differences are perceived in satisfying psychosocial and spiritual needs of patients. All the nurses agree that more attention is paid to psychosocial needs of patients in the hospice than in the hospital. The difference is particularly seen in lower number of staff and lower time allocation to satisfying these needs of patients in the hospital. The family members perceive these issues uniformly. They are all convinced that no one deals with satisfying psychosocial needs in the hospital while all patients? needs are satisfied in the hospice and even patient?s accompanying family is included in the care. The general nurses as well as the family members perceive the difference in the regimens in hospital departments and in the hospice. They agree that patients in the hospital are subject to the department regimen while the regimen in the hospice is subject to patients? needs and desires. They all also perceive difference in the possibility to be in the hospice with the patient for 24 hours a day. From the point of view of satisfying psychosocial needs of patients the general nurses and family members share the opinion. They agree on the fact that these needs are actively sought for in the hospice and satisfied according to client?s interest. On the other hand attention is not primarily paid to patient needs in the hospital. This thesis could serve as study material for nursing students. I could be also used as informational material to both, experienced or staring nurses dealing with terminally ill patients within their practice. A recommendation for practice in the field of satisfying psychosocial need of clients at terminal stage is the practical output of this thesis.
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Human dignity in old age
PEKÁRKOVÁ, Lenka
The work is aimed on the concept of human dignity in terms of age. The first chapter is devoted to the basic definition of human dignity and human rights. I describe a certain views of human dignity and human rights. The second chapter is devoted to the perspectives of an age and changes in the old age, which are of great importance for the preservation of human dignity. An important part of an old age is a matter of dying, which is nowadays bound with a form of palliative care associated with the difficult ethical issue of euthanasia. The concluding part summarizes the problem of an old age that is not an easy life stage for everybody, and therefore it is important to try, in the term of the helping profession, to keep the human dignity of the old people if they do not meet it in their neighbourhood.
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The perception of dying and death
ROŽNOVSKÁ, Kateřina
The thesis describes the perception of dying and death among Werich family members, who were clients of Home hospice Tabita. The study is accompanied by an interview with Mr. Werich that took care of his dying wife. The observation has been performed by myself as an employee of Home Hospice Tabita. Facts obtained from the interview are supported by expert literature and my own participant observation. The study demonstrates what the dying families have in common, but also shows the specifics of individual cases. Although the hospice is based on Christian principles, it may profesionally and efectively work with non-Christian family members as well.
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Terminally Ill Senior Citizen in Hospital.
KOZÁKOVÁ, Jitka
The thesis deals with insuring a humanly dignified care for terminally ill senior people approached as the goal of a social work in a hospital environment. Medical facilities belong to places where senior people most often pass away, and where their dignity is also most endangered. The basis for working out the thesis is describing the man seen as the being whole and at the same time uniuqe, in which one sees man?s dignity. The following part of the thesis is dedicated to a palliative care as a guarrantor of maintaining dignified and quality life till its end. A knowledge of conceiving a terminally ill senior man, his/her needs and values is for a provision of the palliative care necessary. A part of the thesis deals with a specificity of social work in a palliative care, and with professional a personal competencies of a social worker. A provision of a support to those terminally ill and their close ones is in a hospital environment insured only partly. Based on the information collected the thesis is dedicated to outlining a humanly dignified care as the aim of social work. A social worker can participate on the above mentioned by being in a role of an accompanying one and a consultant for those left. A possibility to support a spiritual dimension of the man to which a social worker is in his/her both roles often close is approached in the final part of the thesis.
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The Questions of the Beginning and the End of Human Life
ČADOVÁ, Marie
This work deals with the problems of conception, gravidity and abortion in the first part and in the second part than deals with problems of death and dying. It concerns two cut-off points, which are component parts of human life. The first part surveis the biginning of human life and tries to find answers for questions, which have a connection with the conception, artifical insemination, surrogative maternity and abortion. It describes paradoxes, which comes from such situations. It appreciates this paradoxes in the wiev of medicin, ethics, psychology and law. The second part describes the end of the human life in several forms. It broods killing, suicide and euthansia in aspects of the psychology, medicine, law and ethics. In the end it describes the palliative care as an alternativ to euthansia.
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Knowledge and skills of nurses in communicating with the dying patient.
MAŇHALOVÁ, Jana
21st century brought about a lot of beneficial scientific and medical discoveries. Thanks to modern techniques and the current medical treatment we live longer. Maybe that's why we also die a longer time. Nurses in their profession are daily confronted with the palliative care issue. This thesis deals with the knowledge and skills of nurses in communicating with a dying patient. In the theoretical part the terms of communication, dying, death are defined and the interaction between these topics is mentioned. The thesis is focused on communication in the health care provision, on specific principles of a nurse´s communication with a dying patient and the stages of dying by Elisabeth Kübler - Ross. The practical part presents the results of the research survey in graphs and tables. The research was carried out quantitatively by using a questionnaire interview. The research respondents were nurses working in hospital departments in the České Budějovice hospital, a.s. The objective was to survey the knowledge and skills of nurses in communicating with dying patients. Based on the objective, we have stated the following hypotheses: H1: I suppose that nurses are skilled in communicating with a dying patient. H2: I assume that nurses working in the department of oncology have a better knowledge and skills in communicating with a dying patient than nurses working in a standard hospital department. Based on the research the objective was met, H1 was confirmed, H2 was not confirmed. The thesis is supplemented with resources of quotations, references and the review of studied literature. The appendix contains the questionnaire, Maslow's Hierarchy of Needs and the Charter of Rights of Dying Patients. The research outcomes were assembled into a brochure that can be used as a background material for teaching communication in nursing or as a contribution to seminars and conferences dealing with these topics. The benefit of this thesis is the publication of information about the knowledge and skills of nurses in communicating with dying patients, and so pointing out this issue.
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Dilemma of home hospice{\crq}s care in Brno
MACANOVÁ, Miriam
The bachelor thesis on the topic {\clqq}Problem of the hospice care in Brno`` is focused on providing of the hospice home care in the urban area of Brno, where the service is established from the year 2008. The theoretical part presents a characteristic of the problem of hospices in general terms. It describes the development of modern hospice conception in the Czech Republic and in the world and it states forms of a hospice care. The principal for this chapter is a clarification of the hospice home care issues and its description. Among other domains, which are concerned in the theoretical part, we can find: a palliative care, a palliative medicine, a quality of life, phases of dying according to Kübler-Ross. The main goal of the bachelor thesis is to describe the current state of the home hospice care in Brno. The partial goal was to determine client´s attitude to the life and to values after detecting a cancer diagnosis. In the research part I applied a method of the semi-structured interview with the manager of home hospice Tabita in Brno. To complete the information, a secondary data analysis was used. A technique of a narrative interview was chosen to reach the partial goal. The research was made at five respondents who are clients of the home hospice Tabita in Brno. The results of the research indicate that home hospice care in Brno is provided in accordance with principles of the hospice movement. Thanks to a permanent development these services are used more frequently. The development of this care gives patients the possibility to spend the final part of the life in the home milieu with the support of a family circle. Thanks to providing the home hospice care, as results from the research show, the quality of life does not decrease. The clients appreciate they could stay at home and they did not need an institutional care. Although they decided to die at home, they did not remain alone. They had a support of workers of the home hospice and in the case of an urgent need they could, for 24 hours and seven days a week, telephone and consult the emergent situation concerning their health condition with a nurse or a medicine doctor, which ensure {\clqq}the telephone emergency``.
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