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Use of the diary of nursing care for patients in the terminal stage of the disease
STEHLÍKOVÁ, Eva
The bachelor thesis deals with the possibilities of using the diary of nursing care for patients in the terminal stage of the disease. This theoretical bachelor thesis is based on research of sources taken from Czech and foreign literature, including database sources. The work focuses on general palliative care and the terminal stage and is divided into several sections. The needs of a dying person are described in detail here, both biological, psychosocial, and spiritual. The work also focuses on the dying stages, according to Kübler-Ross, which are described here in detail. The central chapter focuses on palliative communication, which is of special importance. Medical staff, including nurses, are not trained in how to talk to the family of a dying or deceased person. The following sub-chapters are devoted to the central topic of using a nursing diary for terminally ill patients abroad. The creation of a nursing diary in various countries of the world is described here in detail, as well as its acceptance in practice. It also includes a description of the diary, how it looks in certain healthcare facilities, and its possibilities. The effect of using a diary in practice on the quality of care provided is also discussed. The data show that the diary was very beneficial, especially to the families of the patients who kept the nursing diary. The diary helped families to better come to terms with the death of a loved one during the grieving process. The author's view on the issue is described at the end of the work. In response to the data, a proposal for a nursing diary in the Czech version was created to contribute to the development of palliative nursing care within the Czech Republic.
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Use of assessment scales for palliative patients
SLÁDKOVÁ, Michaela
The thesis deals with evaluating scales used in palliative patients. Palliative care has become a quickly developing field of study. To ensure individualized high-quality care for palliative patients, it is important for the nurse to be able to work according to the latest nursing procedures, which include, among other things, work with evaluating scales. The aim of this bachelor thesis is to find out whether nurses use specific evaluating scales in palliative patients and in what way these evaluating scales are of use to a nurse taking care of a palliative patient. The theoretical part of this thesis helps the reader get a basic preview of the issue of evaluating scales in palliative care. First, the history and division of palliative care are described. Further, the way of how palliative care works in the Czech Republic is outlined, what roles nurses hold in palliative care as well as what needs patients in palliative care have. The second chapter deals with tools used for evaluating the needs of palliative patients. The empirical part of this thesis was carried out via a qualitative research survey. Processing was done using a semi-structured interview with 10 nurses at chosen hospice facilities. First, the nurses´ identification was carried out. The interview itself consisted of 14 open-ended questions organised so that research questions would get answered. Data found out via survey was further processed using the open-coding ´pen-and-paper´ method and dividided into 4 logical categories further divided into sub-categories. A difference was found out between nurses from mobile hospice care and bed hospices in terms of the type of evaluating scales used. Evaluating scales serve nurses as an indicator of care and a quick review of problems in palliative patients. Further, information obtained via evaluating scales is consulted with doctors who may, thanks to this information, adjust their patient´s healthcare plan.
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Ethical dilemmas in social work with the dying
KOHELOVÁ, Veronika
This thesis focuses on the ethical dilemmas that arise when accompanying terminally ill people. The solution of ethical problems must always be approached individually. We must always take into account the ethical principles of the patient and his/her family, and we must do everything possible to preserve the highest quality of human life. Furthermore, the thesis describes the benefits of palliative care in the dying process and the importance of listening to the needs of the patients.
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Palliative nursing care for a patient with pancreatic cancer
ŠAŠKOVÁ, Karolína
The bachelor's thesis, which is called Palliative nursing care for a patient with pancreatic cancer, is divided into two parts - for the theoretical and practical part. In the theoretical part, I deal with the definition of "palliative nursing care", its history, the difference between general and specialized palliative nursing care, the goals of palliative care are described, the role of the nurse is described, and the specifics of palliative nursing care are discussed. The second part of the theoretical part focuses on the definition of pancreatic cancer, etiology, risk factors, clinical picture, diagnosis and TNM classification. In the practical part of the bachelor's thesis, the results of qualitative research are presented, where I find answers to research questions that are important for the research goals. The aim of this work is to find out what are the specifics of nursing in the terminal stage, whether nurses make differences in nursing in certain stages of the disease, how they maintain mental health and whether they have the opportunity to fulfill the patient's spiritual wishes. The research is carried out through a semi-structured interview, which is conducted with the nurses of the internal medicine and oncology departments. The research shows that the specifics of palliative nursing care depend on the nurses' emotions, nursing care in certain stages of the disease is conditioned by the cooperation of the patient, and that mental hygiene is very important for nurses and its fulfillment is achieved through physical activities. Finally, it is found that the fulfillment of the patient's spiritual needs depends on the availability of the given need. This work provides readers with information regarding palliative nursing care for patients with pancreatic cancer in practice. It helps to understand the burden that nurses experience both psychologically and physically when caring for palliative patients. In addition, this information can offer nurses ideas and advice on maintaining mental health and possible changes in the approach to palliative care.
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The needs of callers to the emergency number 155 in the event of an acute deterioration of the condition of a patient with an advanced incurable, life-threatening or life-shortening disease
Brýdlová, Helena ; Bosá, Monika (advisor) ; Mertl, Jiří (referee)
The graduation thesis looks at the interconnection of parts of the health and social systems in areas that are linked by palliative care. The palliative care patient, and with them the informal carer, uses different trajectories through the health and social systems, looking for moments that are empowering or, conversely, limiting in good practice in the delivery of palliative care. The theoretical part looks at the different areas of the health and social care system, which should work very closely together and be intertwined, but it turns out that even the separate disciplines have their shortcomings, making it even more difficult to link these systems together. The aim of the theoretical part is to introduce the different segments in the social and health fields, with a link to palliative care. The aim of the empirical part was to investigate, through qualitative research, the reasons for relatives or close friends of the patient (i.e., informal caregivers) to call the emergency medical services (EMS) for their loved ones who were terminally ill, to identify their needs. The resulting findings led to two outcomes from a social and a health care perspective. From the social perspective, the importance of engaging communication and how information is delivered to informal caregivers and supporting...
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Spiritual Accompaniment with Dying People and Palliative Patiens
Cehová, Beata ; Přibyl, Stanislav (advisor) ; Zimmermannová, Marie (referee)
The bachelor's thesis "Spiritual accompaniment about dying and palliative patients" deals with the spiritual care and approach of a seriously ill patient, is not only his body and social environment but especially his soul. Although modern secularized society is technologically advanced, despite these facts, the spiritual need in our health care system is minimally themed. This is more concerned of palliative care and the care of the dying, where the goal is no longer the cure of the disease, but the treatment of pain, the symptoms of the disease and the accompaniment to a reconciled departure from this world. My work deals with these questions in more detail and clarifies which spiritual approach is possible to calm the patient through believe and how it is possible to mature spiritually even in unmanageable moments.
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Accompanying hospice care, public awareness and ideas
Mikulová, Jana ; Jirkovský, Daniel (advisor) ; Dorková, Zlatica (referee)
The bachelor's thesis "Accompanying in hospice care, public awareness and ideas" examined, compared and also evaluated the awareness and ideas of the general public about concepts such as: hospice, accompaniment, palliative care and also focused on the topic of death and dying. The aim of the work was to find out what the general public is aware of palliative care in the Czech Republic, what the public has fears of death and dying and also how ideas and awareness of the topics differ depending on age, education and place of residence. The theoretical part of the thesis explained the legal definitions and basic concepts. The importance of palliative care in the Czech Republic was emphasized, its development was mapped, its basic goals were defined and the target group of palliative care was defined. Furthermore, the bachelor's thesis presents a structured form of hospice care, describes the professions working in hospices and the final part of the theoretical part is devoted to accompanying the dying. The empirical part contains the results of our own survey and its comparison with the results of other similar works. Method: questionnaire survey - self- designed questionnaire. Results: 87 respondents out of the original 93 respondents participated in the research survey, ie 93.54%. Conclusions: The...
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Fading. A series of interviews about fading and helping people in the last stage of human life
Voldánová, Sára ; Lovaš, Karol (advisor) ; Čeňková, Jana (referee)
Palliative care ensures patients, through complex medical and psychological help, the highest possible quality at the end of their lives and a dignified departure from this world. The aim of this bachelor's thesis is to expound to listeners and readers the reality of the work of people involved in this specific field, and also to contemplate on the necessity for every society to ensure dignified end of life for all their members. The practical part of this thesis that is composed of a series of radio interviews is accompanied by the theoretical part, which concisely reflects palliative care in scientific literature.
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Needs of patients and carers in palliative care
Oktábcová, Marie ; Mádlová, Ivana (advisor) ; Javůrková, Alena (referee)
The bachelor thesis deals with the needs of patients and caregivers in palliative care. The theoretical part defines the concept of palliative care, the forms of its provision and the specifics of the work of a nurse in palliative care. A separate chapter is devoted to needs and their evaluation. The aim of the work is to use a standardized questionnaire IPOS (Integrate Palliative Outcome Scale) to find out what are the differences in perceptions of needs between patients and their caring family members, as well as between patients and caring professionals - general nurses. It was found that the needs of patients are assessed by their caregivers differently from patients themselves. The biggest discrepancy between the assessment of patient's needs and caring family members were on the area of physical needs, specifically in the question of pain or dryness in the mouth. The biggest discrepancy between the evaluation of patients and nurses was in the psychological needs, in particular the level of depression. Professionals have evaluated the palliative patient needs better than caring family members. However, none of the nurses and families answers to the standardized questionnaire were 100% in agreement with patient responses. Use of a measuring tool to assess the needs of patients in the palliative...
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