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Long-Term Care for the elderly in the Czech Republic and European countries in the context of demographic ageing
Nerušilová, Hana ; Rychtaříková, Jitka (advisor) ; Kraus, Jaroslav (referee)
Long-Term Care for the Elderly in the Czech Republic and European countries in the context of demographic ageing Abstract Long-term care refers to the range of services required by persons suffering from a reduced degree of functional capacity and who are dependent on help with activities of daily living. These services include personal care as well as medical and social services. LTC could be provided either in institutional settings or at home - by informal (upaid) or formal providers. European Union has declared that LTC represents one of the main challenges connected with the current demographic changes. The main aim of this thesis is to provide a picture of LTC providing across European countries. Special attention was placed on ensuring care for the elderly in Czechia, where ambiguities about responsibilities (which are divided between The Ministry of Labour and Social Affairs and and The Ministry of Health), financing or even defining the content of this care have recently become quite frequent subjects of public debates. Keywords: demographic ageing, long-term care, health and social services, home care, Czechia, international comparison
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Aspects of long - term intensive care
Picková, Jana ; Hošťálková, Monika (advisor) ; Zatočilová, Jana (referee)
My thesis deals with aspects of long-term intensive care. The goal of my thesis is to determine the basic needs of patients and family preparedness aspects of intensive home care. Other stated goals is find out the possibility of returning patients to home care and also find out what is the use of basal stimulation in long-term intensive care department. In the theoretical part of my thesis are included the chapters about definition of intensive care and home intensive care, for the full completeness is here the chapter about the state which are requesting the intensive care. The main part is dedicated to extensive immobilization syndrome in intensive care. An integral part is also a chapter discussing the basal therapy. For an easy transition to the empirical part is included a chapter outlining the nursing model according to Majora Gordon The empirical part of my thesis contains three detailed studies of nursing.Nursing case studies are carried out in intensive care department Vršovická, in chronic intensive care department of Motol hospital and long-term intensive care department of the Pardubice region, in Chrudim hospital. Coincidentally, it is of patients with different diagnoses and different age. Nursing case report is created at patient with diagnose of end-stage chronic obstructive...
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Power imbalance in caring families
Neubauerová, Eva ; Jeřábek, Hynek (advisor) ; Remr, Jiří (referee)
This thesis Power imbalance in caring families dealing with the issue of power in the care situation, where a cherished person is mother and caring is her own daughter. The theoretical part conceptualizes terms, such as the power, the power imbalance or ambivalence. In the practical part own qualitative research of caretakers (mothers of caring daughters) is presented. It was found that ambivalence maternal care situation leads to ambivalence in daughters. The key variables in the model of power imbalances is the mother's acceptance of the need for care and a composition of household. The answers of the respondents indicate that if the household is in addition to the mother and daughters yet another member (for respondents, it was always about her husband), there is much more conflicts, which tend to have very intensive course. Relationships in these families are not described as harmonious and daughters speak to disrupt family cohesion due care. The survey also shows that an imbalance of power could be the right latent variable that was missing in the empirical studies, because it was measured in particular through the manifest variables. Keywords ambivalence, authority, autonomy, coding, the power, the power imbalance, cherished mother, home care, caring daughter
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Intensive home care - Home care with elements of intensive nursing
Králová, Eva ; Hošťálková, Monika (advisor) ; Meisnerová, Eva (referee)
The master thesis deals with an intensive home care - home care of intensive nursing and maps the situation concerning the home mechanical ventilation. The theoretical part draws from the researchers' reviews. It clarifies the basic concepts, intensive home care and trends in providing the home mechanical ventilation. Furthermore, this part of the thesis explains the term mechanical ventilation. To facilitate long-term ventilation of a chronic patients it is necessary to ensure an adequate airway. Therefore, it is included a chapter dealing with a tracheostomy and its treatment.The first part of the survey summarizes a statistical overview of the home mechanical ventilation used in the Czech Republic till 31th March 2013. Next section includes a qualitative form research, which is observing the whole indicating and transferring process of a patient from a hospital to the home environment where the home mechanical ventilation is assured. I have concluded that men are more ill and women, mothers or wives are taking part in the healing process according to the investigation results. We have 81 ventilated patients in home care in total. Mechanical ventilation is mostly indicated for children with spinal muscular atrophy disease. Men compared to women are more often affected by traumatic conditions,...
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Business plan for home care agency
Brejchová, Jana ; Trpišovský, Milan (advisor) ; Vrzáček, Petr (referee)
My following thesis introduces the home care segment and points to its present and future role in the field of health and social care. The aim of this thesis is to create a proposal of a business plan for home care agency, which would provide patients with health care in their home. The first part of this thesis describes the theoretical basis this thesis is based on. It introduces a concept of strategic management including a description of a strategic analysis, the structure of a business plan and there are also described aspects contemplated at the opening of the business. The theoretical part also includes detailed introduction of the home care segment including its development and history. The practical part starts with research and analytical chapters. These chapters describe the survey executed among general practitioners and a complete strategic analysis, whose results are summarized in the SWOT analysis. The business plan for the home care agency is based on these findings. In conclusion, I assess whether it would be possible to implement this business plan and I estimate the company's prospects. I also propose a number of recommendations that should contribute to the success of this agency. Keywords: business plan, home care, health care, long-term care, strategic analysis
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Long-term care of a family member from the perspective of the caregiver
Volejníčková, Romana ; Hasmanová Marhánková, Jaroslava (advisor) ; Kiczková, Zuzana (referee)
This thesis is concerned with twenty-four hours for elderly family members from the perspective of the primary caregiver. The aim of this work is the understanding of home care, not as an isolated activity usually practiced by women in the private sphere, but as an aktivity, which is affected family relationships or deciding provide/not provide home care etc. For this reason I used as the theoretical basis of this work feminist ethics of care, which does not care define "natural" / spontaneous female activity, and enable to reveal the gender line of care. That is the main topic of this thesis. For a deeper understanding of the phenomenon of home care I used biographical interview. It's main characteristic is the emphasis on stories from participants, which was an important aspect that helped me put the care in a broader social context Key words: home care, feminist ethic of care, biographical interviews.
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The Views of Family Members on Taking Care of Seniors with Alzheimers
ŠOURKOVÁ, Kamila
The bachelor thesis deals with the views of family members on the care of the senior, who suffers with Alzheimer's disease. The thesis is divided into the theoretical and empirical part. The theoretical part of the bachelor thesis deals with concepts related to the subject of bachelor thesis. The first chapter focuses on age and types of dementia. The second chapter describes Alzheimer's disease. In the third chapter there are a characteristic of home care provided by family members and several essential advice for carers. The fourth chapter focuses on care in a special home, caregivers, and activities that can take place in the home. The aim of this work was to compare the views of selected family members on various types of senior care with Alzheimer's disease. The aim of the thesis is to answer the identified research questions. The first research question focuses on which of Alzheimer's manifestations are most complicated for family members. The second research question examines how the views of family members differ on care when a senior is in their home care or in special-purpose homes. In the empirical part of the bachelor thesis is used the method of qualitative research in the form of questioning in a semi-structured interview. The research group consists of 8 respondents caring for their family member with Alzheimer's dementia. Results are analyzed using open encoding. Research shows that the views of family members are not very different. Caregivers agree that they want to get the best care for their family member, whether in the home or in a home with a special regime. As far as prospects for the future are concerned, only minor differences can be found in the respondents' opinions. The answers to the first research question are almost identical. Respondents report that the most complicated manifestations of illness include non-recognition, loss of memory, disorientation and aggression.
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Ageing Processes and Family Functions Evolution
Kroupová, Eva ; Krahulcová, Beáta (advisor) ; Ondrušová, Jiřina (referee)
This work summarizes the third period of the human life. The changes arising during the period and relationships between elderly and the rest of the family are described. The care about independent old people is divided into two groups: provided by a family member or a professional assistant. The theoretical part is supported by the survey of health and long-term care in European Union. Knowledge and attitudes of a population of ten European countries with significant differences in social and economical markers are compared. The preferred type of the care, financial issues, insufficient care and a prevention of abusive behavior are investigated too. The results of the survey allege that the quality of the care in Czech Republic is satisfactory but still incomparable with standard in countries in Northern or Western Europe.
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Assistance of dignified life for the elderly - Social services in field
Tvrdíková, Lucie ; Kotrusová, Miriam (advisor) ; Čabanová, Bohumila (referee)
Diploma Thesis "Assistance of dignified life for the elderly - Social services in field" is focused on the field of social services for the elderly, which's main function is to enable seniors to remain as long as possible at home, despite difficulties with self-sufficiency and independence, leading to a better quality of life. Due to the aging of population and new trends in the way of care for the elderly, it was necessary to fundamentally change the way of this kind of care in the Czech Republic- the current requirements are quality of life, individual approach and subsidiarity. To create the background leading to providing quality services and care, there was the need to change the law. In 2007 came into force the Act 108/2006 Coll. on social services, which changed the setting of social services, their definitions, rights and responsibilities, funding, but also shifted the responsibility for providing services and quality control on the region, as well as for the availability of services. At the same time steps have been taken, which should support the market behaviour of service providers to achieve their accessibility, affordability and quality. The content of this work is to evaluate the Social Services Act in relation to European trends of care and assessment of the law, its applicability...
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