|
|
Previously expressed wishes of the patient from the point of view of pre-hospital care
OBŮRKOVÁ, Kateřina
The bachelor thesis entitled Previously Expressed Wishes from the perspective of pre-hospital care consists of two parts, a theoretical and a practical part. Three thesis objectives were chosen for the topic. The first objective was to find out the awareness of paramedics about the issue of Previously Expressed Wishes. The second objective was to find out the ethical perspective of paramedics on the issue of Previously Expressed Wishes. The third aim was to map the number of cases where a paramedic encounters a patient who has written down a Previously Expressed Wish in pre-hospital care. Based on the previous objectives, three research questions were subsequently established. The first research question focuses on the depth to which paramedics are aware of the issue of the Previously Expressed Wishes. The second question explores the paramedic's ethical perspective on the issue. Whether the predominant view is positive or rather negative. The third research question ascertains the amount of occurrence of patients in pre-hospital care. Whether one is more likely to encounter such a patient in hospital or pre-hospital care. In the theoretical part, concepts related to the issue of Previously Expressed Wishes are explained. The theoretical part deals with ethics, pre-hospital care, paramedic codes and the actual Previously Expressed Wish. The practical part of the study was prepared in the form of quantitative and qualitative research. In the quantitative research, responses were obtained through an online questionnaire. The questionnaire contained twenty closed questions and only one open question. The last open question included a request to leave a contact and a follow-up interview to enable qualitative research. Ten respondents participated in the qualitative research. The data collected was very positive. Many respondents knew a great deal of information regarding the issue of Previously Expressed Wishes. The prevailing attitude was positive. The whole research was conducted at the regional centres of the Vysočina region. The bachelor thesis can serve to provide insight and greater understanding of the concept of Earlier Expressed Wishes. Nowadays, the issue is not abundant in pre-hospital care, but over time things may change.
|
|
|
--
Mašková, Daniela ; Šustek, Petr (advisor) ; Holčapek, Tomáš (referee)
The aim of this thesis is to present the basic aspects related to the refusal of health services by the patient. The thesis deals with the patient's refusal of health services in the context of currently proposed treatments in the present, but also with the refusal of health services in the future in the form of so-called previously expressed wishes. The thesis points out some of the pitfalls that may arise in the case of refusal of health services by the patient and also proposes ways of proceeding in such situations in order to protect the rights of the patient as much as possible, but at the same time not to expose the health service provider to civil or perhaps even criminal liability. Chapter 1 introduces the concept of informed consent and the conditions for giving informed consent. I also focus on the patient's capacity to give informed consent. The assessment and analysis of these criteria is similarly applicable to the valid and effective expression of informed consent. For this reason, informed consent and non-consent are very closely related issues. The second chapter is devoted to informed consent, defining the form of informed consent and presenting cases where the patient cannot validly give informed consent. In the third chapter, I discuss previously expressed wishes, both their...
|
|
|
Proxy decision making for incompetent patients
Francová, Terezie ; Holčapek, Tomáš (advisor) ; Salač, Josef (referee)
1 Proxy decision making for incompetent patients Abstract The author of this thesis discusses the applicable Czech legislation on the proxy decision making for incompetent patients and the provision of medical care without informed consent. The thesis is divided into six parts, while the first part is devoted to the definition of the basic terms that are directly related to this topic and which are repeatedly used herein. These basic terms are the following: health services and healthcare, informed consent and the patient. The second chapter is devoted to sources of law, which are divided into three levels - international sources, European Union law and national sources. Within the national regulation, attention is focused mainly on Act No. 372/2011 Coll., On health services and conditions of their provision, as amended. It also outlines the issue of the duality of legal regulation, that was caused by the adoption of Act No. 89/2012 Coll., Civil Code. The third chapter deals with surrogate consent, attention is paid mainly to resolving conflicts of opinions and to the best interests pricniple, as to the key factor when granting the proxy consent. The fourth chapter is devoted to the institute of previously expressed wishes. The fifth chapter analyses the issue of providing health services to vulnerable...
|
|
|
Advance directives and its realisation in current practice
Šnajdarová, Lenka ; Matějek, Jaromír (advisor) ; Štica, Petr (referee)
The aim of this diploma work is to search the answer to question: What are the causes for little use of advanced directives in real life from expert's point of view? Text is separated into theoretical part, methodological and analytical. In theoretical part, the autor is conceptualising basic terms from main research question and is leading the revers into the context. Methodological part is revealing the background of the research, which was carried out by qualitative research strategy through half-structured interviews with chosen experts in problems with advanced directives. In analytical part are presented results of research, which the autor is comparing to theoretical roots. Particiapnts of the research are seeing the causes of little use in advanced directives in little information about its existence, in legal format and its rising concerns from possible legal punishment and last but not least it can be caused by ethical and personal background. Keywords Advanced directives, illness, autonomy, causes, practise.
|
|
|
Advance directives and its realisation in current practice
Šnajdarová, Lenka ; Matějek, Jaromír (advisor) ; Ovečka, Libor (referee)
The aim of this diploma work is to search the answer to question: What are the causes for little use of advanced directives in real life from expert's point of view? Text is separated into theoretical part, methodological and analytical. In theoretical part, the autor is conceptualising basic terms from main research question and is leading the revers into the context. Methodological part is revealing the background of the research, which was carried out by qualitative research strategy through half-structured interviews with chosen experts in problems with advanced directives. In analytical part are presented results of research, which the autor is comparing to theoretical roots. Particiapnts of the research are seeing the causes of little use in advanced directives in little information about its existence, in legal format and its rising concerns from possible legal punishment and last but not least it can be caused by ethical and personal background. Keywords Advanced directives, illness, autonomy, causes, practise.
|
guest ::
