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Futile care in intensive care
Formáčková, Jitka ; Prošková, Eva (advisor) ; Stoklasová, Radka (referee)
V ANGICKÉM JAZYCE THE FUTILE TREATMENT IN THE INTENSIVE CARE The theoretical part is define the concept of the futile treatment, analyze its legal and ethical context, especially within nursing and medical interventions, categorize the treatment and summarize the procedure of making decisions of changing the treatment in the Czech Republic. The purpose of the theoretical part is mapping the situations when the intensive care is pointless and how to proceed in the situations like these. The practical part will process a qualitative research by a form of personal interviews with several representatives of the professional public. The purpose of the practical part is to describe their personal experiences with this issue and to know their opinions of the situations when the futile retreatment is under way and how to categorize a treatment correctly. These interviews isprocessed by a form of the final discussion then. KEY WORDS: futile retreatment, intensive care, categorization, life quality, withdrawing, withholding, interview, euthanasia
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Safeguard of a patient with a mental illness fit (attack) outdoors
FORMÁČKOVÁ, Jitka
In this bachelor thesis, basic findings, acts and proposals how ZZS (Health Rescue Service - HRS) can safgeuard a patient with a mental disorder are summed up. The first, theoretical part of the thesis, is dedicated to the most common psychopathological conditions which endanger the patients and their neighbourhood and require an immidiate psychiatric or another help to stabilize the patients´s pathological behaviour. The second part is dedicated to processing of the aquired data concerning the present state in this issue. Namely it deals with paramedics questioning, how they are acquainted and what experience they have regarding mentally ill patients, possibly what could be improved and refined in their treatment. In the other part, information from admitting wokers at psychiatric wards is processed with regard to their view of cooperation with HRS. The aim of the thesis was to find out if standards concerning the treatment of mentally ill patients exist in the Czech Republic, or in chosen HRS centres, and if yes, whether paramedics know and follow them or whether they proceed according to the procedures proposed in literature. Further on, to analyze what common knowledge regarding the issue of psychiatry paramedics have. The next goal was to verify to which extend the cooperation between HRS and other parts of IZS (integrated rescue system - IRS) works during the safeguard of a mentally ill patient, and what is the satisfaction of the cooperation between HRS and psychiatric wals Through the analysis of the acquired information, it was found out that there are standards concerning the mentally ill treatment, but only in frame of nursing care, not pre-hospital care. Paramedics know about them, but mainly they proceed in accordance with the studied literature, findings of their colleagues or their own experience. The cooperation between HRS and other parts of IRS was assessed as a good one, as well as the cooperation of HRS with psychiatric wards. However, several problems concerning insufficient mutual communication were spotted.
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