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Hospice care provided in the Hospice of St. John N. Neumann and its potentials
SIXLOVÁ, Iveta
In theoretical part there is general characteristic of hospice care and also historical excursion, which involves development of forms of the care about heavily ill and dying people and this part is also about development of the hospice itself. Next chapter is dedicated to the selected ethical aspects of hospice care, also involving problematic of the euthanatical tendencies and knowledgeable acceptance. Following chapter generally summarizes diagnostic and indicational groups of patients for whom is hospice care suitable. Necessary part is dedicated to palliative medicine as one of the major principals of hospice care. Next chapter revolves about individual forms of hospice care, next chapter about multidisciplinary team in hospice care and the last chapter is dedicated to the Hospice of St. John Nepomuk Neumann in Prachatice. Hospice care is specialized form of the professional care about patients in terminal phase of sickness, it is focusing on providing all of the bio-psycho-socio-spiritual needs of the patients to support them and also to support their families and loved ones. Roots of this care come from the respect for human being as the beautiful creature, it insists on maintaining human dignity and the highest possible quality of life for patients. The historical development starts in the middle ages from the different forms of charity care about old and sick people, later because of the fast development of curative medicine the crucial thing was to find alternative ways of patient care for the people that could not be helped. Current state of the hospice care is considered as the full form of specific professional care about dying people. Basic principle of hospice care is palliative medicine which can be applied even outside the hospices. Forms of hospice care are: bed hospice care, home hospice care, respite forms of care and also ambulatory forms and different types of care centers. Last two forms are not actually used at this time in the Czech republic, but from the experiences from abroad results that they are useful. Cooperation in the multidisciplinary team is also very important. That team consists of experts from different fields of expertise but also of the volunteers. The Hospice of St. John Nepomuk Neumann in Prachatice provides specialized care on 30 beds, provides proffesional social counseling whose part are also loans of mobility aids. Providing services of home hospice care has been currently stopped, but the day care is fully functional. Hospice also trains both experts and ordinary people. The goal of this paper is to chart current state of provided care and to create suggestion its development/improvement. In this paper is used qualitative research. Examined object is Hospice of St, John Nepomuk Neumann in Prachatice for purposes of this reasearch represented by the leader of Education centre, expert social consultant Mgr. Eva Předotová and by the nurse formerly providing home care and now bed hospice care Kateřina Stropková. Based on these semi-structured interviews and analysis of documents I created occupational SWOT analysis and from that I created proposal of service development. This proposal was consulted with director of the hospice PhDr. Robert Huneš. This research revealed that the big obstacle is little awareness about that by the doctors and their reluktance to recommend hospice care to the patients. That might be the reason for the lack of clients and shortening the period of stay in hospice. These two phenomenons are at the moment considered to be the biggest problem. Financial insecurity and insufficient legislative basis leads to negative impact. This paper might serve for the Hospice of St. John Nepomuk Neumann as basics for planning next development of provided services.
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