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The Role of Social Work and Social Worker Accompanying a Man in Dying
URBÁNEK, Lukáš
The objective of this Thesis is to outline the role of social work and social worker when accompanying a man in dying. The Thesis focuses on defining the social work and, at the same time, it points to the enormous diversity of the social work. The Thesis thus deals with the unclear definition of the field of social work as a particular helping profession, with the competency of social workers and with the current discussion about the need for a law on social workers. The Thesis also treats the phenomena of death and dying and how these issues are viewed from the perspective of social work. In the Thesis, these questions are highlighted in the context of the impact of the postmodern society. A large part of the Thesis is dedicated to finding the role of social work and social worker in hospice environment. Interest in dying clients and their loved ones represents an integral part of the Thesis, which also points out their needs, wishes and troubles. The Thesis outlines the issue of advisory for bereaved persons as well. Furthermore, it analyzes the ethical dimension of death and dying, especially with regard to human dignity. Critique of professional literature is confronted with author's own practical experience and with the output from an interview with a social worker.
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The death and the dying in a view of a worker in a direct care in a small establishment for seniors
TEJKALOVÁ, Blanka
This work deals with improving the provision of palliative care in institutions such as social residential facility, the factors that affect the provision of palliative care. All this from the perspective of direct care staff employed at this facility. Installations center Blanka Diakonie ČCE in town Písek, which provides its clients with comprehensive quality social services. This quality is due to the employees who perform their job with love and tend to their services increasingly improved.
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Nursing care about patient in terminal stage at the ward follow-up and in Hospic.
PETROVICOVÁ, Eva
The bachelor thesis called "Nursing care of the patient in the terminal stage at the aftercare department and at a hospice" deals with the issue of nursing care for patients in the terminal stage at the aftercare department (AD) and at the hospice. Caring of a dying person is still a current topic, since each one will die and before the inevitable moment occurs, we will wish that it happens with dignity. The aim of the work was to examine the differences in nursing care and meeting the needs of patients in the terminal stage at the AD and in a hospice. To prepare the thesis, a qualitative research with the help of unstructured interviews with general nurses and patients in the terminal stage, who only complemented for less strain information from nurses. The talks took place in Strakonice Hospital and The Hospice of St. John Neumann of Nepomuk in Prachatice. Research file was made up of three general sisters and three patients from the aftercare department and three general sisters and three patients from the hospice. Patients with whom the interviews were conducted at the aftercare department were familiar with their own diagnosis, so the interview could be more open. Patients at the hospice were acquainted with their own diagnosis as well. Afterwards, the records have been processed into categories according to the research questions. The results show that among these facilities there are a lot of differences in the provision of nursing care and meeting the needs of patients in the terminal stage. The first research question related to the differences in nursing care of patients in the terminal stage. This area showed the differences in the current day mode, especially in times of waking of the patients, hygiene and breakfast. In addition, a difference in the area of food and fluid intake appeared. The second question dealt with ways how to control pain at the patients in the terminal stage. At the hospice, prevention from pain is at first place. Either with the help of analgesics, opiates or dispensers. From the conversations with nurses and patients from the AD there is an apparent lack of control of pain. The third question touched the issue of communication of nurses with patients in the terminal stage. From conversations with patients (AD and hospice) the feeling of a lack of communication arises. Nurses stop at the patients and talk, but some of the patients would welcome more opportunities to have a conversation. At the hospice, the presence of the nurse attendants or nuns is of benefit to patients. The fourth question related to the psycho-social needs. These needs, including the spiritual one, are fully provided at the hospice. The patients mentioned the students help, mass celebration or volunteers who fill a day. This fact is presented in contrast to the AD, in which patients can fill a day only with the visits that are allowed continually at both facilities. Spiritual care is adequately provided there as well. The fifth question dealt with communications of staff with relatives of the patients. At both institutions this occurs frequently. The nurses involved the family in the care of the patient and talks about the family as important. They highlight the need to know the patient's background and home. The final question discussed how they farewell the deceased. At the AD it occurs in a hospital room, whereas at the hospice with more dignity in a farewell room, which is decorated. The deceased is dressed in festive clothes that nurses request from the family before the death. The bereaved are also supported afterwards by the hospice staff through meetings or by sending cards. This bachelor thesis could serve as a learning resource for students with the major of General Nurse, but also for the general public or as a guide to those who care of their relatives in the future. I believe that knowledge of the bio-psycho-social and spiritual needs is an essential part of the comprehensive care about the dying.
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Basal stimulation in hospice care
HRŮZOVÁ, Soňa
Current state The main purpose of Basale stimulation in hospice care is to offer terminally ill patients security that they aren?t alone and that somebody will be with them until the very last moments of their lives. In lenitive care we use basic and additional elements of basale stimulation, which allows us to ensure all the needs of the clients are always taken care of. This also expands opportunities of the nurses to be helpful to patients and it motivates them to achieve better results in the hospice treatments and care. Research objectives 1. Find out whether Basale stimulation improves the life quality of patients in hospice care 2 Find out how clients react to the techniques of Basale stimulation Research questions 1. Does Basale stimulation improve the lives of patients in the hospice? 2. How do the techniques of Basale stimulation affect the client/patient in the hospice? Methodology To complete the reserach part of the project we used qualitative research, where the method of data collection was interviewing the nursing staff and observing the patients in House of pain relief with St Joseph?s hospice in Rajhrad u Brna. Observation took place during the individual applications of Basale stimulation to clients and during the cooperation with the nurse. Information about the clients were also collected through the analysis of nursing and medical documents. Some of the results were processed through categorization and mindmaps. Research group The research group consisted of five patients from the House of pain relief with St Joseph?s hospice in Rajhrad u Brna. Two of these clients came from the Department of increased monitoring, where I merely assisted the nurse and observed the reactions of patients undergoing Basale stimulation. While conducting reserach with those two patients I interviewed the assisting nurse. With three other clients with regular care I carried out Basale stimulation for three days and observed their reactions to it. The reserach took place in January 2013. Results It is obvious from the reserach that Basale stimulation is beneficial and it improves the life quality of the patients in hospice care. Thanks to Basale stimulation, the clients are calmer and it is easier for them to communicate with the nursing staff, which is very important for improving their mental health. It also helps to establish trust with the patients and it opens up new opportunities for communication and possible confiding about their troubles, pain and relief. For the basic usage of Basale stimulation in lenitive care not all elements are necessarily beneficial; however, those used in this reserach are very easy to incorporate into basic nursing care and all of them were met with positive reactions from the clients. Conclusion The empirical part of my research was conducted through observation of patients to whom I personally applied Basale stimulation ? therefore I could easily evaluate how the techniques affected them.This research was interesting and intriguing; and it definitely enriched me with new insights and experiences. I believe Basale stimulation is still a highly underrated concept in some medical fields. On the other hand, the practice is time consuming and it is understandable that some only just have enough nurses to cover the basic care of the patients, therefore it is not always possible to provide this technique to the patients. After consulting the head nurse of the hospice the results of this study can be provided and in case of interest even presented in the House of pain relief with St Joseph?s hospice in Rajhrad u Brna. I also offered all of this work to PhDr. Karolina Friedlova. I also contacted centres offering hospice care, who provided some additional information for the theoretical part of my project and I offered to them the presentation of my work and of the acquired results.
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Problems in families with oncological patients
SLÁDKOVÁ, Tereza
For my bachelor thesis I have chosen the theme: "Problems in families with oncological patients." I believe that this topic is relevant and it is important to pay attention to it. The aim of this work is to explore the family's problems with a client with an oncological disease. These families get into a very difficult situation due to a serious illness of a family member. I divided my thesis into a theoretical and a practical part. The theoretical part includes five main chapters. The first chapter presents basic information about tumours. The second and third chapter outline the problems of both a client in the terminal stage and his family. The fourth chapter focuses on the most common benefits for ill clients. The fifth chapter describes oncology care providers available to clients. Here I will focus mainly on hospice facility, which is intended for those clients. The practical part focuses on the basic information about the client and family. Then it focuses on the detection, progression and treatment of the disease and last but not least, on the last days of the client. These data have been processed in the case reports and evaluated in the discussion.
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Ethical dilemmas in hospice
KRATOCHVÍLOVÁ, Lucie
The work is written in order to create an ethical justification for each of the considered solutions to the ethical dilemmas with which hospice workers can meet. The thesis is divided into three blocks. The first block is focused on the palliative, hospice care, on the issue of dying and death. Second block deals with general ethical issues, explaining the basic ethical concepts needed for my thesis and also contains my selected ethical theories that are relevant to meet the objectives of my thesis. The last block contains specific ethical dilemmas I have observed and experienced during my training in the Hospice of St. John N. Neumann based in Prachatice. First in this block are shown the values, which in my opinion, affect the decisions of workers. Subsequently is taken in account each identified ethical dilemma and is determined by its possible solution. Each option of the solution is justified by the argument supported by ethical theories, principles and values.
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Work with the client family home hospice?s care
MACANOVÁ, Miriam
The diploma thesis entitled: ?A work with a home hospice care client´s family? focuses on an issue associated with a dying at home. The care for a dying man is in such a case provided by family members with a help of a home hospice. The theoretical part clarifies an area connected with providing of hospice services and amodern concept of the hospice care in the Czech Republic as well as in the world. This chapter´s key is a clarification of an issue of the home hospice care and its characteristics. Further it contains topics: a family, a finality of life, phases of dying according to Kübler- Ross, a palliative care, social work in the hospice care. The aim of the thesis was to map a system of the work with a family caring for a patient in the home hospice care. To work out the diploma thesis I used a strategy of a qualitative research. I applied a method of an oral questioning through a technique of a narrative interview with the caring people. As a complementary method I used a semi-structured interview with a social worker and a nurse of the home hospice. Respondents were chosen among people caring for dying men who are patients of the Tabitha Home hospice in Brno. I realized interviews during the month of February until early April 2012. The interviews took place after a mutual agreement, at respondent´s home or in the home hospice rooms. The interviews with women-home hospice workers were carried out in the hospice rooms. 10 interviews with respondents were realized. Data processing was done by categorizing data. Results show that respondents are satisfied with services of the home hospice and they evaluate them positively. They appreciate an approach, a work of the home hospice staff and their respect for the dying as well as wishes of theirs. A support from the side of the home hospice is provided in material, technical, psychological and also spiritual forms. Despite demands of the care provided by the respondents, they would care for the dying at home again. The diploma thesis has been intended for professionals dealing with the given issue, but also for a lay public who wants to learn more about the home hospice services. The thesis should show benefits of this service.
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Comparison of nursing care of clients at terminal stage provided in a hospital facility and in a hospice in the view of family members and general nurses.
MACÁKOVÁ, Jana
The bachelor thesis deals with nursing care provided to patients at terminal stage of a disease and possible differences in provision of this care in a hospital and in a hospice. The theoretical part focuses on the issues of palliative care and particularly on the needs of patients at terminal stage and a role of a nurse on their satisfying. The first aim of the thesis was to find out whether family members of patients feel possible difference in provision of nursing care in a hospice and a hospital. The other aim was to examine opinions of general nurses about provision of care of terminally ill patients in a hospice and a hospital. Qualitative research, questioning method was applied. Deep interviews with general nurses and family members of patients at terminal stage were used for data collection. The selection of family members and general nurses for the research sample was intentional. Selection of general nurses was conditioned by the following criterion: to be a general nurse with experience with care of patients at terminal stage from a hospital and a hospice. Selection of family members was conditioned by the following criterion: to be a relative of a patient at terminal stage of an illness who was first hospitalized in a hospital and then transferred to a hospice. The interviews were conducted in the Prachatice Hospital and in St. John N. Neumann Hospice in Prachatice. The data from the interviews were processed into categories corresponding to satisfying the individual needs of patients. The research results show that the general nurses as well as the family members do perceive difference between provision of care to terminal patients in a hospital and in a hospice. The biggest differences are perceived in satisfying psychosocial and spiritual needs of patients. All the nurses agree that more attention is paid to psychosocial needs of patients in the hospice than in the hospital. The difference is particularly seen in lower number of staff and lower time allocation to satisfying these needs of patients in the hospital. The family members perceive these issues uniformly. They are all convinced that no one deals with satisfying psychosocial needs in the hospital while all patients? needs are satisfied in the hospice and even patient?s accompanying family is included in the care. The general nurses as well as the family members perceive the difference in the regimens in hospital departments and in the hospice. They agree that patients in the hospital are subject to the department regimen while the regimen in the hospice is subject to patients? needs and desires. They all also perceive difference in the possibility to be in the hospice with the patient for 24 hours a day. From the point of view of satisfying psychosocial needs of patients the general nurses and family members share the opinion. They agree on the fact that these needs are actively sought for in the hospice and satisfied according to client?s interest. On the other hand attention is not primarily paid to patient needs in the hospital. This thesis could serve as study material for nursing students. I could be also used as informational material to both, experienced or staring nurses dealing with terminally ill patients within their practice. A recommendation for practice in the field of satisfying psychosocial need of clients at terminal stage is the practical output of this thesis.
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Human dignity in old age
PEKÁRKOVÁ, Lenka
The work is aimed on the concept of human dignity in terms of age. The first chapter is devoted to the basic definition of human dignity and human rights. I describe a certain views of human dignity and human rights. The second chapter is devoted to the perspectives of an age and changes in the old age, which are of great importance for the preservation of human dignity. An important part of an old age is a matter of dying, which is nowadays bound with a form of palliative care associated with the difficult ethical issue of euthanasia. The concluding part summarizes the problem of an old age that is not an easy life stage for everybody, and therefore it is important to try, in the term of the helping profession, to keep the human dignity of the old people if they do not meet it in their neighbourhood.
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VOLUNTEERING AS AN INTEGRAL PART OF HOSPICE CARE
DŽUBÁKOVÁ, Alena
This Bachelor Study focused on volunteers activity as an integral part of hospice care has been written with a view to investigate if volunteering contributes to satisfying psychosocial needs of hospice care clients. In the Czech Republic hospice care has been developing since 90´s. Its development was based on the need of Czech society, as the number of people suffering from incurable diseases has been increasing continuously. The first part of this thesis describes a history, forms and functions of hospice care, services provided, hospice staff and the client`s needs. The following chapter is focused on the history, types, importance and development of volunteering. There are also defined activities and positions of volunteers in hospice, their participation and involvement in clients care. The research was performed in hospice St. Lazar in Plzeň during March 2007. Examined topic was explorer and cleared up by the evaluation of my results. From this research ensue this main hypothesis: Volunteers contribute to satisfying psychosocial needs of hospice clients. It would be very helpful if the matter of volunteers had more space for discussion and if it would be highly appreciated as socially and humanly benefitable activity
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