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Portugal elderly home
Keblovská, Lucie ; Wolf, Petr (referee) ; Dulenčín, Juraj (advisor)
The subject of this bachelor thesis is the design of a house for the elderly in Barreira, Portugal. The building is designed to accommodate vital elderly people who do not need round-the-clock nursing care and, in addition, the building offers the possibility of cultural and educational use for the public. The site in question is located on the outskirts of the town in a quiet neighbourhood of family houses with a connection to vehicular and public transport. It is also connected to a pedestrian road leading to the city centre. Access to the site is designed both on the western side, where it directly connects to the main road, and on the eastern side, where a secondary road runs along the site. The site slopes steeply to the east and the property is therefore largely set into the ground. The main idea of the design is "a house interspersed with nature". The three main materials - green steel , light coloured plaster and oak wood - are complemented in many places by plants and trees that are close to Portugal, such as olive trees, lavender, etc. The whole building is embedded in the ground so as not to appear massive from the street and this, among other things, achieves a moment of surprise when entering the building. At the main entrance, the building appears unobtrusive, enclosed and extends from one edge of the property to the other. From the lower road, however, it is possible to see the building in its 'full glory', because at that moment it opens out into the landscape and one can observe the action on the galleries. From the eastern path one can see the three floors and the garden between them. Life in the building is thus cut off from the main road and provides beautiful views. The building is designed to clearly distinguish between public, semi-public and private space. In the layout, emphasis is placed on ensuring privacy for the residents even though the building is open to the public. The U-shaped layout offers a great opportunity to place the client accommodation units at the foot of the building, where they are afforded privacy and quiet, with public spaces in the central part of the building for meeting and socialising. With a central entrance directly adjacent to the social spaces, the public does not have to walk through the building to reach these spaces, and it is the residential units that are located away from the main entrance that offer privacy and quiet. The courtyard between the residential tracts offers part outdoor seating, part herb garden and/or ornamental garden. It is also directly connected to ramps leading to a separate chapel building. The chapel has a rectangular plan and is set into the ground so that its roof is loosely connected to the surrounding terrain. The entire complex is designed to be wheelchair accessible, whether it is the entrance doors or interior doors, landscaping or evacuation
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Dignity and ethics in the designated aspects of nursing applied in care homes for the elderly
HLINŠŤÁKOVÁ, Lucie
This thesis deals with the dignity and ethical aspects in the areas of communication with the elderly; dignified approach towards the clients during the hygienic care; and dignified approach towards the clients when serving meals and drinks in a specific care home with nursing. There were three objectives chosen for the purpose of the qualitative research of this thesis. The first objective focuses on monitoring how the dignity is maintained in communication with the elderly; the second objective focuses on monitoring how the dignity is maintained when providing hygienic care for the elderly; and the final objective focuses on monitoring how the dignity is maintained when providing the nutrition and drink scheme care for the elderly. There were three research questions established to meet the objectives of the qualitative research of this thesis. The first research question: "What elements of dignified communication are used by nurses during communication with the elderly?" The second research question: "What elements of dignified care are used by nurses when providing hygienic care?" The final third question: "What elements of dignified care are used by nurses when providing nutrition care for the elderly?" The thesis consists of two parts: theoretical and practical. The theoretical part defines the basis of dignity and ethics; as well as three other areas, such as the communication with the elderly, hygienic care and appropriate application of nourishment and drinking scheme. Data callected for the empirical part are based on the qualitative research using techniques of covert and overt observation followed by semi-structured interviews. Research respondent group consisted of five nurses previously chosen by the director of the care home with nursing. The research showed that the approach of nurses towards the clients was not always with dignity. The aim of the covert and overt observation was to understand whether the nurses were aware of their behaviour. The outcome of the empirical part show that nurses who did not treat the clients with dignity and ethically, were aware of their behaviour. The output of the diploma thesis is a forthcoming article describing particular issues and findings of the research in this thesis.
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Care of pressure ulcers in retretirement home as a nursing problem
ČERNÁ, Eliška
This paper describes the implementation of care for a client with decubitus in a nursing home, how the nursing team works together, and what barriers the nursing team experiences throughout the process. The theoretical part focuses on the issue of decubitus and its classification, examines different methods of treatment depending on the degree of disability and also deals with the prevention of decubitus. Furthermore, this part of the thesis deals with homes for the elderly and focuses on the roles of the staff in these facilities and analyses in detail the nursing care provided. The aim of the bachelor thesis was to map the specifics of nursing care for clients with decubitus. Another aim was to find out the collaboration between the nursing team and the last aim was to find out what barriers in the care of clients with decubitus were perceived by the members of the nursing team. In order to achieve the objectives, answers to the research questions were obtained using qualitative research using interview technique. The research sample consisted of nurses working in a home for the elderly who care for a client with decubitus. The results of the research showed that the nurses carry out care for the client with decubitus by other means. The research showed a varied frequency of decubitus dressings. It was also found that collaboration between members should be more consistent in informing other members of the nursing team. The research investigation further revealed barriers in the lack of medication, positioning aids and nutrition
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Limits and Barriers of Interprofessional Cooperation within the Residential Social Service of a Home for the Elderly.
VEITHOVÁ, Gabriela
The aim of the research was to find out the limits and barriers to the work of the interprofessional team of a specific home for the elderly. The research concentrated on the setting, functionality, and coordination of the interprofessional team by the organization's management, including its self-regulation and also the ability to work consciously with the professional multi-discipline. The method of qualitative questioning was used as part of the qualitative research strategy. Data were obtained from informants, members of the interprofessional team of the home for the elderly. Firstly, data were got through narrative interviews using the Focus Groups method with random groups of informants. Then semi-structured interview with 6 chosen informants was used. It was important to compare the position of the professional groups of the interprofessional team, from the data collected. The data provided by the observation method were also supplemented. Interpretative phenomenological analysis using Atlas.ti 9 was used to evaluate the provided data. The research was done in August 2023. The secured limits and barriers to the work of the interprofessional team are the benefit of the research. These provide insight into the issues of interprofessional teamwork, it means building an interprofessional team and, above all, its sustainability and functionality. Lack of staff, lack of coordination and communication, insufficient knowledge of the nature of the interprofessional team, insufficient management support, not enough harmonization, uncorrected position of professional groups, low emotional presence within the team were found. The main barriers were staff turnover, inconsistency in staff thinking, lack of shared goals, burnout syndrome, low external and inner motivation of staff. Limits and barriers to the work of the interprofessional team can be strategically processed. Through this processing, the management of the organization can further fulfill its mission and goals in the form of work with the capacity of human resources. The list of limits and barriers gained by this research can also be a confrontational material for other organizations.
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Issues of geriatric palliative care
ŘÍHOVÁ, Marcela
Introduction: As the number of elderly people increases, so do the demands for specialized palliative care. Therefore, this bachelor thesis deals with the issue of palliative care in geriatric individuals. Objectives of the thesis: This thesis aims to find out what knowledge nurses, in selected wards, have about geriatric palliative care and what is the continuity, of geriatric palliative care, between hospitals and nursing homes. Methodology: The qualitative research technique of the semi-structured interview method was used. Using the snowball sampling method, the research population consisted of nurses selected based on specified criteria. A total of 11 interviews were conducted with general nurses working in the South Bohemia and West Bohemia regions. The results were processed using the "pencil paper" method. Within the framework of open coding, 6 categories, 18 subcategories, and 154 codes were identified. Results: Nurses in selected departments are informed about geriatric palliative care issues and are still interested in further education. The results also indicate deficiencies in the amount of information being conveyed. Sending patients/clients in inappropriate conditions was repeatedly mentioned. Communication among nurses takes place through transfer messages or, if necessary, minimal telephone contact. Nurses provide standard care for geriatric palliative patients, but in some areas, they have an individual approach based on the needs and desires of the patient. Conclusion: The research results once again underscore the necessity of paying greater attention to the quality and organization of handover between hospital facilities and senior care homes.
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Ethical aspects of individual planning with nursing home clients on issues of dying and death
PETROVÁ, Lucie
The thesis discusses the ethical aspects of individual planning with clients in a nursing home on the issues of dying and death. The aim is to open this topic up, describe and reflect on some ethical situations of individual planning with regard to the wishes and needs of clients at the end of life and their ideas of a good death. The thesis is divided into several parts. It describes old age, aging and the ethical challenges it brings. It discusses the importance of spirituality in old age. It describes dying as a process, its stages and their specific issues. The concept of a good death is introduced and what issues are related to it. It deals with a person's last wishes and individual planning in a nursing home. A conversation is introduced as a central method of communication between the elderly and the caregivers, the purpose of which is to find out the wishes and needs of the elderly as a basis for individual planning with regard to ideas of a good death. Phenomenological research is presented, providing insights on this topic from the perspective of social workers, workers in social services directly serving care and especially clients. The last part of the work contains recommendations for practice, summarizing important principles based on the presented literature and the conducted research.
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Meeting the needs of clients of the home for the elderly in leisure activities
BLAŽKOVÁ, Jana
The aim of the thesis is to find out what role leisure activities play in fulfilling the needs from the perspective of the residents of a home for the elderly. In the thesis I will build on my bachelor thesis, in which I described which needs of the elderly can be fulfilled through leisure activities and under which conditions. In the theoretical part of the thesis I will extend the findings from the bachelor thesis. In the research part of the thesis, I will investigate how their needs are met in leisure activities through interviews with selected clients of a specific home for the elderly.
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Zootherapy in Nursing Homes
KADLECOVÁ, Andrea
The presented diploma thesis deals with zootherapy as a form of therapeutic intervention in homes for the elderly. I chose this topic because of personal enrichment with a theoretical basis for the practical side of things that I see every day in my job. The aim of the thesis is to find out how zootherapy is integrated into the complex care of users in homes for the elderly in the context of coordinated rehabilitation. The theoretical part of this work shows the method of implementing zootherapy into the system of coordinated rehabilitation in homes for the elderly. It also outlines the training of therapists as well as possible barriers for workers to implement zootherapy. In the practical part of the thesis, a research investigation is described, which shows the concept of zootherapy in South Bohemian homes for the elderly. Out of a total of 34 homes approached, 28 homes participated in the research survey, of which 19 described their experiences with zootherapy. The research questions were divided into the following areas: socio-demographic questions, questions determining the course of zootherapy, questions determining the benefits of zootherapy, questions determining the method of keeping documentation, questions determining financing, and questions determining the involvement of individual family members of the multidisciplinary team. The semi-structured interview method was chosen for data collection. The results of this investigation are verbally summarized, graphically represented with the help of clear diagrams and enriched with the statements of the informants. The work is designed to bring clear information from the literature as well as practical understanding and can help other facilities in the implementation of zootherapy in the coordinated rehabilitation they already provide.
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Ethical dilemmas of social workers in elderly residential services
BUREŠOVÁ, Andrea
The thesis focuses on the issue of ethical dilemmas faced by social worker when working with seniors in residential social services, specifically in retirement homes. The thesis discusses aging, social work with seniors, and the social worker, addressing the dispute associated with the helping profession. Another part of the thesis deals with ethical dilemmas and specific problematic situations encountered by social workers during their practice in retirement homes. The problematic situations are described in the form of case studies. The pivotal chapter of the thesis explores ethics in social work, its significance, values, and the application of ethical theories in social work. At the end of the chapter, an ethical reflection on a selected ethical dilemma is conducted using Kantian ethics. The principles of Kantian ethics can be helpful in the practice of a social worker when making decisions in challenging situations.
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Need of intimacy of patients women 65+
NOVÁKOVÁ, Pavlína
The aim of this bachelor's thesis was to determine the status of the needs for intimacy and privacy of elderly women aged 65+ in a nursing home. Elderly women lose part of their privacy by entering such a facility. According to their degree of dependence on care, their intimate zone is violated during nursing care. I used the method of non-standardized interviews and direct covert participant observation to find out how the elderly women feel and cope in such situations. I collected data from 10 female clients and 4 members of the nursing staff of the Stachy-Kusov Nursing Home. The group of female clients was deliberately selected to represent seniors of different levels of self-care, mobility and care dependency. All nursing professions were represented among the staff. In the interviews, I explored how the clients felt in situations where they had to surrender some of their privacy and intimacy, how they coped with these feelings, and asked about their willingness and ability to communicate these topics. I investigated how nursing staff perceived these facts, their ability to empathize and communicate non-verbally with the elderly women in their care. From the data obtained, I drew conclusions regarding the saturation of the seniors' need for intimacy. It shows that individual approach with kindness and consideration is important to improve the feelings of care recipients. It is always necessary to act in the interest of preserving the dignity of the clients, to leave them the right to make decisions for themselves, not to reduce their capacity for self-care and to offer the possibility of relaxation through positive experiences or activities. In my research, the insufficient number of direct care workers to meet the individual needs of clients and the related lack of time that can be devoted to each client proved to be the limiting factor.
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