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Linking Family Care and Personal Assistance
BRABCOVÁ, Jana
Currently, old age and associated issues of care for the elderly are very topical problem in terms of the demographic changes in society. This BA thesis responds to the changes in the society-wide climate caused by population ageing. This BA thesis focuses on linking of family care and social care in accordance with the Social Services Act No. 108/2006 Coll. These are examined in the context of a particular field social service providing personal assistance. The aim of this thesis is to establish what options and limits exist in terms of care for the personal assistance client who is concurrently attended toby a family member or members. The thesis emphasizes several fundamental topics. It focuses predominantly on the importance of family care and personal assistance services, relations between generations, and the role of the elderly and their family in providing care. For the empirical part of the BA thesis a strategy of qualitative research was chosen, using methods of participant observation and focus groups. Obtained data were divided into four areas on the basis of the examined phenomenon, and these were analysed into research results. The focus group consists of twelve personal assistants of the organisation who were selected by exhaustive selection method. The subsequent analysis of obtained data assessed what situations of the combined form of care most often lead to conflicts and difficulties. These include mainly miscommunication among the client, personal assistant and family, conflicts of interests, family disputes, domination, necessity to reduce the load on the family, and obtaining information on care. In conclusion, the results of both theoretical and practical part demonstrated that the essence of the combined care can be fully accomplished only under the condition of effective communication and cooperation of all parties involved - personal assistant, client, and family.
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Use of Canistherapy in SeneCura SeniorCentrum Písek
ZEMANOVÁ, Tereza
The thesis deals with the use of canistherapy in the senior house SeneCura Písek. The theoretical part characterizes what canistherapy is, what are its forms, methods, techniques and effects and where it is possible to use canistherapy. It also describes the senior's needs and the types of social services they can use, specifically focusing on the SeneCura SeniorCentrum Písek. The practical part deals with the question of what effect the use of canistherapy in a residential form has on clients and how the whole process is perceived by seniors and employees.
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Problematics of transferring the patient onto home artificial pulmonary ventilation
HRBKOVÁ, Lenka
Home artificial lung ventilation (DUPV) is very current topic these days. It provides great hope for the possible return of a patient permanently dependent on artificial lung ventilation back to the home environment. Due to injuries or the development of the disease, some patients are permanently dependent on the support of artificial lung ventilation (UPV). Staying at home with the support of DUPV brings many benefits for these patients. The theoretical part of the diploma thesis is divided into six parts. The first part is devoted to a historical view of the development of artificial lung ventilation. The second part describes the respiratory system. The third part is devoted to artificial lung ventilation, where in the subchapters the indications for connection to UPV, physiological goals, clinical goals and also the subsequent intensive care are analyzed in more detail. The third part comprehensively describes DUPV. The subchapters are devoted to indications for connecting the patient to DUPV, there are described organizations dealing with DUPV. It describes the application for the implementation of DUPV, preparation before the patient goes home, provided nursing care and equipment and medical supplies necessary for implementation. The fourth part focuses on an overview of social benefits and the fifth part on the implementation. Two goals were set for the diploma thesis: 1. To find out, with what problems, including artificial nursing care, do patients face with artificial lung ventilation. 2. Identify what problems, including nursing care, patients experience with home artificial lung ventilation. To meet the objectives, three research questions were created: 1. What problems, including nursing care, occur to patients dependent on artificial lung ventilation in the Follow-up Intensive Care unit? 2. What problems, including nursing care, occur to patients dependent on home artificial lung ventilation? 3. What are the changes in the quality of life and nursing care of patients dependent on ventilator in the hospital and patients dependent on ventilator at home? The empirical part of the diploma thesis is processed in the form of a qualitative research survey. The method of semi-structured interview with NIP general nurses of an unnamed district hospital, caregivers and patients at DUPV was chosen. The method of self-observation and examination of decurses was also used. The interviews were conducted on the basis of pre-arranged questions with four nurses, three caregivers and three patients. The "pencil and paper" method and the open coding method were used to analyze the interviews. For grater clarity, the categories and subcategories were visualized in graphic diagrams. They were also used to compile three case studies. The results of the research survey show that general nurses deal with nursing care, respiratory care and also listen appropriately to the needs of patients. The most common problem that was mentioned was the implementation of personal hygiene, due to the mental and physical dufficulty for patients. Furthermore, problems with defecation, immobility and problems with gestures and communication. An unpleasant problem was also the irritation of the airways during suction. Patients 'and carers' responses show that the most common problem is dependence on the carer for personal hygiene and excretion. Also problems with falling asleep. Social isolation and deteriorated possibility of communication are also problems. A change in the quality of life and nursing care of UPV-dependent and DUPV-dependent patients at home was also found. The answer to this question is that a hospital stay is physically and mentally demanding. It has been said that being at home is real luck. The opportunity to be with family and be able to do everything by yourself. I believe that the work could serve to improve the awareness of family members of patients at DUPV. The work could be used to collaborate in a GAIA grant project.
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Prague Care of Orphans and Abandoned Children in the First Half of the 20th Century
Fremrová, Květa ; Čechurová, Jana (advisor) ; Rákosník, Jakub (referee)
The master thesis investigates the care of orphans and abandoned children paying special attention to how the care was executed in Prague in the 1st half of the 20th century. First, the thesis describes the general development of care of these children and of legislation. It then focuses on Prague social care of children. The orphans and abandoned children could be provided either in foster families (this form of care was more frequent) or in orphanages. Prague children were often placed outside of Prague to the so called family colonies, where the foster families were concentrated and where it was easier to control the quality of care those children attained in foster families. The other option was care in orphanages. Those could be established by the city, by the church or by an independent charity association. For each option I chose one Prague orphanage as an example. I also tried to describe the everyday life in these institutions. The last chapter focuses on the period view on advantages and disadvantages of both forms of care. Keywords: orphans, abandoned children, social care, Prague, children's homes, foster care, family colonies
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System of care for people with deafblindness in the Czech Republic
Obselková, Gabriela ; Kotvová, Miroslava (advisor) ; Komorná, Marie (referee)
This thesis deals with deafblind people and their lives. The work investigates how the system of care for these people works in the Czech Republic and how the clients themselves are satisfied with this care. The introductory theoretical part provides basic information about dual sensory impairment, it explains the concept of "deafblindness", describes its classification, etiology and diagnosis. Attention is also given to several fundamental pillars of care of people with deafblindness, such as communication, education, social services, career success, socialization, aids, etc. Second part of this thesis consists of research that has been done using questionnaires with aim to determine how the care of the deafblind is implemented in the Czech Republic and how it is evaluated by particular clients. Survey results have provided personal reference of deafblind individuals about services, organizations and aids, about their frequency and availability. Keywords Dual sensory impairment, deafblindness, sheltered housing, communication systems, organization, people with visual and hearing impairments, aids, employment, social welfare, education.
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Total Home: Care and Social Life in Psychiatric Institution
Tichý, Mikuláš ; Abu Ghosh, Yasar (advisor) ; Klepal, Jaroslav (referee)
The thesis is based on three months of participant observation in a long-term care facility in 2010 and interviews conducted during next three years. It draws from a perspectives of medical anthropology and anthropology of institutions. The focus is on an ethnography of institution for clients with chronic mental disease, dementia and substance abuse. The thesis is mapping institution's components and actors, their social life and relationships in the institution. The analyses is based upon the concept of total institution by Erving Goffman, and draws from thoughts of Josef Pieper, Martin Buber, Emanuel Lévinas and Michel Foucault. A long-term facility is an institution, which shares clients and some of problems with classical examples of total institutions, but recent reforms aimed to minimalize features of total institutions. Still it does not seem to be a vital institution and new aspects of social situation of staff and clients are recognized. Among new problems is non-existence of therapy for the inhabitants, their marginalization through poor financial situation in an institution, where lot of services are paid and little continuity to other forms of care of more community and ambulant character. Key words: total institution, long-term facility, psychiatric care, medical anthropology,...
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The private retirement homes in the system of social care in the Czech Republic.
Sršňová, Lucie ; Dobiášová, Karolína (advisor) ; Angelovská, Olga (referee)
The diploma thesis is focused on the ambiguous position of private retirement homes in terms of view of legislative anchoring, public funding, management, operation and quality standards. It also identifies problematic areas of private retirement homes, which is not well described phenomenon in the Czech Republic. The theoretical part deals with the concept of Public Private Partnership. The factual background develops in detail the situation of private retirement homes in the Czech Republic. The aim of this thesis is to find out how the legislative conditions are set to Czech private retirement home's financing, establishing and management. Another aim is to find out the differences between public and private retirement homes and to identify potential problem areas.
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