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Home hospic care
VODOVÁ, Michaela
The goal of the thesis is to answer the questions that come from author's professional experience in home hospice care. Could a social worker, already a part of a multidisciplinary team, be a coordinator of a case to be entrusted with a leading role in a case? Would a multidisciplinary team and a client benefit from a social work method case management which appears as a connector of health and social services? What should be the goal of a social worker as a coordinator of a case in home hospice care? The thesis begins briefly with specifics of home hospice care and defines relevant vocabulary concerning multidisciplinary team. The principle of cooperation of a multidisciplinary team in home hospice care is a complex view of a client and his/her quality of life and his/her close ones. The thesis also addresses the benefits and a role of a social worker as a profession within a multidisciplinary team of home hospice care. The aim is to define and show the necessity and a position of a social worker in multidisciplinary team of home hospice care. Further, it also touches a case management method its use in home hospice care, its advantages, and disadvantages; it states the duties of a case coordinator. Finally, the paper compares two home hospice care providers in Vysocina County with the findings described above.
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The Personnel Dilemmas about Home Hospic Care in the Area of Havlíčkův Brod
POKORNÁ, Kateřina
The thesis discusses dilemmas situations of The hospice staff in Havlíčkův Brod. The occurrence of these situations concerning a social worker, medical and caring staff was determined. The aim of the thesis was to find out how these dilemma situations are solved. The theoretical part of this work describes issues related to the hospice care. It defines the history hospice care and the current hospice care in the Czech republic. The work is also dedicated to the palliative care, mainly to the hospice home care. It considers closely issues of the death, dying, dying person and also his relatives, who take an irreplaceable role in this process. There is also the important description of the multidisciplinary team which creates base of providing palliative care for dying people and their relatives. At the end of the theoretical part, I concentrate on dilemmas and problematic situations. The practical part came from the quality research. The tool of this research was the questioning and the method of the instruction interview. There were three participants in the research. The data processing from the interviews was evaluated by the method Open coding. It was proved by the research that every dilemma situations was always solved on an individual basis of the hospice home care staff with the respect to the bio-psycho-socio-spiritual side of the client and his relatives. The caring staff try to support the idea of hospice movement which is raising public awareness of their work among professional and non-professional people. They acknowledge the teamwork, they solve the problematic situation with the intervision, they use their own experience and they improve their specialization by education. It is clear from the research that the staff need to be supported by their families to cope with difficult situations and also the faith in the sense of their work gives them strenght.
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Experiences of caregivers with home hospice care
Schiebelová, Eva ; Mužáková, Monika (advisor) ; Durdilová, Lucie (referee)
The subject of this diploma thesis is to analyze and describe the specific experiences of three caregivers with a home hospice care using chosen qualitative research method. It try to find answers to questions about why these people chose home hospice care, in what they see its positives and negatives and what obstacles and problems need to be overcome during care. The first part focuses on the characteristics of home hospice care, the introduction of various concepts of bereaved and mapping support for caregivers. In the second part is done phenomenological investigation of experiences of these three participants of research.
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Palliative care is provided by patient's family at home
KUČEROVÁ, Tereza
The thesis, titled Palliative Care Provided by Patient's Family in Home Environment, discusses the specific care needs of a terminally ill patient in his/her own home. Caring for an ill person in a home environment is beginning to be a growing trend in home care, but also it is an increasingly common wish of the patients themselves. The family is therefore required to have enough theory and practical knowledge in order to deliver a highly demanding personal care for their close family members. The aim of the thesis is to summarize the current situation of delivering palliative care in home environment in Czech Republic whilst concentrating on the specific needs of the patient and the needs of their family. The objectives of the research were to determine whether family members were introduces to the specifics of palliative care of terminally ill patients; to map their skills in delivering palliative care in home environment and to reveal the most common issues that family members come across in that home environment. The final objective was to map out services in regions of Central Bohemia and Liberec that are accessible to family members whilst caring for a terminally ill patient. The research part of the thesis was completed employing a method of qualitative investigation using semi-structured interviews with patient's family members and nurses providing hospice care in home environment. It emerged from the analytical interviews that the family's knowledge level regarding support for palliative care in home environment is very limited and in hospitals families are only given minimal or no support or information. As a final document for the thesis an informative educational brochure was created based on the results of aforementioned research, primarily targeting patient's family; its core objective is to improve information and collate the specifics of care that would allow the patient a dignified end to their life.
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Introduction of home hospice care from the perspective of social work
JANOUŠKOVÁ, Martina
The work is focused on introduction of home hospice care from social work´s point of view. The thereoretical part deals with characteristic of hospice, hospice care, then home hospice care and valid legislation in a more detailed way. Emphasis is put on the social work in hospice care and the position of a social worker within hospice care. Research follows the theoretical part, research has the goal to find out if home hospice care with a social worker succeeds in phasing to a large extend. Research file consists of four facilities of home hospice care in South Bohemian Region. The research concerns Home hospice Jordán in Tábor, Saint Kleofáš´s Home hospice care in Třeboň, Home hospice Athelas in Písek and Saint Jan N.Neumann´s Hospice in Prachatice.
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The availability of the field hospice care in the Ceske Budejovice District
HAVLÍKOVÁ, Michala
This thesis focuses on the availability of the field hospice care in the Ceske Budejovice District. The target of this thesis is to chart the problems of developing the field hospice care in this region. I have also tried to find out, how the family members are informed concerning awareness of the field hospice care, the need of providing this field hospice care within this district and to analyse the possibilities of implementation the field hospice care to the health and social services system. In the theoretical part there are some terms explained relating to this topic. The detailed described issues are hospice care, palliative care, the final stage of life, legislation and the system of funding of this kind of care. In the practical part there has been targets and hypothesis described as well as the own methods of research and its results. A quantitative research had been chosen for finding information. I have chosen the method of interviewing through a questionnaire. The research has been done by contacting in both direct and indirect form (email). Family members who look after the patients in the terminal stage of their disease and the expert community (physicians) were questioned.
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The Development of Hospice Care in the South Bohemian Region
PŘEDOTOVÁ, Eva
Hospices provide palliative medical care to patients in the terminal stage of their disease. The idea of hospice care is based on the respect for a human being as a unique and unreproducible entity. This approach ensures that a person does not stay alone in the last moments of his or her life, does not suffer unbearable pain and, last but not least, is guaranteed that his or her human dignity will be preserved and respected in all circumstances. This thesis focuses especially on providing hospice care in clients' homes. The goal of hospice care is to enable a person suffering from a serious disease to spend the last moments of his or her life at home with his or her family. It emphasises both a quality care of a dying person and support of the nursing family. The bachelor thesis is entitled: The Development of Hospice Care in the South Bohemian Region. It aims to determine the need for providing field hospice care and at the same time to describe the issue of home hospice care development in the South Bohemian region. In order to achieve these aims, the method of qualitative research has been used, namely the technique of semi-controlled interviews, supplemented by a survey. Three interviews carried out with the representatives of the Hospice of St. Jan N. Neumann clearly showed that the public as well as healthcare professionals are interested in field hospice care. Even the medical staff who took part in the survey held a similar opinion, mainly stressing the interest in home hospice care among their patients. The interview with the director of the hospice in Prachatice clearly indicated that everything was ready for launching the home hospice operation. However, it is not possible to launch this service due to the insurance company's, as the main finance provider, lack of willingness to help. The insurance company is not interested in signing a contract with the only registered hospice in the South Bohemian region, namely the Hospice of St. Jan N. Neumann.
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The Empathy in Volunteer and Hospice Worker Caregiving
VÁCHOVÁ, Lucie
The goal of the theoretical part is to deal and understand issues as death and dying, human personality and sel ess help in volunteer and hospice worker caregiving. The aim of the research part is to evaluate personal characteristics of volunteers who take care of dying people. It also includes a questionnaire which examines the level of interpersonal orientation, the volunteers´ capability to organize their work, their endurance and motivation. The questionnaire also focuses on the volunteers´ altruism structure, empathy and willingness to help. I addressed volunteer caregivers in civic associations Sdileni (Sharing) and Cesta domu (Homecoming), St. Alzbeta Hospice in Brno and some volunteer caregivers who have experience with dying or terminally ill people. I compared the results of my research on 15 volunteers with the results of the research carried out by Assoc. Prof. Helena Zaskodna on 828 students of assisting professions in 2006-2008. Both my results and those reached by Assoc. Prof. Helena Zaskodna confirmed that the volunteers showed a higher degree of empathy, exocentric altruism, endurance, and kindness, as it was expected. I tried to write this thesis in a way easy to understand for everybody. I also tried to provide enough evidence to motivate the reader to re-evaluate his or her way of thinking and behaviour and to understand that we ourselves create our lives: Let compassion beget compassion.
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A Social Worker in a Mobile Hospice (A Position of a Social Worker in a Multispecialty Team
NOVÁKOVÁ, Markéta
This dissertation deals with a question of dying, accompanying and a service of incurable patients in all forms of hospice treatment only marginally. I am mainly focusing on a homecare service as well as on the role of a social worker there. The first part is about a principle of hospice, accompanying and palliative care. It is describing several forms of hospice service including ethic problems. The next part is telling about begining of social work as a part of paliative medicine and describing a contexture between these two branches A question of voluntary work is also mentioned there. The third part is dealing about multispecialty team and a contexture among particular professional occupations, including social worker and his role, his position in the team, activities, competences, knowledge and abilities etc. The fourth part of this essay is about social work in a mobile hospice and about the importace of taking care of oneself as a burn-out prevention. The last, (fifth, sixth, seventh) parts introduce operative part , where I am trying to introduce information achieved through descriptive metod of interwiev with particular members of the multispecialty team and with the concrete mobile hospice social worker.
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