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Activation Activities and Therapies in the Nursing Homes with Special Regime
ŽEŽULKOVÁ, Tereza
The Bachelor's work focuses on providing activation activities and therapies in nursing homes with a special regimen. The aim of Bachelor's thesis is to map out the provision of activation activities and therapies to users at home with a special regimen. The work is divided into theoretical and practical parts. The theoretical section is divided into two main chapters and nine sub-chapters. The first chapter defines the main terms from a home environment with a special regimen - target group, workers of a home with a special regimen and their education, activism activities and individual planning. The second chapter of the theoretical section explains the activism activities and therapies which are provided the most at homes with a specific regimen. The qualitative research, questioning method and semi-structured interview technique are used to collect data for the practical part. The HVO survey question has been determined: How activation activities and therapy are provided at home with a special regimen. In addition, there are determined two sub-research questions DVO1: What is the education of workers who providing activation activities and therapy at home with a special regimen? DVO2: How do homes with a special regimen co-operate with special educators? The research was realized during the month of February and March 2020 at homes with a special regimen in the South Bohemia. The results follow that activation activities and therapies at homes with a special regimen in the South Bohemia are provided in a broad range, individual and group forms. The workers who procure the activation continuously supplement their education and they educate in new areas. The results of the bachelor's thesis are useful for students of selected fields, for workers who providing activation activities and therapies at homes with specific regimen and as feedback for the facilities where the research is realized.
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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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Implementation of garden therapy in a special regime home
Kubištová, Nina ; Pazlarová, Hana (advisor) ; Dočkal, Jan (referee)
TT bachTlor thTsis dTals with thT topic of a gardTn thTrapy. It rTprTsTnts thT gardTn thTrapy as onT of thT possiblT activation activitiTs. TT introduction part of thT thTsis contains thT dTfnition of thT rTlationship bTtwTTn a human and thT naturT and thT prTsTntation of a gardTn as a spacT and an instrumTnt for a rTalization of thT gardTn thTrapy. TT nTxt part of thT thTsis introducTs basic tTrms rTlatTd to thT fTld of gardTn thTrapy itsTlf - its dTfnition, history, thT rolT of thT gardTn thTrapist, forms, TfTcts, its procTss, individual approach to gardTn thTrapy participants, thT importancT of idTntifying of thT nTTds of thT cliTnts with a spTcial rTgimT and thT critTria for an Txclusion from thT participation in gardTn thTrapiTs. TT rTadTr is familiarizTd with thT diagnosis of dTmTntia and thT gTnTral principlTs of an accTss to cliTnts sufTring from dTmTntia. TT thTsis contains also thT crTation of a spTcifc dTsign of a possiblT implTmTntation of a thTrapTutic workplacT in thT HousT with a spTcial rTgimT of Slaný (hTrTinaftTr HousT Slaný), towards dTmTntia patiTnts. In thT chaptTr titlTd "Application of GardTn TTrapy in HousT Slaný", thTrT is introducTd thT workplacT of HousT Slaný itsTlf, its currTnt ofTr of activation activitiTs and thT currTnt appTarancT of thT thTrapTutic sTnsory gardTn...
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Client's life at Special Needs Nursing Home and their activation
Kolářová, Kristýna ; Válková, Monika (advisor) ; Kaňák, Jan (referee)
In my diploma thesis entitled The life of clients of the Home with Special Regime and their activation, I deal with issues related to activation programs for the elderly and their effectiveness. The use of exploratory questions using case studies of clients provides insight into their daily routines and into their leisure time that can be used for activation. The aim of this survey is to seek to expand opportunities to develop current but also future activation. The thesis also looks at the different types of therapies (art therapy, music therapy, drama therapy, etc.) that are suitable for use in a Special Needs Home. The thesis also focuses on activation workers who should be provided with motivation to work with clients. Due to the covid crisis, I was forced to focus only on the Home with Special Regime, within the CSOP of Prague 15. The practical part is devoted to a survey to determine the quality of the current activation and to focus on improving future activation programs. The results of the survey show that the clients of the Home are satisfied with the current activation, although there are some reservations from the respondents, which, thanks to the survey and the answers from the survey questions, showed that there is room to start addressing these inequalities.
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Ethics and Power in Social Health Services
Hradcová, Dana ; Holmerová, Iva (advisor) ; Bittnerová, Dana (referee) ; Parry Martínková, Irena (referee)
The following text is an ethnographical study of relations in which care is shaped. On the example of care homes with special regime I describe how power is made and how different ideals are enacted in care of people with dementia. Through the analysis of daily activities' micro practice, I introduce two possible ways (modes of ordering) of care for frail elderly with cognitive impairment. The first of the modes is based on an enactment of ideals introduced into the practice by the Social Services Act and related system of quality standards: autonomy, individualisation, activation, and inclusion. It relies on standardisation of procedures, detailed specification of actions and management by objectives. The second mode of ordering, which could be located in the stories from care homes, is founded on an inevitable human dependency and vulnerability, and on general human need of giving and receiving care. In it, relationships and care improvisation here and now play the key role. My ethnographic fieldwork has shown that in everyday practice these two ways of doing good care co-exist - they complement each other, overlap and sometimes clash. People in care homes, striving for the better and the best care, either keep together, or hold apart these different and non-coherent ways of care. In discourse of...
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Variant project solution
Prokůpek, Martin ; Hromádka, Vít (referee) ; Vítková, Eva (advisor)
The bachelor thesis deals with what is the project, its life stages and the variation possibilities of the project. The case study examines the different project options, focusing on the capacity and staffing needs. Economic indicators are also important for this work, which are key to comparing the options.
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Specifics of Residential Care for Elderly People with Dementia
ŠIMÁNKOVÁ, Michaela
Currently, there are more and more people who become ill with some form of dementia. Clinical course of the disease is so destructive that patients gradually become dependent on the care of someone else, and therefore it is necessary to find for them a residential care home, where their safety, continuous supervision and day care is provided. This bachelor thesis deals with various types of dementia and possibilities of the care for elderly people with dementia according to the Act No. 108/2006 Coll. Its aim was to find out specifics of the care for elderly people with dementia as seen by social services workers from one of the special regime homes and to indentify which ones they consider to be the most important. The research focuses on the communication with clients, their nutrition, everyday activities, activation and security of clients. As very interesting aspect was revealed the effort to find a balance between maintaining client´s dignity and the necessary reduction of their wishes in order to ensure the necessary safety. The findings of this research could help residential care home managers to select an appropriate further education for caregivers to deepen their communication skills and self-reflection.
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The issue of falls in special-purpose homes
RESŐOVÁ, Žaneta
This bachelor thesis is focused on the falls and their problems in special-purpose homes. The aim was to map out the interventions and measures that are applied to prevent falls of patients/clients in special-purpose homes. Another aim was to find out the most frequent causes and circumstances of patients/clients falls and the opinion of nursing staff on the issue of falls and their solution in special-purpose homes. The work was divided into two parts. The first, theoretical part, describes the basic concepts of gerontology, geriatrics and the comprehensive geriatric assessment. Furthermore, there is a detailed description of falls, which includes the instability syndrome with falls, the phenomenology and etiology of the fall, the fall prevention, the fall complications and the nursing care after the fall. The next chapter describes special-purpose homes, their specifics and the principles of nursing care for people with dementia. The second part of this work is the empirical part. The research was carried out by qualitative research, by questioning and observation. In view of the objectives, 13 questions were created for the semi-structured interview. Ten nurses and four carers from five special-purpose homes attended the interviews. The obtained data were then processed using open coding, by the metod pencil and paper. Seven categorization groups from interviews and four categorization groups from observation were created. The results of the research show that the most common preventive measures in all facilities are compensatory aids, monitoring health status and the modified environment in special-purpose homes. The most frequent cause of falls of patients/clients in special-purpose homes is the state of health of the elderly, poor estimation of physical possibilities, confusion and restlessness. The opinion of nursing staff on the issue of falls in special-purpose homes is that dementia has a great impact on the falls and the individuality of each patient/client is important. Overall, research has shown that falls occur despite all the measures and may be related to the frequent cognitive disease that the pacients/clients often suffer from. It would also be appropriate to raise the awareness of all staff about the problematics.
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The role of supervisors in social service facilities from the perspective of executives
JESTŘÁB, Jakub
This bachelor thesis deals with the expected role of the supervisor in the social services facility. The aim of this thesis was to map the expected role of supervisor from the perspective of senior social service workers with registered services of special regime homes in South Bohemia. The thesis consists of a theoretical and a research part. The first chapter introduces the context of providing social services in accordance with the current legislation. Special space is dedicated to the social service - "home with a special regime" and its target group. Furthermore, the term "helping professions" and their application in social services are discussed. The second chapter of the theoretical part deals with supervision and its conception in social work. In the section on supervision, this process is defined, goals and functions or types and forms are mentioned, the supervisory contract is also added. The section devoted to the supervisor discusses his / her professional competence and personality assumptions. The last third chapter of the theoretical part presents in detail the evaluation criteria of the supervisor in terms of personality qualities, negotiating a supervision contract, ethical and moral aspects, education and professional assumptions, direct management and supervision management, documentation and communication of acquired knowledge. The empirical part examines the expected role of supervisor from the perspective of executives. The main research question was: "What is the expected role of the supervisor in terms of executives?" The following four research questions have been set to answer the main research question: What personality assumptions influence the quality of the supervisor? What qualities should a supervisor meet professionally in terms of education? What do the formalities of supervision optimally look like? What should supervision output look like? The research was carried out by means of a qualitative research stratégy. To collect data, there was chosen the technique of semi-structured interview with senior social service workers with registered services of special regime homes in the South Bohemian Region. The research was conducted in two phases. The first phase was pre-research and the second phase was the research itself. The research sample was compiled using quota selection and consisted of ten informants. The research showed that the communication skills and the ability to empathize with others are positively evaluated in personality assumptions. On the contrary, arrogance, authoritarianism, ridicule, self-centered or impulsive behaviour is undesirable. A male supervisor who has at least a middle age is better accepted. The supervisor should be aware of the fact that he / she has power of supervising and should not deliberately abuse it. In addition, research suggests that if a supervisor is expected to have a proper education, then it should be in the form of a university degree in psychology, social work, andragogy or sociology. Supervisory training is intended to serve the supervisor for higher professionalism and psychotherapeutic training to help him / her work more professionally. It was also found that most of the facilities has a supervisory contract for a period of one year and then mostly prolongs it. In particular, he / she specifies payment terms and confidentiality Furthermore, from the obtained data it can be stated that supervision should be performed every three months in the form of a combination of individual and group supervision. The topics should be primarily working topics, especially at the level of inter-institutional relations. The facility evaluates only the process of supervision and its impact, not the supervisor. The interviews were recorded on a dictaphone, then literally transcribed and processed by the clusthering method. The clusters were then encoded and divided into more general categories.
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