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The issue of vaccination of workers in social services against the flu with a focus on homes for the elderly
OLIVOVÁ, Vladimíra
The diploma thesis deals with issues of vaccination of workers in social services against seasonal influenza in homes for the elderly. Furthermore, this diploma thesis deals with possible ethical dilemmas in connection with cancellation of mandatory vaccination against seasonal influenza as a result of the change of legislation in 2010. The thesis is divided into a theoretical and a practical part. The theoretical part summarizes the basic information concerning seasonal influenza, its impact and prevention, and also provides an overview of long stay services focused on homes for the elderly. In the theoretical part there are also described the basic aspects relating to ensuring the quality of the service provided. Results of the quantitative research carried out in six homes for the elderly are presented and evaluated in the practical part of the thesis. The main goal of the diploma thesis is to map trends concerning the immunization coverage of workers in social services against seasonal influenza, opinions of these workers, their attitudes towards and motivation for such vaccination. Survey research shows that the cancellation of mandatory vaccination against seasonal influenza had a negative impact on immunization coverage of the workers in social services and that in the past the most common reason for vaccination was the duty laid down by law. Moreover, it follows from the results of the research that currently the main reason for refusal of vaccination lies in distrust in efficiency of vaccination. The research has also shown the importance of practising physicians' recommendations for vaccination and their irreplaceable part in provision of information about influenza. The secondary aim of the thesis was to discover how the workers in homes for the elderly perceive the impact of sickness rate of workers in social services caused by seasonal influenza on functioning of the organisation and on the quality of the services provided. As the research has shown, the workers do not believe that incapacity for work due to influenza has an impact on the functioning and quality of the services provided. Another secondary aim of this thesis was to obtain an overview of possible motivation of the workers in homes for the elderly for increase in immunization coverage against seasonal influenza. It follows from the results of the research in question that the strongest motivation for the workers would be represented by reintroduction of mandatory vaccination. The third secondary aim of the thesis was to identify possible ethical dilemmas with respect to change in duty of vaccination against seasonal influenza. These dilemmas are defined in the conclusion of the practical part of the thesis. The results may be utilized as resource materials for motivation of both the senior employees and other employees of the homes for the elderly for vaccination against seasonal influenza with respect to protection of their clients.
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Individualization in providing diets in homes for the elderly
Pechušková, Pavlína ; Havrdová, Zuzana (advisor) ; Procházková, Martina (referee)
Diploma thesis is focused on the individualization in providing diets in three homes for the elderly in the South Bohemian region. The main goal of the qualitative research was to uncover what the options of the homes in providing the diets are, where the boundaries and the limits of the individualized care are and what the clients' attitude toward individualization is. Results of the research show that the homes for the elderly can accommodate just to the basic requirements of the client, such as replacing unpopular dish or side dish for another one. Medical restrictions of the clients in preparation and serving their food are taken into account. The homes don't have the capacity for greater individualization. Another problem is the lack of staff. The homes are limited by legislation rather than by their financial budget. Clients' conservative and conformal attitudes are not empowering managers to expand some options or to change the system. The concept of the individualization is interpreted by the homes for the elderly in different ways. In practice, they rather just try to individualize the diets, than truly doing it. It turned out that individualization is a complex phenomenon and the extend of its fulfillment depends mainly on organizations' overall approach to the clients and on the clients'...
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The population ageing and homes for the elderly - the development and geographic differences in the regions of the Czech Republic between 2007-2012
Kotlínová, Lucie ; Spilková, Jana (advisor) ; Dvořáková, Nina (referee)
The aim of this thesis is to analyse the development of providing services of homes for the elderly between 2007-2012 in the context of population ageing in the Czech Republic. In this thesis population ageing in the Czech Republic is characterised in each region and these results are compared with other countries of the European Union. In the second part the development of providing services of the homes for the elderly is analysed from the beginning of the law 108/2006 Sb., about social services based on the data from Ministry of Labour and Social Affairs, Czech Statistical Office and on the survey with social workers employed in homes for the elderly. Although the proportion of seniors in the Czech Republic in comparison with other countries of the European Union is increasing relatively fast and according to the prognosis the growth will continue in the future, the number of homes for the elderly in the reported period rose only slightly and the number of beds in them rather stagnated. This situation is caused mostly by requirements for improving of the quality of provided services, by the individualization of the care for the clients in these facilities and by stronger support of the mobile social care services for the elderly. Keywords: population ageing, senior, homes for the elderly
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Availability of social services for seniors in the Karlovarsky region now and in 50 years
Zelinka, Jan ; Kouřilová, Jana (advisor) ; Prudká, Šárka (referee)
Master thesis aims to evaluate the accessibility of social services in Karlovarsky region. The thesis is focused on the demographics of seniors and social services intended for them, specifically retirement homes. In addition to analyzing the accessibility of social services is elaborated demographic projection of region's population over the next 50 years. In the theoretical part is described the definition of social policy and the fundamental theoretical principles, types and functions. This part also describes the legislative framework of social policy in the Czech Republic. In relation to social policy are presented issues of community planning as a tool for the implementation of social policy in the Karlovarsky region. The conclusion of theoretical part is devoted to the theory of demographic projections and describes the basic projection methods. The practical part in the introduction focuses on general and demographic characteristics of the Karlovarsky region and the current state of social services for the elderly, specifically homes for the elderly. The second half of the practical part presents a demographic projection of region's population over the next 50 years and is focusing on senior component whose proportion in the population will increase. This projection is calculated by the component method without migration. The conclusion of the practical part is comparing the initial state of social services and the anticipated development of seniors. It also describes community plan in the Karlovarsky region with emphasis on the development of social services for seniors. Documents drawn up by the Karlovarsky region on issues of social services and conclusions of this thesis suggest that there is no need to increase capacity, but rather to focus on the change in the structure of users and ensure that these services are provided to people whose health condition really requires this kind of complex social care.
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Interview as an important part of social work in homes for the elderly
KOTLÍNOVÁ, Lucie
Population ageing in the Czech Republic and efforts to meet the widest spectrum of needs of clients of the homes for the elderly are currently very live. This thesis deals with the role of the conversation in a social work in the homes for the elderly. The main goal of this thesis is to show how some of the needs of the elderly could be met through the interview with a social worker. In the first part, the elders' lives changes are described, specific needs and tasks comming with the advanced age are identified and basic principles and aspects of communication are explained. In the second part of the thesis, the homes for the elderly are defined according to the law 108/2006 Sb. This part also describes the propperties of these homes and considers the purport of moving/placing the elderly there. Moreover, it presents the main principles of the interview with the client of the home for the elderly. Last part of this thesis is dedicated to a discussion of limits and other aspects of this kind of interview. Being aware of all the changes, specific needs and other tasks that come with the advanced age as much as of the basic principles of the communication with the elderly, the interview can become a very effective instrument for meeting the clients' needs.
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Analysis of nurses´ activities in nursing care for seniors (medical facilities, HCA, senior homes)
KUDLÁČEK, Petr
Theoretical Basis Demographic data show that the world's population has been aging and there are more and more elderly people who need health and social care. The same situation is in our country. Every person lives his/her life in a unique way. With aging changes occur in physical, mental and social aspects. To cope with them requires help, tolerance, respect and patience shown by other people. The current forms of care for seniors are carried out in health facilities, social facilities as well as families. The changes bring about the need to find a new way of life. The most frequent changes occur in self-care which results in increased demands on the care of other people. Some seniors do not need almost any services and some are dependent on permanent comprehensive care. Definitely, the best way for seniors is living at home with the support of their families and the cooperation with home care agencies when health care is necessary. Everyday nursing care for seniors depends on the degree of their self-sufficiency and is extremely challenging. Caring for seniors is often complicated by changes in the behavior of seniors in communication, aggressiveness, disorientation caused by today's relentlessness and memory disorders. Caring for immobile seniors also places an enormous physical strain on nurses. Aims of the Study In this thesis, one goal was set, that is to survey the activities of nurses in nursing care for seniors in selected health care facilities, home care agencies and nursing homes. Methods Used in the Study In the empirical part of this thesis the qualitative research method of observation was used to conduct the research survey. The research survey was conducted through observation, in which the frequency of nursing activities was observed, and the time consumption of selected nursing activities (recording nursing documentation, intramuscular injection administration, subcutaneous injection administration, insulin administration with an insulin pen, capillary blood collection, venous blood collection, a planet urinary catheter insertion in women, blood pressure taking, blood sugar levels testing using a glucometer and colostomy care) were recorded into pre-prepared observation sheets (Appendix 2) and (Appendix 3) in the Home care Agency in České Budějovice from May 1 to July 5, 2013, in the Home for Seniors in České Budějovice from July 8 to July 12, 2013 and in České Budějovice Hospital, plc, in the Aftercare department from July 22 to July 26, 2013. The data sheet with activities when time measurements were carried out was compiled based on a preliminary research, when all the mentioned facilities were visited beforehand to find out which activities were carried out in all the facilities where the research study was conducted. A digital stopwatch was used for measurements. The time measurements are stated in units of time rounded up to the nearest minute. Each nursing activity was measured from its preparation through implementation to completion. Observations were carried out eight hours a day, 5 days a week in each facility. Overall, 160 hours for 3 weeks. Observations were conducted during regular operating hours in the facilities; every day one nurse treating fifteen seniors in each facility was observed. The frequency of nursing activities and the measured values were statistically processed - summed, averaged, and standard deviations were calculated. Results of the Thesis The analysis of the data implies differences in nursing activities carried out by nurses in particular facilities and the time measurements show time differences between particular facilities in nursing activities performance. The goals of this thesis were achieved after the research investigation and the research questions were answered.
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Filling the needs of selected clients living in homes for the elderly with an emphasis on sexuality
MUSILOVÁ, Kateřina
This thesis deals with the filling of selected customer. Leeds for the elderly with an emphasis on sexuality. I evaluated primarily its fulfillment, mening, and the wiew of social workers on the subjekt. In the theoretical part I focused on aging, age, health ganges, health ganges that affesct sexual life and the very elderly sexuality. I also tried find signifiant determinants that affect social workers views on sexuality seniors and also on the way to the fulfillment of its. Professional in care homos for the elderly. In the research I examined the communication of caring in connection with the intimate life of seniors. The work is focused on the analysis of the results obtained exploratory investigation.
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Similarities and dissimilarities in access of different Church institutions for pensioners
BOUCHAL, Jan
The first part of this bachelor thesis deals with a brief history charitable activities of two churches that are in our country significantly active in helping the seniors. The most important church provider of social services for the elderly is the Roman Catholic Church; the second one is the Evangelical Church.The chapter entitled "Characteristics of the approach in church homes for the elderly" provides a basic description of each approach in the surveyed areas of care. Within the Church's approach the emphasis has been placed on the care for the spiritual needs of the clients. The practical part compares the selected approach areas in four church homes for seniors, all founded by the Charity Czech republic and Diaconate of the Evangelical Church of Czech Brethren.The research is divided into two parts. The first one describes the nature of the services provided by selected church homes for the elderly in areas of social work, charity work and as a part of it also the care for the spiritual needs of seniors, activation programs and the availability of these devices in terms of regional, financial and capacity features.The second part illustrates various forms of the religious pluralism of the direct care workers. Its aim is to determine the influence of this religiosity on their perception of the importance of the care for the spiritual needs of their clients and to find out whether the employees are themselves involved in the care of the mentioned needs.
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Satisfaction of Clients with Activation Activities in the Nursing home Mr. Křišťan Prachatice
BAUEROVÁ, Drahomíra
Bachelor thesis investigates client satisfaction with activation activities in Home for Elderly Champion Kristan Prachatice. The theoretical part is devoted to aging, old age, the needs of the elderly, homes for the elderly and adaptation of them. There is also characterized by activity in old age and their support, motivation for activities, each activating activities and their importance for the elderly. The practical part includes qualitative research that focuses on customer satisfaction with activation activities. Was carried out ten interviews with clients, devices, and two interviews with two employees who work in activating activity. Based on research I have established the following hypothesis: At least activating activity used in homes for the elderly in the Czech Republic are creativie activities.
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Leisure activities in homes for the elderly in the city compared with the village
KUBIŠOVÁ, Barbora
A topic of this bachelor thesis is "Leisure activities in homes for the elderly in the city compared with the village". A theoretical part of the bachelor thesis is divided into three circuits, in the first one there are explained conceptions of an old age, ageing process and changes associated with it. The second circuit is devoted to a leisure time of the elderly and an introduction of possible activities. Last, but not least, there is mentioned a social work with seniors. A practical part is focused on achieving the defined objectives. The fist goal was to compare leisure activities in chosen homes for the elderly in cities and villages with the help of a secondary data analysis. Activity plans and their websites underwent the secondary data analysis in the chosen homes for the elderly. The second goal was to find out seniors´ satisfaction with provided leisure time activities. The satisfaction was measured through a questionnaire. The research showed that the seniors are satisfied with the leisure activities in all the chosen homes both in the cities and in the villages. Following hypotheses were established before an implementation of the research: Hypothesis No. 1: Leisure activities in homes for the elderly in cities are comparable with leisure activities in the homes for the elderly in the villages. This hypothesis was confirmed by the research. In all selected homes for the elderly there is an emphasis on leisure activities, all homes for the elderly hold similar (comparable) leisure activities for their clients. Hypothesis No. 2: There are no differences between an organization of leisure activities in the homes for the elderly in cities and villages, was not confirmed. The secondary analysis revealed that the homes for the elderly in the cities have more employees engaged in the leisure activities. Therefore they can devote more attention to immobile clients. Additionally there still come volunteers to those homes, who individually attend to the single clients of the homes. The thesis can be used by both by professionals and the general public to obtain information about leisure activities in the homes for the elderly in the cities and villages and a possibility to assess any differences in an offer of the leisure time activities.
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