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Nursing ethics in the terminaly ill
KÁLALOVÁ, Monika
Nursing moral philosophy in the care of the terminally ill Abstract The aim of the work The aim of the research part of the diploma thesis was to fid out what ethical dilemmas the medical staff recognizes in the care of the terminally ill and what role it occupies in accompanying the dying. The method to reach the goal To achieve the goal, we chose a qualitative research solution using a semi-structured interview, which ethical dilemmas of the non-medical healthcare staff recognizes and what roles it takes to make decisions at the end of the patient's life. The research group was consisted of 10 nurses who are part of palliative teams in selected health care institutions. The interviews which were provided, were rewritten, and using of coding techniques "paper-pencil", the data was organized into each categories. The gained knowledge and the conclusion The research which we have conducted reveals what ethical dilemmas we see as a non-medical healthcare professionals in their practice and which attitudes and roles we hold to the terminally ill, dying patients and their families. The patients with an incurable illness at the end of their lives find themselves in a very difficult situation. It is very important to improve the quality of the care and to be close to these patients. The medical staff member should be aware that any decision can become an ethical dilemma that we should recognize to find the best solution to meet the needs of the patient, respect his desire with maintain one´s dignity. Only that palliative care can be characterized as a first-rate care, focused on the patient's individuality and uniqueness
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Ethical dilemmas of social services for the elderly
PEKÁRKOVÁ, Lenka
The diploma thesis deals with the description of terms such as senior, old age and basic physical and psychological changes that accompany this period. The next part of the thesis describes the concept of client, social worker and the possibilities of social work legislation in the Czech Republic. In the third part the thesis describes in detail the terms such as ethics, ethical behavior, professional ethics, ethical code and ethical dilemmas. The following chapter, based on a written questionnaire, describes the view of the ethical dilemmas of six female social workers. Furthermore, in this chapter, I present 13 selected dilemma situations that are based on the direct practice of female social workers. This part of the thesis is followed by another chapter, in which the analysis of the selected dilemma situation is carried out and a preview of the various ethical theories most frequently encountered in the literature. The ethical theories chosen are deontology, utilitarianism and ethics of care. The aim of this thesis was to describe the basic concepts of ethical dilemmas with which workers in social services can meet. The concrete practical solution of individual ethical situations by social service workers will enable a realistic view of solving ethical dilemmas in practice. The analysis of a particular selected dilemma situation will provide a view of solving this situation using the most important ethical approaches. Knowledge of these approaches can help social workers to make choices and choose the right ethical approach.
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Practical Ethical Questions in Mobile Specialized Paliative Care
Konečný, Jan ; Ovečka, Libor (advisor) ; Štica, Petr (referee)
This diploma thesis deals with practical ethical issues in specialized mobile palliative care. First of all the terms necessary for understanding the context are explained. History of palliative care. Than introduction to the legal order and the principles of palliative care in the Czech Republic follows. Diploma thesis summarizes the phases of coping with the disease and the loss of a close person. This is both from adult's and a child's point of view. Next section deals with spiritual and pastoral care of dying, four principles of medical ethics and informed consent. Based on an interview with MUDr. Irena Závadová, supported by specialized literature, the ethical issues and theire possible solutions are mentioned too. This thesis deals with ethical issues as follows: education system in palliative care controversial interpretation of the law n. 372/2011 opiatophobia antibiotics in palliative and hospice care nutrition in palliative care palliative sedation transfusion in palliative/hospice care autonomy patient with dementia Keywords Home hospic, dying, death, specialized mobile palliative care, ethical dilemmas.
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The EthicalDilemmas of the Employees (At/In) The Depart Ment With a Special Regime
MAXOVÁ, Gabriela
This bachelor thesis ponders a topic of ethical dilemmas occured at social workers while working in nursing homes for elderly. This paper is divided into theoretical and practical part. The theoretical part deals with ethical dilemmas and coping with them. Therefore, moral, moral behaviour, professional ethics as well as moral codex are looked into. The theoretical part also describes the burnout syndrome, mental hygiene and means of relaxing along with professional supervision in the workplace. Moreover, social services and social workers are defined, including key attitudes towards a client. The practical part is built on the research itself based on personal experience of social workers. In order to collect the data a qualitative research, a method of enquiry and semi-structured questionnaire were applied. The team of four women and two men, working in the Nursing home for the elderly in Máj in České Budějovice, was chosen via the intentional choice. The minimal length of work experience for one year represented the key criterium for the intentional choice. The last chapter of the practical part is devoted to the analysis of the collected data. Finally, the outcomes of the research are presented in the conclusion of the paper.
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Practical Ethical Questions in Mobile Specialized Paliative Care
Konečný, Jan ; Ovečka, Libor (advisor) ; Matějek, Jaromír (referee)
This diploma thesis deals with practical ethical issues in specialized mobile palliative care. First of all the terms necessary for understanding the context are explained. Than brief introduction to the legal order and the principles of palliative care in the Czech Republic follows. Diploma thesis summarizes the phases of coping with the disease and the loss of a close person. This is both from adult's and a child's point of view. Next section deals with spiritual and pastoral care of dying, four principles of medical ethics and informed consent. Based on an interview with MUDr. Irena Závadová, supported by specialized literature, the ethical issues and theire possible solutions are mentioned too. This thesis deals with ethical issues as follows: awareness of diagnosis education system in palliative care development of palliative care in hospital facilities opiatophobia antibiotics in palliative and hospice care proxy decision making in a patient with dementia alternative forms of nutrition palliative sedation transfusion in palliative/hospice care Keywords Home hospic, dying, death, specialized mobile palliative care, ethical dilemmas.
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Abortion, Comparison of K.H. Peschke´sview and W. Huber´s view
NOVÁ, Blanka
The thesis deals with the topic of induced abortion. It presents views of catholic and protestant Christian ethicists by way of selected sources. A part of the thesis addresses the question of when a human life begins, next it deals with the four indications when an induced abortion is allowed, and compares the attitudes of catholic and protestant ethicists. Further, it works with the Sixth Commandment "Thou shalt not kill" and presents biblical references concerning abortion. Another part of the thesis deals with the statement of the German Evangelical Church on the German abortion law. In the conclusion of the thesis, the similarities and differences in the opinions on abortion of the two biggest Christian churches are presented.
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Ethical dilemmas of social working with children and youth in low facilities
ŠKODOVÁ, Zdeňka
The task of this diploma thesis is to describe and summerize the ethical dilemmas that occur in the work of social workers in low-threshold facilities for children and youth. The aim of this work is to formulate individual ethical dilemmas faced by social workers in social work with risky youth in low-threshold facilities for children and youth, and then to perform subsequently the analysis of one selected ethical dilemma using three ethical theories. The basis for collecting information was a qualitative research - the research probe, specifically, the method of questioning, the technique of the semi-structured interview with social workers. The diploma thesis is divided into five chapters in which I describe the formation and development of low-threshold facilities, the clients of these facilities and the aspects influencing their risk. Other chapters are devoted to ethics and ethical dilemmas in general. In conclusion of the thesis, the analysis of the specific ethical dilemma from the practice of the interviewed social workers is carried out, using three ethical theories deontology, utilitarianism and ethics of care. This is the case when ethics and social work link and point out the possibility of using ethical theories in professional practice.
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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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Importance of ethics in social work
KAŠPAROVÁ, Jana
The diploma thesis deals with the elucidation of the importance of ethics in social work. It focuses on important theoretical knowledge in the field of ethics and ethical concepts and its aim is to point out the possibilities of using ethical values, theories or virtues in professional practice. The work is focused on the presentation of important ethical concepts and ethical values, the contemporary form of social work, the personality of the social worker, the level and importance of education, and various examples of possible ethical problems or ethical dilemmas that can occur in the practice of social work. This thesis is based on the assumption that current social work is in a crisis and its setting requires change.
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Ethical problems with pensioner care in retirement homes, reflection on the Standards of quality in social services in the context of ethics
MANOVÁ, Dana
The thesis is focused on quality standards in social services with the view to clarify the ethical dilemmas that occur in providing client care in elderly homes. Firstly, the work focuses on the transformation of social services of the Czech Republic at the turn of the 20th and 21st century, the emergence of Act no. 108/2006 of Social services, from which emerged for social service providers a legal obligation to create and follow standard of quality that are defined further. Subsequently the thesis continues with the ethics of social work and social workers' Code of Ethics, which sets out the values and ethical principles for their work. This is followed by the description of the ethical dilemmas and ethical issues directly determining the target group of clients who use services of homes for the elderly. This group is also described. The last part of the thesis deals with reflection of concrete ethical dilemmas. Provided dilemmas are solved by standards of quality created by the team of workers working in home for the elderly clients, who in 2012 successfully passed inspections of social services.
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