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Analysis of home hospice care sesrvices considering the needs of users
DOSTÁLOVÁ, Zdislava
In the theoretical part the terms hospice, home hospice care and palliative care are defined. History, principles, objectives and the concept of hospice care in the Czech Republic are mentioned. The phases of psychological responses to a serious illness undergone by a patient and the patients´ reaction to impending death are described. The traditional model of dying in the Czech Republic in the home environment, the gradual institutionalization and the taboos surrounding death, and the new inception of humane methods in the care for the dying after the year 1989 are particularized. The current types of hospice care in the Czech Republic and especially home hospice care are described in detail, and also the needs of the dying and those of their loved ones, which is the main topic of my thesis. The aim of this work is to survey the availability of palliative home care services in the Vysočina region, to compare the range of offered services, to map the users´ experience and to identify the risk factors in providing this care. In the realized qualitative research the availability of these services was surveyed through the content analysis of data by the technique of official documents and virtual data analysis. In order to map the users´ experience, managers of two agencies providing home hospice care in the town of Třebíč were addressed, as well as the users or their families to whom these agencies provide their services. The interview method, the technique of a semi-structured interview was used. There are eight providers of home hospice care in the Vysočina region. The Vysočina region supports not only home hospice care, but also supported the establishment of residential hospice services in the Long-Term Care Hospitals in three towns in the Vysočina region and the Palliative Care Department in the Jihlava hospital. These facilities have partially substituted a non-existent hospice in the Vysočina region. Hospice care in the Vysočina region is relatively new. It is necessary to get some experience and discover possible shortcomings. The complexity of the care for the seriously ill can be extended, which may enable the seriously ill patients to stay at home with their relatives as long as possible. Although home hospice care has its limits in terms of pain alleviation and complications resulting from a disease, the users´ experience is satisfactory and meets their expectations. The contribution of the thesis lies in uncovering deficiencies in home hospice care and the provision of identified information to the care providers and other health care workers, thus enhancing the awareness of this care among health professionals and family members of seriously ill patients.
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Social Aspects of Hospice Care
FIALOVÁ, Markéta
This undergraduate thesis focuses on the social aspects of social care. The theoretical part clarifies and explains the relevant basic terms, in particular, terms like hospice care, palliative care, death, dying, social work, etc. In the practical part, I try, above all, to address the issue of satisfying the social needs of the clients of St. Jan N. Neuman Hospice in Prachatice. Another issue that led me to searching for an answer deals with hospices as providers of social services in accordance with Act No. 108/2006 Coll., on social services, and their obligations arising from being registered per se. My research was conducted using the method of questioning respondents in the form of semi-controlled interviews. The interviews took place at St. Jan N. Neuman Hospice in Prachatice. As for my research in the area of the clients{\crq} social needs, it was based on a research sample consisting of the hospice{\crq}s four female clients. For the sake of completion, some of my questions regarding mandatory obligations of registered hospices were addressed to the said hospice{\crq}s director and one of its employees who is a social worker. My research confirmed that the social needs of the clients of the hospice in Prachatice are being satisfied to the extent of possibility. As to fulfillment of their social needs, on accordance with the obligations arising from Act No. 108/2006 Coll., on social services, it can be stated that the scope of the mandatory commitment is being covered. In my opinion, the greatest problem is the emphasis, on the part of authorities, that is being put on the formal aspects of these issues, while hospices make maximum effort to satisfy their clients{\crq} needs in the first place.This undergraduate thesis focuses on the social aspects of social care. The theoretical part clarifies and explains the relevant basic terms, in particular, terms like hospice care, palliative care, death, dying, social work, etc. In the practical part, I try, above all, to address the issue of satisfying the social needs of the clients of St. Jan N. Neuman Hospice in Prachatice. Another issue that led me to searching for an answer deals with hospices as providers of social services in accordance with Act No. 108/2006 Coll., on social services, and their obligations arising from being registered per se. My research was conducted using the method of questioning respondents in the form of semi-controlled interviews. The interviews took place at St. Jan N. Neuman Hospice in Prachatice. As for my research in the area of the clients{\crq} social needs, it was based on a research sample consisting of the hospice{\crq}s four female clients. For the sake of completion, some of my questions regarding mandatory obligations of registered hospices were addressed to the said hospice{\crq}s director and one of its employees who is a social worker. My research confirmed that the social needs of the clients of the hospice in Prachatice are being satisfied to the extent of possibility. As to fulfillment of their social needs, on accordance with the obligations arising from Act No. 108/2006 Coll., on social services, it can be stated that the scope of the mandatory commitment is being covered. In my opinion, the greatest problem is the emphasis, on the part of authorities, that is being put on the formal aspects of these issues, while hospices make maximum effort to satisfy their clients{\crq} needs in the first place.
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