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Emergency care in region Vysočina
ČERVENKOVÁ, Milada
The thesis consists of theory part and empirical part. The theory part is divided into seven chapters and it consists of the main problems, connected with the main research question. The first chapter refers problems of getting old and five basic principes of the approach to the population of seniors. Part of the chapter is description of the hierarchy of human needs (Maslow) and its change in connection with getting old. These changes are divided into three spheres: physiological, higher and spiritual. The second chapter explains the concept of ?Elderly fragility?. The third chapter refers the loneliness and isolation in elderly in various forms and their impact on lives of elderly. It is also dedicated to the concept of successful process of getting old and healthy elderly. The fourth chapter describes using of the modern information and communication technologies by the elderly and their influence on life of a senior. It also consists of results of the research from the Health Science Journal; the research was concentrated on understanding of modern technologies by seniors. The fifth chapter describes the basic explanation of the social service and it is also dedicated to terms like founders, providers, users of the social services and social services offer agreement. The sixth chapter describes social work with seniors, living at home. The seventh chapter is dedicated to the Emergency service care ? its history and present state, the civic association ŽIVOT 90 (Life 90) ? Jihlava, which provides this service, the aims of the emergency care, the target group, criterions of the offer and refusal of the service, the first meeting with the user of the service, ways how to offer the emergency care, cooperation of the Emergency care service with other institutions, expansion of the Emergency care service for mobile seniors, compensation for the offered service and comparison of the service with similar German services. The empirical part is aimed on usage of the emergency care itself, in everyday life of seniors. The target of the thesis was to find out, whether users are satisfied with the Emergency care service in Vysočina (Higlands) district. The main research question of the work was: ?Did this service fulfill the expectation of the seniors?? The next chapter consists of four partial research questions and their operationalization. Partial questions are: ?Did this service fulfill its purpose during its practical using? Which purposes use the seniors this service to? Are the seniors happy with the technical equipment? Are the seniors happy with the Emergency care dispatching personnel?? Next, the methodical procedure of the research follows. The research work itself ran in two phases. In the first phase, the pre-research was conducted and after that, the research itself followed. For research of the work, a strategy of qualitative research was used. The method also consists of description of the research tool and group. The data were collected via method of asking and semi-structured interviews. For partial analysis of the data, the cluster method was used. Whole interview was recorded and then rewritten. Consecutively, the interview was evaluated via the cluster method ? common and different characteristics. The results were texturized and presented according to the partial research questions. We can answer the main research question ?Did the service fulfilled expectations of the seniors? positively. As my results say, the Emergency care service, run by the civic organization ŽIVOT 90 (Life 90) ? Jihlava, meets its goal, which is to increase the quality of life of the seniors. This is enabled by active and meaningful living in own house as long as possible and it helps the seniors to live their ?autumn of the life? with dignity. This abstract should extend the knowledge about the Emergency care service and inform about its using in practice. ?
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Terminally Ill Senior Citizen in Hospital.
KOZÁKOVÁ, Jitka
The thesis deals with insuring a humanly dignified care for terminally ill senior people approached as the goal of a social work in a hospital environment. Medical facilities belong to places where senior people most often pass away, and where their dignity is also most endangered. The basis for working out the thesis is describing the man seen as the being whole and at the same time uniuqe, in which one sees man?s dignity. The following part of the thesis is dedicated to a palliative care as a guarrantor of maintaining dignified and quality life till its end. A knowledge of conceiving a terminally ill senior man, his/her needs and values is for a provision of the palliative care necessary. A part of the thesis deals with a specificity of social work in a palliative care, and with professional a personal competencies of a social worker. A provision of a support to those terminally ill and their close ones is in a hospital environment insured only partly. Based on the information collected the thesis is dedicated to outlining a humanly dignified care as the aim of social work. A social worker can participate on the above mentioned by being in a role of an accompanying one and a consultant for those left. A possibility to support a spiritual dimension of the man to which a social worker is in his/her both roles often close is approached in the final part of the thesis.
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The Development and Contemporary Seniors Houses in the Czech Republic, Focus to South Bohemia Region
KOVÁŘOVÁ, Hana
The thesis deals with the theory of social service types with regard to the situation in České Budějovice. It includes types of social service, the development and current situation in the Czech Republic. The situation abroad is discussed as well. The Act no.108/2006 Coll., on social service is described and the part dealing with social services related to senior citizens is highlighted. The research part is aimed at assessing the quality of social service by its users and social facilities workers. The research was made by questionnaires completed with clients of retirement homes (Máj, Hvízdal and Dobrá Voda) in České Budějovice. The research revealed that clients of social services are satisfied with the quality. Their relatives were satisfied to a great extent.
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The application of the Orem´s model in the care of senior citizens in the Centre of Social Services Staroměstská.
SOUKUPOVÁ, Hana
The objective of this thesis is to teach nurses, who work in this institution, to understand the Orem?s model so that they knew how to prepare individual nursing plans according to it. So far, these anamneses of senior citizens have been prepared according to the Gordon?s model. Since Orem dealt with self-care deficits, which are found in senior citizens most frequently, it was worth considering testing the model in everyday practice. Three objectives were set, in which I tried to find the fitness of the Orem?s model for the care of senior citizens in terms of finding out about their independence and nursing care, to find out whether this model is more appropriate for the nursing care of senior citizens than the current Gordon?s model and to find out how nurses work with the new model. Four research questions were formulated based on these set objectives and they were answered. The Orem?s model is suitable for the determination of self-reliance of senior citizens. The applied Orem?s model is more suitable for the nursing care of senior citizens than the current Gordon?s model. Nurses and the senior citizens from the Centre of Social Services Staroměstská find the Orem?s model more suitable. In conclusion, all the set objectives have been met. The research group consisted of 8 respondents. Of these, nurses were one half and senior citizens from the Centre of Social Services Staroměstská were the other. All their responses were recorded using a dictaphone. For this thesis, the qualitative method and data collection were employed through processing of individual anamneses using the Orem?s and Gordon?s models. Observation sheets were used when filling these anamneses, both for the nurses and the senior citizens. The observation of the nurses was direct, non-participating and hidden and the observation of the senior citizens was direct, participating and ostensible. Moreover, data collection was carried out in the nurses using standardized interviews and using standardized interviews with the senior citizens too.
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The problems linked with the senior allowance allocations
AUGUSTINOVÁ, Hana
The thesis deals with various issues related to the allotment of elderly people care allowance. The introduction describes the current state of social policy and services; basic concepts used in this field were defined. The concept of old age and its epiphenomena were briefly and expertly characterized. The main part of the thesis is devoted to ways of obtaining, processing, allotment and functioning of the allowance for the care of elderly people in the region of Milevsko. Given the specifics of the individual Czech regions, it was necessary to describe generally the Milevsko region and to characterize the Department of Social Affairs at the Milevsko Municipal Authority, which pursuant to Czech legislation, carries out all activities associated with the agenda of the allowance for care in the defined region. The objective of the thesis was to map in detail the issues of the allowance care at various stages, i.e. from filing an application till its execution and to describe partly the subsequent use of the allowance. The details of the early stages of processing applications are described, i.e. where there are still many problematic issues. During my work on the problem, I cooperated closely with the staff at the Milevsko Municipal Authority, competent staff at the Department of Social Affairs and a selected sample of senior citizens in the locality. To achieve the set objective, I used the strategy of qualitative research, the method of interviewing and the technique of semi-controlled non-standard interviews of selected clients ? senior citizens ? with the staff of the Department of Social Affairs. The analysis of social and medical records of the client group, along with legislation for the care allowance, was used as an additional method. The outputs of the used techniques were recorded in detail and summarized using tables. The research results yielded many interesting findings; in particular it is still a relatively low general public awareness of the care allowance and it was demonstrated that the most important source of information for senior applicants was a social worker. What needs to be constantly improving is the awareness of senior citizens and their family members of what types of care and compensating aids or activities can be covered by care allowance. It is also necessary to explain to senior citizens and their families how to use the care allowance, such as checks by social workers. According to the findings, I can confirm that the care allowance is a very important factor that helps significantly to offset the dependence of senior citizens, although its amount is questionable. Another finding was seen in an irreplaceable role of the family, family members who provide the care of the elderly and the efforts of all who are involved in ensuring senior citizens can function in their natural environment, which I think is an extremely positive finding. In any case, ?horror? scenarios of abusing the care allowance were not confirmed, which confirms the fact that the control mechanisms in the legislation are relatively well adjusted. Improvements, according to the conclusions of my thesis, must be included in the inquiry stage of processing the care allowance; there is a need to combine general social methods with an extremely sensitive and personal approach to individual applicants in order to achieve optimal use of the care allowance for individuals who could stay in their natural environment as long as possible. Another area of potential development can be seen particularly in the interaction between the actors involved in the process of allotment of the care allowance, e.g. through automated processing of the agenda using electronic forms.
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Reasons for selecting services provided by clients in day-care homes in the region of České Budějovice
PODHORCOVÁ, Naděžda
Reasons for selecting services provided by clients in day-care homes in the region of České Budějovice Abstract Day care is a traditional social service that is provided, as a field or outpatient service, to persons with limited self-sufficiency due to their age, chronic disease or handicap, and to families with children whose situation requires assistance from another person. Day care provides individual tasks at home according to a schedule arranged in advance. The theoretical section of this diploma paper provides explanations of the following terms: senior citizen, aging, geriatrics and gerontology. The other sections deal with the legislature related to the issues of aging, social services and social work with senior citizens. The objective of the paper was to find out which services, out of a wide spectrum offered, senior citizens in day-care homes choose and the reasons of their choices. The method of qualitative survey was used with the technique of questioning through a standardized interview technique. The respondents were selected on the basis of a stratified selection from four day-care homes in the region of České Budějovice. The results of the paper have answered the set research questions. Day-care clients require most frequently the following services: delivery of meals, household cleaning and maintenance, washing and ironing of clothes, assistance with personal hygiene, and measurements of physiological functions. The reasons of selecting these services are a poor health state and also the fact that the clients do not have anybody who would provide them with such assistance. In the event that day-care services are free of charge, less than a half of the respondents would use other services as well. The respondents{\crq} answers in my research enable me to assume that the financial availability of provided day-care services is good. The results of my diploma paper will be offered to the founder and provider of social services in day-care homes in the region of České Budějovice and also, as informative material, to the Municipal Office in Týn nad Vltavou.
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The role the pedagogue of free time at old people's homes
KRATOCHVÍLOVÁ, Eva
The main concern of this work is the asset of the graduate of the course (field of study) Leisure time pedagogy as an employee in a rest home, who is responsible for the organization of the leisure time. This work is divided in two parts, theoretical one and practical one. The theoretical part describes the ageing process, old age, its periodical division, physical, psychological and social changes connected with this process and the demographic trends related to the ageing of the population in the Czech Republic. It also includes a general description of a rest home, outlines the work of the leisure time pedagogue and discusses the topic of leisure time activities in a rest home. The practical part includes description of three rest homes situated in the South Moravian Region, where the survey was carried out in February and March 2010. This survey was mainly focused on leisure time activities of subjects and the work of leisure time pedagogues. The last part of the thesis contains the examination of hypotheses by the results of the conducted survey. Hypotheses were stated as follows: 1. Workers at rest homes systematically and regularly plan and organize leisure time activities for their clients. 2. Occasionally held events or regular leisure time activities are planned, organized and carried out mostly by social workers. 3. The clients at rest homes are interested in regular leisure time activities. 4. Most clients at rest home who are permanently confined to bed aren{\crq}t provided with activation therapy in their leisure time.
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Client{\crq}s motivation {--} a part of everyday nursing activities
KREJČOVÁ, Martina
If clients are to be motivated, they have to be made desirous of achieving an objective, confident of their abilities, and capable of imagining the possibilities opened up to them after the objective is accomplished. This Bachelor paper aims to find out how the clients of senior-citizen facilities are motivated for self-care. Degenerative changes encountered in seniors often deteriorate their self-care performance. The older the people get, the more difficult it seems for them to find reasons why they should keep themselves active. A nurse, therefore, has to encourage in them the proper attitude through which the seniors will be able to maintain or even improve their level of self-reliance. This paper is to map the motivation mechanisms at work in the clients of senior-citizen facilities operating in the Region of South Bohemia and to examine the way in which the nurses motivate the clients for self-care and self-reliance. The data were generated through a qualitative survey of two different non-standardized types of interviews. The first type of interview was carried out with nurses working at the nursing homes at Kaplice, Máj and a senior-citizen facility of the Staroměstská Center of Social Services. The second type of interview was conducted with randomly selected clients of the facilities. The survey revealed the way in which the nurses motivated the clients for self-care, as well as the motives, both personal and factual, behind such efforts encountered in the clients. Moreover, the nurses` attitudes were investigated about how the nursing process could be used to motivate the clients for self-care, and the clients` needs were examined as they related to the self-care motivation induced by the nursing process. Conclusions of the paper can provide a source of information for both managers of the facilities and the nurses delivering the care. Future investigation should seek a method in which the nursing process can better motivate the clients for self-care, and possibly it should focus on the nursing documentation. Nurses providing care at the senior-citizen facilities strive to motivate the clients to resume their self-assistance capabilities and keep the capabilities workable. The clients appreciate their efforts.
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The comparison of quality seniors´ life in the institutional establishment in the period of time for two years
KORTUSOVÁ, Jana
The topic of old age and ageing is wide-ranging. The position of senior citizens within a society and the solution of the questions connected with the consequences of their growing age represents an integral part of the natural life cycle. Apart from their material security the quality range of senior citizens{\crq} life is made up of their state of health, accessibility of both public and private health, social and other services, marital status, the quality of housing, the chance of further education and developing social contacts. The quality of life is a very subjective and individual phenomenon. It involves different impulses for various people in different periods. There is a general tendency towards rising demands on the quality of life within the population and it the same with the oncoming generation of senior citizens. It is always necessary to ask oneself a question whether the quality of senior citizens{\crq} lives in institutional facilities is on an appropriate level and which are the factors influencing the quality of their lives. Evaluating the quality of life can be also looked upon as a subjective individual{\crq}s view of the individual aspects of his life. However, it is highly important that the living environment meets and satisfies the senior citizens{\crq} corporal, psychic, social and spiritual needs. This diploma thesis represents a continuation of the bachelor{\crq}s thesis: The quality of senior citizens{\crq} life in institutional facilities. The basic aim is to compare the quality of senior citizens{\crq} life in the institutional facility {--} the Old People{\crq}s Home of Kůsov within a period of two years. I have chosen the topic of the thesis because I have been working in an institutional facility for more than 21 years, and the quality of senior citizens{\crq} life has made me think about this problem more thoroughly. The diploma thesis includes the present state of affairs of the problems in question, the specification of hypotheses, methodology, the results of the research, discussion, conclusion, the list of the sources, key words and supplements. The description of the present state of affairs comprises the characteristic features of the senior citizens{\crq} population, senior citizens{\crq} state of health, their self-sufficiency and activities. Another concept is the quality of life. Provided that we combine the word quality with that of life, we will face the fact that various people can have and usually do have different ideas about what in fact comprises the meaning of their life, what makes their life of high quality. The quality of life is looked upon as a multi-dimensional quantity and is usually defined as a ``subjective appraisal of one{\crq}s own conditions of life{\crqq}. Further on there are institutional facilities and the new Social Care Act No. 108/2006 digest mentioned in this part. There have two hypotheses been specified in this thesis, which have been confirmed by the research. The original research sample of the year 2004 included 100 respondents: 40 men and 60 women. Within the period of two years 22 respondents died, 8 men and 14 women. These respondents were taken away from the total sample and, as a result, a new representative sample has come into being comprising 78 respondents, 32 men ans 46 women. The research was carried out by means of the method of a controlled dialogue, using a questionnaire for the users of the old people{\crq}s home, the standardized SEIQoL questionnaire and an ADL test. The results were compiled in tabular and chart form, and subsequently processed by means of the STATISTICA statistical programme. The discussion includes a summary of the research knowledge in comparison with the sources used. The conclusion comprises a summary of the complete research part. We can conclude that nowadays the quality of life in an institutional facility can reach a high level.
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Unemployment rate of older person in the labour market in the Czech Republic
Vaňatková, Hana ; Kapinusová, Jana (advisor) ; Stočková, Olga (referee)
Work presents the unemployment of persons in pre-retired age (50-60 years) on the Czech labour market. The main objective was to confirm or disprove the hypothesis that older people are worse employable because they do not have such mobility in the labour market as young people and are less adaptable. This hypothesis is confirmed also by questionnaire investigation which was carried out among employers and which has the greatest contribution to this work. The chapters in theoretical part of the work are devoted to labour market, unemployment, discrimination and employment policy in Czech Republic. Next sections examine unemployment rates since 90's till present both generally in whole state and in group of pre-retired aged people. Work also deals with the effects influencing the unemployment rate of this group of people, namely education, health and regional differences. It describes factors that affect employees' decisions, whether to stay in the labour market or leave. The conclusion describes possible solutions to the unemployment.
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