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The Importance of in-home nursing care for seniors and their families
ŠPAČKOVÁ, Ivana
Domiciliary care as a field or ambulatory service is provided to people with reduced self-sufficiency due to age, chronic illness or disability and is also used by families with children, whose situation requires assistance of another person. The aim of the service is to individually support a person's life in their natural environment. The theoretical part is divided into five chapters. The first chapter deals with old age and aging, as it is the time when changes affecting the overall function of human body occur. These are then reflected in increased vulnerability, limited performance and decline of an individualas abilities. The second chapter deals with changes that come with age, which mainly relate to the physical, psychological and social area. In the third chapter I describe the current situation in the provision of social services. These services are defined by the Act no.108/2006 Coll. primarily as a means to ensure the greatest mental and physical self-sufficiency of the individual obtainable. The services seek to enable people to participate in daily life, live in dignified environment and be treated with respect. The fourth chapter deals with the concept of providing domiciliary care services in the Czech Republic. The last, fifth, chapter deals with individual planning, which is one of the most important tools to ensure and improve the quality of social services provided and is also enshrined in the Act no.108/2006Coll. describing social services. The practical part of my thesis was elaborated by the qualitative research technique, specifically the questioning method using a semi-standardized interview with predetermined open-ended questions and by analysis of personal documentation. Basic research sample consisted of selected users and staff of the care services provider Ledax (charitable trust). The aim of this research was to determine factors that are perceived by health care users as major. The investigation showed that these are mainly health deterioration and old age. My research has shown that users perceive their key worker rather as a confidant. They are not afraid to confide their feelings or problems to them and report that the worker always has enough time to hear them. On the contrary, the workers themselves see their role only as a helper's and also due to the large workload lack sufficient time for the user. From my own experience I can confirm that this problem is often encountered because caregivers are responsible for more users, and the care is not concentrated in one place. The solution for this situation would be to reduce the number of users assigned to one caregiver, but the provider would be forced to expand their staff. However providers are currently limited by operational and financial limits of the given organization. It is important to emphasize that if the care and support provided by the user be at a professional level, the key worker should coordinate the care for the user and be their confidant and guide in a difficult season of life. Although there are some differences in the view of the factor of caregiver's personality, I think that the fact that users perceive their caregiver as a confidant is also a guarantee of efficient implementation of individual planning in the organization of the provider.
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Activation activities in homes for the elderly in the Tábor region
HOFMANNOVÁ, Kateřina
Bachelor?s Thesis is focused on activation in homes for the elderly in the Tábor region. Theoretical solutions are introducing concepts of old age and aging, changes of old persons life, specification of communication with old person and last not least, meaning of activation in one?s old age. It?s describing also individual planning in residence social installations, role of a key worker and individual planning importance. Finally, possible forms of old persons activation are introduced. The practical part describes planned and implemented activities in selected homes for elderly, which are determined to their occupants. Next, it?s also focused on expert authorities of workers, who are participating on the leisure time coordination and realization.
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Career Opportunities of Clients of Domov PETRA Mačkov
KOUBKOVÁ, Markéta
The thesis deals with the issue of job opportunities of mentally disabled people. In the work there is described system of education of these people and subsequently their opportunities in the area of both labour market and within social services. The thesis also focuses on process of individual planning of social services of their users, as all the activities have to correspond with the individual plan made for them.
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Individual Planning Application with Clients of Sheltered Housing.
HORŇÁČKOVÁ, Marta
A very much debated topic is currently an issue of the individual planning with users of social services. It has been seen as a cornerstone in a rendition of the first-rate social service. It is legitimized in the Law No. 108/2006 Coll., on social services, where an obligation to plan a course of the service with the user is imposed with a respect to his/her needs and wishes so that he/she could be satisfied with an implementation and realization of the individual plans. The individual planning also belongs to important quality standards, that must be met so that the service could be provided on a high quality level, effectively and in accordance with the mission and goals of the organization while respecting the individual needs of the users. The aim of my thesis is to find out in which way the individual planning is carried out with users of the sheltered housing ?Proutek? in Jindřichův Hradec, whose clientele are people with mental disabilities. In the theoretical part, in order to achieve the objective, I will describe the individual planning, what specifics it has, methods and practices in the social work with mentally handicapped users, I will emphasize prerequisites for a successful planning with clients with mental disabilities. I will focus on the person of the worker who is engaged in the individual planning, how much he/she has been trained, which principles he/she should follow in the planning course to ensure the already above mentioned quality of the service in accordance with the standards. In the practical part I will specifically focus on an implementation of important preconditions for the high-quality individual planning for the users with mental disabilities in the sheltered housing. Through semi-controlled interviews with four assistants who realize the individual planning in the housing, I will find out the way of an implementation of the planning in the service, further I will evaluate positives as well as negatives which can occur during the individual planning with this specific group of users. An output of my bachelor thesis is an evaluation of the individual planning implementation in the service. A comparison of the assistants´ work and pointing out a good practice in a rendition of the first-rate individual planning with users with mental disabilities, focused on an application of principal planning prerequisites usable also for other establishments with a similar type of the service.
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Cooperation with clients´ families in the Retirement Home Třebíč during the period of adaptation process
DOLEČKOVÁ, Olga
In the Bachelor´s Thesis I devote my attention to the issues concerning adaptation process of a senior starting in a long - stay social service - the Retirement Home Třebíč - in connection with cooperation with family members. The issues regarding old age, the elderly in need of help from others, are becoming more and more important in today´s society. This fact is closely linked with the increase in human life span. In the theoretical part I defined the terms: old age, age division, and the changes that take place in this inherent developmental stage of life. In addition, I dealt with the active process of adaptation to novel living conditions, and the symptoms of maladaptation. In the following chapter I described a family, its functions in today?s society, and the family relationships. I defined social protection and social services set in the legislative frame, as well as problems regarding registration of social services. I described the Retirement Home Třebíč, where the research took place, and the process of individual planning, whose component user´s adaptation is. The way in which adaptation takes place, how often and the manner in which family members cooperate with a senior and the staff of the organization is very important during this period. I devoted the research part of my Bachelor´s thesis to this particular area. In order to describe the cooperation I used qualitative research with the method of questioning, the technique of a semi-structured interview. There were eight respondents; family members, instructors of social services, and key workers, participating in the research. The results confirmed that a family´s cooperation proves to be a key area when looking into adaptation in a retirement home. If a family does not cooperate or in case of a lonely senior, this role is to be supplemented by staff of the retirement home. It is up to them whether they can eliminate the potential impact of social maladaptation on the senior. The results of the research confirmed that it is important to support cooperation between families and the users of social service, so that a life in a retirement home resembles the one in a natural environment before their arrival as much as possible.
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The importance of a key worker for clients of the nursing-home Libníč
HELLEROVÁ, Irena
This Bachelor thesis deals with the importance of a key worker for clients sufferingfrom schizophrenia who are staying in the nursing-home with special regime in Libníč. The Bachelor thesis consists of two parts. The first part is theoretical and covers thetopics of individual planning, key worker and client. It also deals with the phenomenonof schizophrenia and communication with people suffering from a mental defect. In thepractical part, an interview is used to detect the actual importance of a key worker forclients in the nursing-home Libníč.
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Canistherapy in the Home for seniors in Chvalkov
MANOVÁ, Dana
The work deals with canistherapy in the Home for Seniors in Chvalkov. The theoretical part identifies the term canistherapy, the forms of canistherapy and their common benefit for seniors. It deals with the old age and social changes of seniors. The practical part describes the Home for Seniors in Chvalkov. Its purpose is to decide whether canistherapy practiced in selected clients of this Home brings benefit. The results are processed through casuistics of the selected clients. The results were drawn from the semi-directed dialogues.
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Individual care planning in the Home for Seniors Světlo in Pisek
SOCHOROVÁ, Kateřina
ABSTRACT Act 108/2006 Coll., On social services, has made the issue of individually planned care a widely discussed subject, since it obligated the providers of social services, inter alia, to plan their activities in view of individual needs. The individually planned care is also one of major standards supposed to be met, if the services are to be rendered effectively and in good quality. The Bachelor paper aimed to explore the process of planning as applied at the Světlo (Light) Senior Citizen Home in the town of Písek. Moreover, the author strived to find out the extent to which the clients and the personnel were informed on the individual planning; in which way the relevant documentation was prepared on the premises; and whether the documentation satisfied the legal requirements. The theoretical section devoted attention to the principle concepts such as age; aging; and biological, mental and social changes in the lives of senior citizens. The author endeavored to specify the differences between the care that the citizens were given at residential facilities before 1989 and what they receive today. The next section deals with Act 108/2006 Coll. and presents facts about the Světlo Senior Citizen Home. The practical section was primarily intended to scrutinize the planning procedure specifically applied. The relevant qualitative research relied on the method semi-guided interviews held with five clients and with the related key personnel. Documentation was examined using the method of document analysis. The research yielded these conclusions: The facility plans the individual care effectively and in good quality. The clients are adequately informed on the process of individual planning, and the personnel are regularly instructed and ready to offer a great professional competence. Documentation is maintained properly, fully meeting what the legislation requires. Results of the research can provide information on the planning process of individual care, and they can become a source of inspiration not only to workers engaged in rendering social services but also to the general public.
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The requirements of users for social services in seniors houses
PETEŘÍKOVÁ, Simona
In the current population, a number of self-insufficient seniors have been increasing who need a help of other people (e.g. family) or by facilities with full-time social assistance. The Act concerning social services has brought numerous significant changes to social services system and among others, it defines activities which social services can provide individual facilities. This thesis presents a overview on problems of ageing process at senior-care facilities and points to possible risks in social service providing. The survey for this study was carried out in three retirement homes of the Social Services Centre in Tachov (Czech Republic) between December 2009 and January 2010. The information from persons was collected via moderated interviews. The main objective of this work is to find out and to compare requirements of residents in individual retirement homes as concerns social services, i.e. whether provided services are sufficient, or which services the seniors miss in the facilities. In the theoretical part of the thesis, I focus to the problem of ageing and associated consequences. I also analyze the problem of quality standards, especially its individual adjustment to users. One part of the thesis also deals with the description of the Social Services Centre in Tachov and the retirement homes that belong to its administration. The practical survey in this study compares requirements of the occupants in the individual retirement homes. The results of this thesis might be used to extend the offer of activities in retirement homes and this information can also motivate the personnel as well the management of these facilities.
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Standards qualities social services in rest home.
KROPÍKOVÁ, Jana
The target of this thesis is to find out from providers of the senior home service the way how they elaborate and introduce the Quality Standards in providing care through their employees. In the thesis, all the Quality standards witch are set by law for social services providers and whitch are also one of the important criteria of social service evalution are characterized.
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