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Fear of Death, its Interdisciplinary Characteristic and Dialog Research Method
MUSILOVÁ, Magdalena
Fear of death is related to the way we live, affects individuals and affects the attitude of a whole society. The thesis is divided into theoretical and practical parts. In the theoretical part, a definition of concept of ethics and bioethics can be found as well as a discussion of the differing perceptions of the value of human life, basic information about euthanasia and the possibilities for palliative and hospice care. Furthermore, different views on the fear of death are noted as are presented by representatives of several areas - anthropologists, psychologists, theologians and sociologists. In the next part an interdisciplinary overview of the fear of death is compiled, which forms the theoretical basis for the practical part of the work. In this part a qualitative research was carried out through half structured interviews on fear of death. Comparing the results with outcomes from the theoretical part, it was found that death is a taboo topic in a society and that the fear of death is natural. In line with the used literature, most respondents have a great fear of the process of dying itself than of the death itself. From this point of view it was uncovered, that there is a relatively low awareness of the possibilities of palliative care between respondents.
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Accompanying of Dying People in Retirements Homes Including the Elements of Hospice Care
VALÁŠKOVÁ, Michaela
The thesis deals with accompanying of dying people in retirements homes including the elements of hospice care. First, the difference between mission of retirements homes and hospices is described. Based on theoretical pieces of knowledge from literature, there are defined: the dying, the reaction of a dying man to the message about his health state, needs of a dying man, care for the family of a dying man, engagement of a multidisciplinal team, death and care for surviving relatives. In the second half, the research on internal rules is described. The research is aimed at findings, if and how the single retirements homes treat the topic of accompanying of dying people in their internal rules. Last chapter results from the previous and offers the plan for creating the internal rules for accompanying of dying people.
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Needs of dying people in Štrasburk Hospice
MIKŠOVÁ, Libuše
The title of the bachalor{\crq}s thesis is: The needs of dying people in Štrasburk Hospice. It deals with the issue of how to accommodate needs of dying people. A dying human being has needs of various kinds: biological, psychological, social and spiritual. Palliative care in hospices is characterised by the fact it provides the client, i.e. the dying man/woman, with complex treatment which is focused on satisfying all of the said needs. The goal of such care is to accomplish the best possible quality of life in clients and their families. The theoretical part dwells on palliative care and palliative medicine, history of hospices, the status quo in palliative care in hospices around the Czech Republic, and particular details of the care provided in hospices. Later, it explains in detail the terms of suffering, pain, dying, and death. It takes a perspective of human needs and subsequently the needs of dying man, it includes a detailed summary of individual needs. Futher on, it discusses the issues of tellin people the truth, how tu attend the dying people, and pastoral care/counselling. The research part of the thesis is based on the qualitative survey using the methods of questioning and technique of non-standardized, semi-controlled interview. Another additional method introduced in the research was involved observation. The research group contained 9 clients of the Štrasburk Hospice. The objective was to monitor the fulfilment of a holistic approach to hospice clients and to find out which of their needs are saturated only thanks to hospice care and, while dying, which needs are considered most important by the clients. The outcome of the survey showed that the hospice provides a complex care which includes meeting the biological, psychological, social, and spiritual needs of the clients. Fulfilment of the spiritual needs could be improved in some aspects. It was also concluded that among the needs saturated only thanks to the hospice care, sufficient privacy ended first as the most valued service provided, staff attitude was the second most valued quality, and better surroundings ended third. The most essential needs from clients` perspective are: not to be left alone, stay close to their families and friends, not to suffer from pain.
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Problems of a hospice care considering the viewpoint of nurses of the Home Care Agency and the patients
PEŠKOVÁ, Petra
The topic of my bachelor thesis is ``The issues of hospice care from the viewpoint of nurses working for home care agencies and potential patients``. The following two objectives and three hypotheses were formulated for the thesis: The first goal was to map the situation in provision of home hospice care from the viewpoint of nurses working for home care agencies. Two hypotheses were formulated for this objective. H1- Nurses working for home care agencies provide home hospice care and H2 - Nurses working for home care agencies are interested in expanding the home hospice care by means of mobile hospice units. The second objective of the bachelor thesis was to survey awareness of the lay public about the provision of hospice care by home care agencies. For this objective the third and the last hypothesis H3 was formulated {--} The lay public has no information about the provision of hospice care by home care agencies. A quantitative research method has been used to achieve the objective, using inquiring with questionnaires. Two types of questionnaires were used, one for nurses working for home care agencies and one for the lay public. The resulting data have been processed with a descriptive statistical method. The first surveyed group consisted of 57 nurses and the second surveyed group consisted of 75 respondents. We have found out that nurses working for home care agencies provide home hospice care but they are often unable to ensure quality conditions for such home hospice care. Another surprising finding was that the nurses working for home care agencies were not interested in extending the home hospice care with mobile hospice units. We believe that the nurses working for home care agencies lack the necessary information about the home hospice care. The hypothesis No. 1: Nurses working for home care agencies provide home hospice care has been disproved and also the hypothesis No. 2: Nurses working for home care agencies are interested in expanding the home hospice care by means of mobile hospice units has been disproved, which means the first objective has been met. Further, we have found out that the lay public does not have sufficient information about the provision of hospice care by home care agencies, which means that the hypothesis No. 3: The lay public has no information about the provision of hospice care by home care agencies has been confirmed and the second objective has been met. In this connection I have proposed some measures to improve the awareness of home hospice care. I have recommended informative articles to be developed for magazines intended for the lay public, as well as for professional journals for nurses. I have also recommended informative workshops for nurses and cooperation with hospice facilities.
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Helping hand in crossing over
LASCHOVÁ, Daniela
The thesis deals with palliative and hospice care. The thesis is divided into two parts - theoretical and practical. In the theoretical part there are provided with basic information about palliative care, it describes aspects of palliative care in terms of spiritual, social, psychological and physical. There are also recorded information on facilities that provide palliative care, their characteristic, mission and goals. The thesis is also reported on problems of dying, suffering and death. The work also records a pastoral and social care about dying seniors, a description of a multidisciplinary team of hospice care. The practikal part of the thesis is reported on a detection rate of awareness of palliative and hospice care at the clients of caritas Týn nad Vltavou. Next the research found out the respondents opinion of dignified dying in a domestic care
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THE POSSIBILITIES AND LIMITS OF HOME´S HOSPICE IN THE CZECH CONDITIONS AND A VIEW - POINT TO FUTURE
SVOBODOVÁ, Martina
Seriously diseased people need their families and their families need support and help. Such support can be offered in home-care hospices. Home atmosphere is certain1yoptimal for most of diseased people; however, even domestic care has its own limited possibilities and boundaries. Therefore, there are three kinds of hospice care: home-care hospices, stationary hospice care and in-patient hospice care. The main target of this bachelor thesis was to found out what the limitations in the field of home-care hospices in the Czech Republic are. The expected hypothesis that the development of home-care hospices in the Czech Republic is limited more due to economic than organisation reasons was confirmed. It results from insufficient legislative conditions for hospice care in the Czech Republic. There is no system of fmancing of home-care hospices by insurance companies. Other existing problems are insufficient information, both for the public and for medical workers, insufficient education in the field of palliative care, poor knowledge of the issue of dying and care of dying people among the laic public, lack of communication between doctors and patients, and others.
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Home Hospice Care
KOHOUTOVÁ, Lucie
Dying and death are topics which most people do not wish to talk about. However, at some point they touch every individual and therefore it is necessary, especially in social spheres, to confront these issues. This assignment concentrates on discovering the hurdles which people meet when caring for loved ones who are terminally-ill at home. The goal of this study is not to eliminate all possible hurdles that hamper care of the dying, but rather facilitate knowledge to those who are interested in giving this kind of care. The theoretical part obtains information about hospice care, further detailed characteristics of home hospice care and a focus on the family as the main source of this care. The research part is made up of a qualitative survey and to collect data a partially-prepared interview was used. The people who were interviewed comprised of fifteen relatives of clients from the Tereza Treatment Centre in Prague 10. In view of the goal of this work, as described above, the following research question was used: What hurdles do family members face when offering terminally-ill relatives care during their final stages at home? The answer to this gave the following as hurdles: physically demanding care, disruption of family relationships, inability to ensure continual care for the terminally-ill, financially demanding care, psychological demanding care, inability to give expert health care, limits associated with accommodation and worsening care of hygiene of the terminally-ill. One overall goal of this study was to discover what is actually known about home hospice care. The research showed that it is unsatisfactory. Only three out of fifteen of those questioned were able to characterise this form of care. Home hospice care is a needed part of care for the dying and therefore a bigger emphasis should be made on the spreading and building up of a net of home hospices and also on the removal of hurdles which hamper this care. Either of these cannot be realised without increasing public awareness.
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Mothers awareness of the suckers and the toddlers nutrition
NOVÁČKOVÁ, Dana
The proposed bachelor thesis is entitled ``The task of nurse in the dealing with pain in hospice facilities{\crqq}. Pain is one of the most frequent symptoms of cancer disease. The majority of oncological patients is not afraid of the disease itself but of the pain vision. Especially in the hospice treatment, i.e., the treatment of patients in the terminal stage of their illness, we see that it is necessary to appease the pain efficiently in order to help to improve the quality of patient life. In the theoretical part of this thesis, the terms such as lenitive and hospice treatment are described as well as forms and goals of hospice treatments. Furthermore, the pain physiology and resolution, factors influencing the pain, pain evaluation and pain treatment options are discussed. The task of medical treatment of pain and a unique role of nurse in this treatment is explained. Various applications of analgesics and possible ways of communication with the patient are also described. Options of alternative, non-pharmacological, cure for pain and a role of nurse in this treatment is mentioned. In the end, we discuss the lenitive treatment and pain healing of elders and restless patient. Goals of the practical part of the thesis are the recording of the problem of tumor pain management in hospices from a nurse point of view and the investigation whether hospice staff uses the method of treatment process. Two work hypotheses related to this goal were proposed. The first one supposes that nurses employed in Czech hospices have enough knowledge about the pain management. The second hypothesis supposes that staff uses the method of treatment process. The research was conducted in hospices in Červený Kostelec, Brno, Rajhrad, Plzeň, Litoměřice, Most, Prachatice, Praha, Valašské Meziříčí and Olomouc, in home care Cesta domů in Praha, in mobile hospice Ondráček in Ostrava and in a mobile hospice in Benešov. We used a questionnaire research method. The questionnaire contained identification questions, questions focused on the work of nurses in the dealing with pain in hospices and questions related to the treatment in hospices. The achieved results confirmed the first hypothesis (nurses in Czech hospices have enough knowledge about the pain management). The second hypothesis (the staff uses the method of treatment process) was not approved.
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The role of a nurse in the treatment of tumor pain in nursing facilities of the hospice type
WEINEROVÁ, Jaroslava
The proposed bachelor thesis is entitled ``The task of nurse in the dealing with pain in hospice facilities{\crqq}. Pain is one of the most frequent symptoms of cancer disease. The majority of oncological patients is not afraid of the disease itself but of the pain vision. Especially in the hospice treatment, i.e., the treatment of patients in the terminal stage of their illness, we see that it is necessary to appease the pain efficiently in order to help to improve the quality of patient life. In the theoretical part of this thesis, the terms such as lenitive and hospice treatment are described as well as forms and goals of hospice treatments. Furthermore, the pain physiology and resolution, factors influencing the pain, pain evaluation and pain treatment options are discussed. The task of medical treatment of pain and a unique role of nurse in this treatment is explained. Various applications of analgesics and possible ways of communication with the patient are also described. Options of alternative, non-pharmacological, cure for pain and a role of nurse in this treatment is mentioned. In the end, we discuss the lenitive treatment and pain healing of elders and restless patient. Goals of the practical part of the thesis are the recording of the problem of tumor pain management in hospices from a nurse point of view and the investigation whether hospice staff uses the method of treatment process. Two work hypotheses related to this goal were proposed. The first one supposes that nurses employed in Czech hospices have enough knowledge about the pain management. The second hypothesis supposes that staff uses the method of treatment process. The research was conducted in hospices in Červený Kostelec, Brno, Rajhrad, Plzeň, Litoměřice, Most, Prachatice, Praha, Valašské Meziříčí and Olomouc, in home care Cesta domů in Praha, in mobile hospice Ondráček in Ostrava and in a mobile hospice in Benešov. We used a questionnaire research method. The questionnaire contained identification questions, questions focused on the work of nurses in the dealing with pain in hospices and questions related to the treatment in hospices. The achieved results confirmed the first hypothesis (nurses in Czech hospices have enough knowledge about the pain management). The second hypothesis (the staff uses the method of treatment process) was not approved.
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