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Impact of current legislative changes to implement family care for people with reduced self-reliance
EFENBERKOVÁ, Marcela
The family care is identified as an informal care satisfying the needs of a person with diminished self-sufficiency in his (her) natural home milieu. The willingness and readiness of the family to care for a person with diminished self-sufficiency is not only time demanding, but it also represents both physical and psychological ability of the person providing the care who has to give up his (her) own preferences. It is necessary to give the family ssistants help and support ? financial, legislative and institutional, and to enable them to render a qualitative care and to prevent them from being endangered in their health conditions.In the theoretical part of my thesis, I concerned myself, on the basis of the documentation analysis method, with the characterization of the integrated care concerning the families who attend a person with diminished self-sufficiency and with including of this integrated care into the Medium-term Plan of Social Services Development of the South Bohemian Region and of the Community Plan of Social Services Písek for the time period 2008 ? 2010. These two plans are responsible for the availability of the social services. In the practical part of my thesis, on the basis of the interrogation method and the documentation analysis, I found out, how the integrated forms of the support towards the family assistants providing the care for persons with diminished self-sufficiency are being completed on the territory of the autonomous district of Písek. The research whole consisting of the family members providing the assistance to persons receiving care allowances from the town Písek and its surroundings, from the towns Protivín, Mirovice and Mirotice with their surroundings, certified, that it is possible to arrange a social care in all these towns and villages. On the basis of the research I found out, that even if the legal regulations enable to provide a whole range of health and social services, in the region, there still exist great differences in the representation of the providers. It is necessary to upgrade the care by expansion of social services so as the needs of each community can be satisfied. First of all, it is necessary to focus on the expansion of the care services, of the day care, social welfare institutions, day service centres, facilitating services and prsonal ssistance, by which the family care is preserved.
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Self - support in patients after the stroke
VANĚK, Filip
My thesis deals with the change of self-sufficiency of a patient after a vascular brain damage (VBD). The research covered nurses working at a neurology ward, aftercare wards, nurses working for homr-care agencies and patients after. I chose this topic as VBDs represent a serious medical-social problem and secondarily also an economic problem. At present they represent the third most frequent cause of death in the Czech Republic as well as in other developed countries. This is why they deserve increased attention, which has not been paid to them in practice so far.
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Period hospitalization cancerning autarchy development of patient cured from stroke.
KALUŽOVÁ, Lenka
Stroke (celebrovascular accident CVA) is caused by a disturbance of the blood supply to the brain and today represents a medical, social and economic problem. It is the third most frequent cause of death and the most common cause of mental and physical handicap nowadays. In the thesis mechanisms of stroke development are introduced, risk factors that are involved in the disease development are described. Manifestation of stroke according to specific types of disablement is also mentioned. The research was conducted by a quantitative method. Self-sufficiency of patients was evaluated using a standardized test of self-sufficiency (Bartel´s test) and observation techniques. The Bartel´s test was made at the patient´s admission as well as his (her) discharge from hospital. Patients from the research database were monitored every day of hospitalization and their success or failure in training self-sufficiency were processed in twelve casuistics. The presupposed objective of this work was to determine the average time of patient´ hospitalization required to achieve self-sufficiency in daily activities. The results of the thesis result in the following hypotheses: 1. In younger patients the average period of hospitalization is longer than in elder ones. 2. The return to self-sufficiency is faster when nurses support patients to exercise daily activities by themselves. 3. Faster return to self-sufficiency is achieved in patients with prospects of being discharged from hospital to home care.
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Caring for Senior Citizens with Dementia
PRŮCHA, Vlastimil
The thesis deals with the manifestation and results of aging and old age from the point of view of the elderly and their experience of this stage of life and also from the viewpoint of the family and society around them. Further attention is drawn to the importance of the connection of health and social care for citizens with health problems, and the significance of social work in caring for senior citizens is emphasised. Other parts deal with the notion of dementia, with particular focus on Alzheimer{\crq}s disease. Basic problems are outlined which are connected with a citizen dealing with dementia and information is given which can help the family and all those who are involved in helping the patient. In the conclusion I evaluate the significance of permanent care and I consider the needs of non-institutional care and emphasise the importance of a caring family, humanity and understanding, which are important for the quality of life of those with dementia. This is the aim of my thesis.
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Sheltered accomodation for seniors - new oppurtunities for a good quality life
LIŠKOVÁ, Kateřina
The subject of this Bachelor essay is {\clqq}Sheltered housing for old people - new chance for good quality life in old age``. Sheltered housing is a long term residential service provided to seniors or disabled people, who need help of others in their situation. This service enables such people relatively independent life in common environment of their own household. St. Francis´s House in Veselí nad Lužnicí has been taken as a model example of sheltered housing for old people. The theoretical section includes detail description of this service. One of the objectives of this essay was to identify level of public awareness on the social service called Sheltered Housing for Seniors. Based on the specified objective the following hypothesis has been suggested for the quantitative research: Awareness of 55+ generation on residential service called Sheltered Housing for Seniors is low. This hypothesis has been confirmed. Another objective was to map Sheltered Housing for Seniors social service, in particular offers of activity programs and their utilization by house residents. This objective also considers satisfaction of the users with such offered activities. The following hypothesis has been formulated on the basis of data collected during qualitative research: Satisfaction of seniors with the offer of activity programs in the sheltered house is high. Asking questions has been determined as the most suitable method of quantitative research. The applied data collection technique was a questionnaire. Method of semi-moderated interview has been applied for the qualitative research. Considering the above facts and the completed research I am of the opinion that the objectives of {\clqq}Sheltered housing for old people - new chance for good quality life in old age`` Bachelor essay have been achieved, the hypothesis has been confirmed and another hypothesis has been defined based on the qualitative research. The Bachelor essay shall be used as a feedback for the St. Francis´s Sheltered House in Veselí nad Lužnicí in relation to satisfaction of their clients and for making decisions if this form of residential service should remain or if it should be again titled the Pensioner´s Home.
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Family and senior
ZEMANOVÁ, Anna
Family gives to seniors foul territory, safety, sympathy and confidence. The target of this work is to discover the digree of family participation in taking care of seniors who have been put upon in a rest home for more than one year and to discover possible changes and changes in relation between seniors and family members after putting upon in rest home. The result of research is that family participate in taking care of senior who has been put upon in rest home. Close relatives participate especially in care of physical necessities. The results demonstrate also that relation between senior and family members has not changed after putting senior upon in rest home.
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Position of occupational therapy in System of Rehabilitation
PULKERTOVÁ, Jindřiška
Rehabilitation is generally understood as a discipline solving mainly problems connected with motor system. However, the concept of rehabilitation is much larger. In fact, rehabilitation is the all-society system where restoration of moving functions is only one of goals on the way to one{\crq}s reintegration into society. There are a lot of professions within this system participating in the process. Occupational therapy is one of them. The main goal of the dissertation is to introduce occupational therapy as a profession, and highlight its range and position in the system of rehabilitation. The dissertation answers the question on what occupational therapy can offer to the people in need of rehabilitation and investigates wether and how occupational therapy intervention can contribute to the rehabilitation proccess. Further more, the dissertation compares the roles of the profession in Czech Republic and Europe and uses the findings to formulate new hypothesis which can be used for a future research. The main approach of our dissertation is qualitative investigation. We chose the type of case study and participant observation. All that was completed with technique of secondary data analysis. In case studies and according to the experience from the London hospital has been discovered that occupational therapy deals with all components participating in execution of human activities. Occupational therapy assesses and provides interventions to improve sensomotoric, cognitive and psychosocial functions. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. The information obtained from trainee-ship on the Department of Occupational Therapy in London and data has charted and clarified position of occupational therapy. Main difference is in competency of the professionals. In Czech Republic competency are lower and more limited compared to the rest of Europe. Additionally, the number of occupational therapists is lower in our country than is an average in Europe. On the base of obtained information the new hypothesis has been made thereby both goals have been met.
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ELDERLY PERSON´S FALLS AND ITS HEALTH AND SOCIAL CONSEQUENCES
JIŘINOVÁ, Libuše
A fall and the subsequent hospitalisation in the after-care ward are often a critical moment for the elderly. In the causal connection with the fall, self-sufficiency, self-activity and motivation for recovery are often lost or reduced in the elderly during long hospitalisation. As a consequence, a part of senior citizens thus become trapped in the institutional care network with a reduced or eliminated chance to get back to their natural home environment.
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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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Possibilities and Limits of Self-Sufficiency of a chosen Non-Profit Organization
Klofáč, Martin ; Nový, Jan (advisor) ; Svoboda, František (referee)
The theoretical part describes every possibility of sponsorship of nongovernmental organizations with stress to the possibilities, which contribute to their self-sufficiency, further a sponsorship of churches from their beginning to the present times and its component is the detailed analysis of single financial sources of churches, too. There are mentioned examples of variety forms of the sponsorship of churches in some other countries for possibility of an international comparison. The final chapter of the theoretical part deals with the legal status of churches in the Czech Republic. In the practical part is The Czechoslovak Hussite Church introduced in its historical development from its beginning to the present, its contemporary organizational structure and there is also briefly described financial security of this church during its existence and there are analyzed its incomes belonging under the concept "self-sufficiency". At the end of the thesis there is description and the analysis of sources, which are used by the parish community of the Czechoslovak Hussite Church in Hradec Králové with proposals for its further possible acquisition of its full self-sufficiency.
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