|
|
How to Establish Manage a Mobile Hospice
Urbanová, Bohumila ; Roth, Martin (advisor) ; Pazlarová, Hana (referee)
The aim of my bachelor's thesis is to describe the process of establishing a mobile hospice in the Czech Republic. The main focus is on essential measures that are necessary for establishing a mobile hospice from the theoretical perspective but it also includes several examples of good practice. The first part treats the concept of palliative care and related legislation. Further the thesis elaborates key steps of the establishing process of a mobile hospice regarding the management activities in practice. The conclusion deals with the management and the role of hospice as an institution where all relevant resources are efficiently integrated.
|
|
|
Social work in hospice care in Czech Republic
PETRLÍKOVÁ, Václava
Bachelor's thesis is focused on hospice care and on work of social worker in hospice. Theoretical part is targeted at dying and death. Furtheron, concepts of individual hospices'. We are talking about bed, home, and ambulant hospice. Next, the bachelor's thesis is concerned with target groups of hospice's care. Specifically examining clients of hospice care and families of dying clients. Later, the thesis is dealing with social care within the hospice care. Practical part is founded on comparation of individual work contents of social workers in hospices. The aim of thesis is with help of investigative technique map the social work at hospice. How social work at hospices's care takes place.
|
|
|
Training and Education of Volunteers in the Home Hospice "Cesta domů" - the Homecoming
Matochová, Jana ; Haškovcová, Helena (advisor) ; Váňová, Věra (referee)
The issue of death and dying affects everyone, it is not easy and yet a natural part of everyone's life. Hospice care offers help and support a dying man and his close on the last trip "home". This thesis describes the possibilities of a preparatory course for the volunteers who play an irreplaceable role in hospice care. The practical part describes the specific example from the conditions of the Czech home hospice - The Home Coming, which is being commented on the ground of literature and my personal experience. The outcome of the research is the feedback for the management of the home hospice - The Home Coming, including recommendations for changes of the preparatory course.
|
|
|
THE USEFULNESS OF HOME HOSPICE CARE ON PÍSEK REGION.
NECHVÁTALOVÁ, Daniela
This dissertation addresses the need for domestic hospice care in Písek region. The aim of this study was to determine whether there is an interest in the provision of such comprehensive care that seeks to satisfy a physical, mental, social and spiritual need of a person. Investigated was not only view on the need for specialist palliative care, but also reasons why families would chose care in a domestic environment. The theoretical part focuses on the problems linked with hospice care. The study mentions history, presence, legislation and financing of hospice care in Czech Republic. The next chapter deals in detail with one of the forms of palliative care, which is a domestic hospice care. Another part of this study is also dedicated to the needs of 'a dying person' and his or her family which is vitally important in care for people terminally ill. The practical part is processed by a form of qualitative research and for this purpose a methodology of questioning and interview techniques by instructions were used. In total 18 communication partners participated in this research. The data obtained from these interviews were evaluated by a method of an open coding. The research result shows that both professional community members and caring families of are interested in a provision of specialised palliative care. The professional community welcomes an offer of domestic hospice care and considers it important and necessary in offering various types of care for people who are terminally ill. Families of terminally ill people are also interested in domestic hospice care as one of the options being offered. The reasons why families would opt for a care in a domestic environment are healthy and strong relations to their terminally ill relative a 'dying person'. The conclusions from this research may contribute to a closer view on this issue or may become a source of information for families facing difficult decisions regarding care for terminally ill relative in a domestic environment.
|
|
|
Work with the client family home hospice?s care
MACANOVÁ, Miriam
The diploma thesis entitled: ?A work with a home hospice care client´s family? focuses on an issue associated with a dying at home. The care for a dying man is in such a case provided by family members with a help of a home hospice. The theoretical part clarifies an area connected with providing of hospice services and amodern concept of the hospice care in the Czech Republic as well as in the world. This chapter´s key is a clarification of an issue of the home hospice care and its characteristics. Further it contains topics: a family, a finality of life, phases of dying according to Kübler- Ross, a palliative care, social work in the hospice care. The aim of the thesis was to map a system of the work with a family caring for a patient in the home hospice care. To work out the diploma thesis I used a strategy of a qualitative research. I applied a method of an oral questioning through a technique of a narrative interview with the caring people. As a complementary method I used a semi-structured interview with a social worker and a nurse of the home hospice. Respondents were chosen among people caring for dying men who are patients of the Tabitha Home hospice in Brno. I realized interviews during the month of February until early April 2012. The interviews took place after a mutual agreement, at respondent´s home or in the home hospice rooms. The interviews with women-home hospice workers were carried out in the hospice rooms. 10 interviews with respondents were realized. Data processing was done by categorizing data. Results show that respondents are satisfied with services of the home hospice and they evaluate them positively. They appreciate an approach, a work of the home hospice staff and their respect for the dying as well as wishes of theirs. A support from the side of the home hospice is provided in material, technical, psychological and also spiritual forms. Despite demands of the care provided by the respondents, they would care for the dying at home again. The diploma thesis has been intended for professionals dealing with the given issue, but also for a lay public who wants to learn more about the home hospice services. The thesis should show benefits of this service.
|
|
|
The perception of dying and death
ROŽNOVSKÁ, Kateřina
The thesis describes the perception of dying and death among Werich family members, who were clients of Home hospice Tabita. The study is accompanied by an interview with Mr. Werich that took care of his dying wife. The observation has been performed by myself as an employee of Home Hospice Tabita. Facts obtained from the interview are supported by expert literature and my own participant observation. The study demonstrates what the dying families have in common, but also shows the specifics of individual cases. Although the hospice is based on Christian principles, it may profesionally and efectively work with non-Christian family members as well.
|
|
|
Problems of family integration into the care about a terminally ill client in home background
HLAVÁČKOVÁ, Kateřina
The theoretical part has six chapters: End of life and dying, Palliate care, Home hospice multidisciplinary team, Specific of care about a terminally ill patient in home background, Family and caregivers, Specifics of care about dying people in the CR. The second, practical part is based on qualitative-quantitative research with three goals. The first goal was to define the needs of family members caring about a terminally ill person in domestic background. The second goal was to define the skills of nurses necessary for saturation of the needs of family members caring about a terminally ill person in domestic background, and the last goal was to specify the present drawbacks of the care upon the research results. The following research questions were set in the qualitative part of the research: 1. What factors lead to decision of a family to participate in the care about a terminally ill person in domestic background? 2. What factors prevent families from integration into the care about a terminally ill person in domestic background? 3. What skills are necessary for a nurse in the process of family integration into the care about a terminally ill client in home background? The research sample of the qualitative research consisted of six respondents having experience with care about a dying patient in domestic background. A semi structured interview consisting of six questions was the research method of this part of the thesis. The questions focused on the care about a dying family member in home background. The following hypotheses may be deduced from the research: 1. Giving information to lay caregivers before releasing a terminally ill client to domestic treatment within education contributes to their active involvement in the care. 2. Participation of a mobile hospice team in the care about a terminally ill client in home background contributes to saturation of the needs of certainty and safety of the caregivers. The following hypotheses were set at the beginning of the quantitative research: 1. Respondent?s feeling of inability to participate in the care is an obstacle to the decision to start caring about a terminally ill person in home background. 2. Fear of economic risk is an obstacle to the decision to start caring about a terminally ill person in home background. 3. Utilization of professional services in the care about a terminally ill person in home background depends on awareness of their existence and the extent of services being provided. The research sample consisted of 198 persons from the wide public. The data were collected by means of a questionnaire. The questionnaires examined the readiness of the respondents to decide to start caring about a terminally ill person in home background and their awareness of the existence of institutions providing palliative care in home background. The first two hypotheses were confirmed by the results of the questionnaire research, the third one was not confirmed. A manual for general nurses ?Care about a dying client in home background? and an ?Informational leaflet for laics? deciding on caring about someone close in home background, which form a part hereof, were elaborated upon the results of the research.
|
|
|
Dilemma of home hospice{\crq}s care in Brno
MACANOVÁ, Miriam
The bachelor thesis on the topic {\clqq}Problem of the hospice care in Brno`` is focused on providing of the hospice home care in the urban area of Brno, where the service is established from the year 2008. The theoretical part presents a characteristic of the problem of hospices in general terms. It describes the development of modern hospice conception in the Czech Republic and in the world and it states forms of a hospice care. The principal for this chapter is a clarification of the hospice home care issues and its description. Among other domains, which are concerned in the theoretical part, we can find: a palliative care, a palliative medicine, a quality of life, phases of dying according to Kübler-Ross. The main goal of the bachelor thesis is to describe the current state of the home hospice care in Brno. The partial goal was to determine client´s attitude to the life and to values after detecting a cancer diagnosis. In the research part I applied a method of the semi-structured interview with the manager of home hospice Tabita in Brno. To complete the information, a secondary data analysis was used. A technique of a narrative interview was chosen to reach the partial goal. The research was made at five respondents who are clients of the home hospice Tabita in Brno. The results of the research indicate that home hospice care in Brno is provided in accordance with principles of the hospice movement. Thanks to a permanent development these services are used more frequently. The development of this care gives patients the possibility to spend the final part of the life in the home milieu with the support of a family circle. Thanks to providing the home hospice care, as results from the research show, the quality of life does not decrease. The clients appreciate they could stay at home and they did not need an institutional care. Although they decided to die at home, they did not remain alone. They had a support of workers of the home hospice and in the case of an urgent need they could, for 24 hours and seven days a week, telephone and consult the emergent situation concerning their health condition with a nurse or a medicine doctor, which ensure {\clqq}the telephone emergency``.
|
|
|
Implementation of hospice fieldwork
PFLEGROVÁ, Petra
This work deals with the idea of dying patients in the terminal stage at home. In the theoretical part I describe the concepts relating to the care for the dying and dying itself, as well as the potential risk of marginalization, which is associated with dying. Furthermore, the mention of palliative care in the form of a mobile hospice, with its multidisciplinary team that should try as far as possible to avoid marginalization. There is also the issue of euthanasia, in contrast with the use of palliative care. Hospices are the last topic in the theoretical part, the history and current state of hospice fieldwork. In the practical part I try to determine through research if and how mobile hospice avoid marginalization. Another aim of the research was to map the motives of the workers in hospice care, identify their goals and the problems they must overcome.
|
|
|
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.
|
guest ::
