|
|
Differences and specifics of general and specialized home hospice care
ŽÁČKOVÁ, Hana
The bachelor thesis deals with the issue of specialized hospice care and home health care. It describes hospice care, conditions of its provision, briefly characterizes the development of palliative and hospice care in the world and in the Czech Republic. The role of the multidisciplinary team in hospice care is discussed in more detail. The current legal regulation of the provision of specialized hospice care and home health care is described. The concept of specialized hospice care is illustrated on the example of the Home hospice St. Veronica in České Budějovice. Attention is paid mainly to comparison of specialized hospice care and home health care, with reference to the shortcomings of home health care, which in the present concept cannot be conceived as a full substitute or alternative to specialized hospice care. The main findings and findings are summarized at the end of the thesis.
|
|
|
Paliative care for people with learning disabities - history and direction, posibities in the Czech Republic
Lando, Lenka ; Janečková, Hana (advisor) ; Ulrichová, Monika (referee)
The bachelor thesis Palliative care for people with mental disabilities / History and direction, possibilities in the Czech Republic deals with the situation of people with mental disabilities in the terminal stage of their lives, especially in residential social services. Emphasis is placed on meeting the need for communication in non-traditional ways, supported decision-making at the end of life, including passing on and receiving bad news, and meeting spiritual needs. The theoretical part defines the issue of people with mental disabilities at the end of life from a historical point of view, followed by a part devoted to the current direction in Europe. Another of the chapters discusses the research currently being conducted on the topic of communicating bad news and the current possibilities in the Czech Republic. The practical part is based on qualitative research. It brings the results of a questionnaire survey examining the situation of palliative care in social care institutions (hereinafter DOZP) and the results of interviews with representatives of mobile and stone hospices. The results points to the insufficient systematic anchoring of palliative care in social care institutions and the need for fundamental changes aimed at ensuring that the ability of people with mental disabilities to...
|
|
|
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.
|
|
|
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.
|
|
|
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``.
|
guest ::
