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The process and role of the social worker in patients in the terminal stage of illness
PROKEŠ, Vojtěch
The thesis deals with the process and role of the social worker regarding patients in the terminal stage of illness. The first chapter of the thesis focuses on the description of palliative and hospice care, their aims, and types. The following chapter describes the terminal stage, explaining what the terminal stage is, what phases of coping with dying a person goes through at the end of life, what rights the dying person has and what his/her needs are. It also focuses on dying, death and grieving itself. The third part describes the work of the multidisciplinary team and its members. The role of the social worker is depicted in the last chapter, where it is explained what activities they perform and how they communicate with patients and team members.
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Systematic evaluation of quality of palliative care in the Czech Republic
Žáčková, Lucie ; Loučka, Martin (advisor) ; Vosečková, Alena (referee) ; Dobríková, Patricia (referee)
In both the social work and health sector, there is an increasing emphasis on monitoring and improving the quality of care and services provided. In both areas, quality standards are already established in wider practice and attention is therefore focused on monitoring the quality of services and care at a system level. However, this requires the availability of appropriate tools. This also applies to palliative care, which is developing rapidly in the Czech Republic and whose need will continue to increase as a result of the prolongation of life expectancy. The theoretical part of this dissertation shows, through the example of palliative care, the deeper interconnection of the social and health spheres. It occurs thanks to its holistic approach to the patient and the irreplaceable role of social workers in a multidisciplinary team. There is also a growing demand in palliative care for systematic quality monitoring and improvement of care and services. The theoretical part summarizes knowledge regarding the development and use of quality indicators, presents examples of systematic quality measurement in palliative care abroad and compares their strengths and weaknesses. The empirical part deals with the creation and subsequent pilot implementation of a methodology for assessing the quality of...
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Hospice Care in the Eyes of the Public
HAVLÍČKOVÁ, Hana
This bachelor thesis deals with the issue of hospice care. Its goal is to compare the perception of hospice care of those people who had some personal experience with it and those who have not dealt with it. Another goal is to find out how this experience affects their perspective of dying. To achieve these goals the quantitative research strategy has been used. The method of data collecting has been realized via questionnaires. The researching cohort consisted of individuals whose relatives used the services of sv. Jan N. Neumann Hospice in Prachatice and also of the individuals who have not used such services. 89 respondents have participated on these questionnaires. The hypotheses were tested by the contingency table, chi-squared test and the T-test. The results of the research have shown that the experience with hospice care affects the potential selection of hospice care for the respondent himself or for his relatives. It also affects the appropriateness of hospice care for the last days of a dying person, and it projects into the appraisal of deceasing in hospice. The experience with hospice care also affects the arrangements for death - those with no experience are more likely unprepared. On the other hand, the experience with hospice care has not affect the appraisal of deceasing at home as a proper place for dying. It does not even have an impact on whether the respondents think or talk about their own mortality. The experience with hospice care also does not affect their opinion about the necessity of increasing the support and the public awareness about this type of care. It also does not affect the amount of fear or anxiety about respondent's death. With the issue of awareness about hospice care those respondents who had previous experiences with hospice care proved more knowledge. Nevertheless, it is still necessary to encourage the public awareness about hospice care.
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Social Work in Hospic and Palliative Care
DOMBROVSKÁ, Ester
The thesis aims to identify the positives and negatives of a hospice multidisciplinary team. The first part of the thesis focuses on an academic approach to palliative and hospice care. Specifically, it defines the concept of a team and its diversity. Moreover, it illustrates the ethical issues and dilemmas occurring in hospice care. The second part of the thesis is interview-based research of particular members of multidisciplinary hospice care teams whose objective is to find their opinion on the possible weaknesses and strengths in their teamwork background. The research also focuses on the ethical issues and dilemmas hospice workers face.
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Attitude of the Lay Audience to the Problematic of Palliative Care
VONEŠOVÁ, Lucie
This bachelor thesis is focused on finding out the attitude of lay audience to the problematic of palliative care. Based on the set goal, the following hypotheses were created: H1: The attitude of the lay audience to the problematic of palliative care varies according to age. H2: The attitude of the lay audience to the problematic of palliative care varies according to the highest attained level of education. H3: The attitude of the lay audience to the problematic of palliative care differs based on previous experience. In the theoretical part of the work, the palliative care is defined and divided, it is also defined for whom it is intended, where this care can be met and what are the most common needs of patients. It also presents important historical data in the development of palliative care. The research part was carried out with the help of quantitative survey. The data were collected in the form of online surveys, which consisted of 20 questions focused on palliative care, dying and death. The research group consisted of 180 respondents. Pearson's correlation coefficient was used in the statistical evaluation of the data. The research confirmed all 3 established hypotheses. Due to age, it was found out that older people perceive the greater importance of palliative care and more often associate it with the care of the sick and poor, compared to younger ones. Furthermore, the research showed that people with higher education more often combine palliative care with care for the terminally ill and care for the entire family of the sick. The last hypothesis found out that people, who experienced palliative care, more often understand the benefits of the care and combine the palliative care with care for the incurably ill. Considering the results, an information leaflet, which aim is to contribute to the enlightenement of the topic of palliative care for the lay audience, was prepared.
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The Needs of the Dying and Their Care-Taking Family Members in a Mobile Hospice
NOVOTNÁ, Jana
This bachelor thesis focuses on identifying the needs of the dying and family caregivers in a mobile hospice. The aim of the thesis is to find out what the needs of patients and carers in a mobile hospice are and how the hospice meets these needs. The bachelor thesis is divided into theoretical and practical parts. The theoretical part deals with the services of mobile hospice, the most common problems that are solved for patients, their caregivers and also for the bereaved. The practical part focuses on the research and its results. The research was conducted using semi-structured interview and observation method. The research revealed that the most common problems are concerns about pain, loneliness, and securing medication that will control other negative symptoms of the illness. In addition, the concern of the family and hospice staff is important to the patients. Psychological support, help with care, medical devices are most important for carers. The research part of the thesis showed that mobile hospice helps to meet the needs of the dying and their family members. All respondents were maximally satisfied with the care provided by the mobile hospice. The results of the bachelor thesis will be provided to mobile hospices in the South Bohemia region, where they can be interpreted as feedback to the entire mobile hospice team.
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Quality of Social Services Provided within Mobile Hospice Care from the Point of View of Caring Families and Relatives.
VEITHOVÁ, Gabriela
The aim of this work was to find out the opinion of people taking care of their loved ones and their relatives, who are clients of mobile hospice palliative care, on the current quality of this care, especially in the South Bohemian Region. The way to achieve the goal was qualitative research which was made mainly in the third and fourth quarters of 2021. For the research cooperation with 6 organizations was established. Then a semi-structured interview with 12 informants was conducted. It was supplemented by an observation technique. The evaluation method was the grounded theory method performed in the Atlas.ti 9 program. The benefit of the work is the information which is useful for both, providers and related authorities. It shows current public awareness of mobile hospice care, it also shows impressions and opinions that occur in the laic public and which are also spread. Specific dating is also usable. It opens the possibility to monitor the development of mobile hospice palliative care here in the South Bohemian Region, as well as comparisons between localities. The final output is the knowledge about the quality of this service and it is very positive. The people taking care mentioned the possibility of using mobile hospice care, they saw the quality in the fact that it exists and they have an alternative to institutional care. According to the caring people, the quality was also that they are not alone in the home environment to take care of their loved one. Mobile hospice palliative care is qualitative despite shortages that were revealed in the research.
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Social work in hospice care
PUDIVÍTROVÁ, Tereza
The diplome thesis focuses on social work with dying person, including their family members in hospice care. This thesis is situated in five chapters. The first chapters focuses on death and dying. The second chapter focuses on hospice, hospice care and last but not least, dignified dying, including the quality of life in the hospice. The third chapter deals with social work and its place in hospice, including its focuses on the role of social worker in hospice care, where I describes the individual target groups and other areas of interest. The fifth and final chapter focuses on the ethical side of dying and death, first part in general, and second part on end of life issues.
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Essential factors in the solution of ethical dilemmas in the Hospice care of St. Kleofáš, o.p.s.
NOVOTNÁ, Simona
The diploma thesis focuses on the topic of signifiant factors influencing the final solution of ethical dilemmas in Hospice Care St. Kleofáše, o.p.s. The thesis provides an overview of the specifics of hospice care and non-profit organization Hospice St. Kleofáše, o.p.s. The aim is to find out signifiant factors influence the solution of ethical dilemmas in this organization and which of the identified factors coincide with selected values from the Code of Ethics for Hospice Employees. The diploma thesis describes hospice care, social work in a mobile hospice, ethical issues and selected values from the Code of Ethics for Hospice Employees. It also describes the process of identifying factors influencing ethical dilemmas and the results of semi-structured interviews. The aim of the work is to show the issue of decision-making ethical dilemmas.
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The development of providing palliative and hospice care in the Czech Republic - the teoretical study
VĚCHTÍKOVÁ, Monika
The diploma thesis deals with the development of palliative and hospice care in the Czech Republic. The development of palliative care in the Czech Republic began about thirty years ago. The beginnings were difficult because there was no tradition of this kind of service in our country to build on. Hospice care, which started in the 1990ies, was first provided only in hospitals or sanatorium for long term sick patients. Later basic hospices were established and also home hospices began to expand. The aim of thediploma thesis was to map the komplete development of palliative care and also additional aspects of its existence and providing of palliative care in the Czech Republic, all based on accessible literky sources. Data analysis from (books, magazines and the archive) was used, opinions and different wals of providing care to people at the end oftheir lives were described. Based on the results of the diploma thesis the Czech Republic isabout ten years behindhand withthe care fori ll and dying people compared to other states. Public awareness about palliative and hospice care is increasing slowly. The biggest lack lies in pediatric palliative and hospice care. There are still not enough hospices for children, and especially home hospice care for pediatric patients. Furtherl acks are in the financing which is still not sufficient or satisfactory. Palliative education centres at the Faculties of Medicine are slowly starting to develop in the Czech Republic. Very delikte for experts and also for the public is the very much discussed topic of euthanasia. Some experts cannot agree on its legalisation. Despite all this the quality of palliative and hospice care has started to improve, but we still have a long way to go.
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