|
|
Specifics of nursing care for oncology patients in the terminal stage of the disease
FRANTA, Ondřej Darek
Summary This bachelor diploma thesis deals with the issues of nursing care of oncology patients in the terminal phases of the disease. The goal of the thesis is to map specifics of nursing care of oncology patients in the terminal stage and specifics of communication with these patients. Furthermore, the goal of this thesis is to evaluate how demanding it is to nurse oncology patients in the terminal stage. Methodology and research group The results were achieved by the method of questioning via semi-structured dialogues with nurses working at standard oncology departments as well as at intensive care units. The research group consisted of eleven nurses. The data was processed via open coding by method of pen and paper. The analysis of the data subsequently created three categories and eight subcategories. Results The results of the research imply that according to the nurses the most important specific of nursing care of oncology patients in terminal stage is adequate usage of painkilling medication to minimize the suffering and improving the quality of life. The next important specific is the need of patient to be in touch with his or her close people. From the communicating point of view, the research concluded that the nurses consider empathy and friendly face as key elements. Expressing support in difficult times is also very important. The nurses perceive profound awareness as the next key element to avoid possible conflicts or misunderstanding. Among other things, the research declared that the most challenging part for the nurses is the feeling of being powerless while a suffering patient is dying. Therefore, the nurses emphasize the need to separate private and working life. This separation could be understood as a precaution against burnout syndrome that is threating. The acquired data demonstrates that the nurses working in palliative care feel fulfilled when the patient's disease is in remission or when they can assist dignified passing. Results for practice The results of the research were used to create script of simulative teaching for students in the field of communication with oncology patients in terminal stage of the disease.The hope is that this diploma thesis may provide insight into specifics of nursing care of the patients in question, and it may contribute to raise awareness of this field.
|
|
|
Issues of geriatric palliative care
ŘÍHOVÁ, Marcela
Introduction: As the number of elderly people increases, so do the demands for specialized palliative care. Therefore, this bachelor thesis deals with the issue of palliative care in geriatric individuals. Objectives of the thesis: This thesis aims to find out what knowledge nurses, in selected wards, have about geriatric palliative care and what is the continuity, of geriatric palliative care, between hospitals and nursing homes. Methodology: The qualitative research technique of the semi-structured interview method was used. Using the snowball sampling method, the research population consisted of nurses selected based on specified criteria. A total of 11 interviews were conducted with general nurses working in the South Bohemia and West Bohemia regions. The results were processed using the "pencil paper" method. Within the framework of open coding, 6 categories, 18 subcategories, and 154 codes were identified. Results: Nurses in selected departments are informed about geriatric palliative care issues and are still interested in further education. The results also indicate deficiencies in the amount of information being conveyed. Sending patients/clients in inappropriate conditions was repeatedly mentioned. Communication among nurses takes place through transfer messages or, if necessary, minimal telephone contact. Nurses provide standard care for geriatric palliative patients, but in some areas, they have an individual approach based on the needs and desires of the patient. Conclusion: The research results once again underscore the necessity of paying greater attention to the quality and organization of handover between hospital facilities and senior care homes.
|
|
|
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.
|
|
|
Spiritual needs in hospice care
HOLÁ, Klára
The work deals with spiritual needs of clients of home hospice care. The theoretical part is about palliative care and spiritual needs. The empirical part is made up of quality research that analyzes the understanding of home hospice clients of the concept of spiritual needs based on semi-structured interviews with them and it finds out the importance of selected spiritual needs for these clients as well.
|
|
|
Specifics of nutrition in hospice care
Turková, Jana ; Starnovská, Tamara (advisor) ; Novák, Ondřej (referee)
Introduction: Hospice palliative care is provided to patients in the terminal phase of life with the aim of ensuring quality of remaining life with an emphasis on their individual needs and wishes. An integral part of palliative care is nutritional care and ensuring the patient's adequate nutrition. The theoretical part of the thesis describes the principles, standards and concept of development of palliative care, and provides a comprehensive overview of the types and forms of hospice care currently provided in the Czech Republic, and concludes with a consideration of nutrition and hydration in the terminal phase of the disease. In the practical part, the results of the questionnaire study are processed and presented. Objective of the thesis: The main objective of my bachelor's thesis is to determine whether an individual approach is applied to nutrition in the inpatient care of a selected hospice. The secondary objective is to discover whether patients in inpatient hospice care are satisfied with the nutrition and meals provided. Methodology: The project deals with research into the inpatient care of St. Štěpán's Hospice in Litoměřice. The research is designed as a questionnaire study. The data source is my own semi-structured questionnaire with 30 questions; 15 questions are closed, 13...
|
|
|
Nutritional specifics in hospice care
Macinauerová, Romana ; Starnovská, Tamara (advisor) ; Holubová, Barbora (referee)
Palliative care is an approach focused on improving or maintaining quality of life for patients and their families who suffer from terminal illness in an advanced stage. Hospices are most commonly associated with palliative care, where hospitalized patients are expected to live less than six months. The aim of this work is to introduce the issue of palliative care and the nutritional approach in hospices from a nutritional therapist's perspective. The theoretical part is focused on the general issues of palliative care and its division. It presents the needs and life values of patients and their families, introduces the issue of nutrition and hydration in the terminal phase of the disease, possible interventions and symptoms that affect food intake. The main objective of the empirical part of the research, which was conducted in the form of semi-structured interviews, is to find out among the patients at the Hospic u Dobrého Pastýře in Čerčany their favorite food and dishes. The sub-objectives were to find out the preferred consistency, quantity and texture of food, identification of situations and symptoms affecting patient's food intake in hospices and to find out through a questionnaire survey in inpatient hospices in the Czech Republic the importance of a nutritional therapist. Based on the...
|
|
|
All´s Well That Ends Well: Architecture of Palliative Care
Vítková, Kateřina ; Sládek, Martin (referee) ; Mléčka, Jan (advisor)
Can architecture ease the departure of people and their loved ones and remove or at least alleviate the stigmatization and taboo of death? The aim of this work is to design an ideal space for palliative care. The aim is not to design another hospice, or home for the elderly people, which has been designed and built more or less enough (see Analytical section). The task I set out was to accommodate this space on the basis of its broad context, to focus on the right urban location, operational content, relationships with and around, linking, opening, ... but also the very idea of death, leaving parting. The theme of palliative care is very complex and societal, which is reflected in its own design, which represents a new model of palliative care architecture. Palliative Care Center.
|
|
|
OLOMOUC – Densification Urbaine – Urban Consolidation
Nguyen, Jana ; Spusta, Ondřej (referee) ; Koleček, Ivan (advisor)
The diploma thesis deals with a possible solution for the construction of a hospice in Nové Sady in Olomouc. The aim was to design a place where, despite the severity of the disease, people can spend their last moments in peace and dignity. The aim was to open up the hospice, not only physically - towards the river, but also in its function - by connecting it to the children‘s centre.
|
|
|
Saint Barbara's house
Neuhauserová, Klára ; Spáčil, Miroslav (referee) ; Sedláková, Markéta (advisor)
The aim of the diploma thesis is the processing of project documentation for the construction of children's hospice. The building is located in Opava, specifically in the Jaktař district. Acess to the building is from street Karafiátová on building 2121/1, 2119, 2118, 2117, 2122/1. The children's hospice is a health and social facility in which relief care and facilities for a child suffering from a serious illness will be provided. The ground plan of its object is reminiscent of a person with open arms, which leads to the hospice garden, where a memorial site will be created. The capacity of the hospice is 10 rooms for patients, which will be connected to the rooms of family members. There will also be 4 separate rooms for patients, where it will be possible to place an extra bed. The children's hospice has two above-ground and one basement. The building will be built next to the hospital in Opava and is intended to expand the services provided by palliative care not only in the Moravian-Silesian Region, but throughout the Czech Republic, in which none of these buildings is yet in operation. External walls of the basement are reinforced concrete monolithic, the rest of the external walls are made of ground brick blocks with mineral insulation. The ceiling structures of all floors are monolithic reinforced concrete slabs. The roofs of the building are flat, above the single-storey part a vegetated flat roof is designed and above the second above-ground floor there is a flat roof loaded with aggregate. There is wall structural system.
|
|
|
Proposals for Improvement of the Communication Mix of the selected Company
Horníčková, Adéla ; Marčíková, Šárka (referee) ; Mráček, Pavel (advisor)
This diploma thesis deals with communication mix for the selected company. The theoretical part is devoted to the general basis in marketing that is used in the following chapters of the thesis. In the second part, analyses of the current situation of the company have been conducted and conclusions about improvements of the current communication mix have been drawn. These specific recommendations for implementation are presented in order to increase publicity and raise awareness of company’s services.
|
guest ::
