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Development of hospice-palliative care with focus on Germany and the Czech Republic
Kubíčková, Ruth ; Vogel, Jiří (advisor) ; Kolář, Pavel (referee)
Vývoj hospicové paliativní péče se zaměřením na Německo a Českou Republiku Development of hospice-palliative care with focus on Germany and the Czech Republic Ruth Kubíčková The aim of the thesis was to map the development, crucial moments and current .shape of hospice-palliative care and simultaneously confirm the thesis that the care of spiritual feature of dying persons has been an integral part of organized development of hospice care since its beginning and nowadays, it is still one of its principal themes. The first chapter deals with branch terminology since its clear definition is essential, not only for dialogue inside the system of palliative care providers and experts, but for interdisciplinary communication and cooperation which is - according to the definition of palliative care - the foundation of its holistic approach to patients. The second and third chapters are concerned with the development of nursing care since the ancient times to the diversification of modern hospice-palliative care at the end of the twentieth century. They deduce that the Christianity, with its central commandment to love thy neighbour as thyself, has changed the attitude to care of suffering persons, both in the nursing care and in shapes and ways of providing care. In the response to revolutionary changes in...
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Spiritual needs of patients from the nurses' point of view
Rosypalová, Marta ; Hlaváčová, Marie (advisor) ; Tomová, Šárka (referee)
The bachelor thesis deals with spiritual needs of patients and the importance of satisfying those needs. The object of the thesis was to investigate the nurses' awareness of the topic and their relationship towards this issue. The thesis follows the two traditional lines - theoretical and empirical. The theoretical part firstly deals with needs in nursing generally and clarifies the basic concepts such as spirituality, religion, faith, atheism and agnosticism. Further on the notion of spiritual need is specified in more detail along with the possibilities of its satisfaction. Spiritual care of patients is explained from different perspectives of various denominations and religions. The empirical part consists of research, where by means of questionnaires the nurses' awareness and their attitudes towards the spiritual needs and their fulfilling were investigated.
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Spiritual service in the home for the elderly in Jindřichův Hradec
HOUSEROVÁ, Lucie
The spiritual care in all Elderly Houses is perceived as a part of total care of clients. Contemporary holistic interpretation distinguish biological, psychological, social and spiritual dimension of human person. All these spheres form a complex, are inseparable and influence each other. The duties of care of clients are characterized not only as a care of biological needs but also as a help in solving social, psychological needs and an assistance in filling of the spiritual needs. The spiritual needs of each person and it would be a failure to think, that the spiritual needs are only for believer human people. The rate of satisfying these needs is changing during client´s life and present foreign researches indicate, that the need of spiritual is increased in old age and in illness. The clients can this spiritual care seek out when they need stimulation in exacting part of their life, they want to talk about spiritual or existential topics or when they are interested in various churches. In some countries is already common that the hospital employs own priest or a hospital chaplain. In our republic the installation of hospital chaplain is also started to discuss, even some hospitals employ the chaplains. The target of this bachelor´s work is to map the offer of spiritual care in Elderly House in Jindřichův Hradec, if these services are used there and which the most frequent spiritual services the clients use. Work found out which the spiritual services are interested and how many clients use them. And also from the clergyman´s side indicated which the spiritual services are offered to the clients and from the side of the social worker found out that the majority of clients, who are coming to the Elderly House, is informed, that the spiritual services are running there and he or she can use them. The hypotheses were verified by quantity study. In order to find patient´s interest of satisfying their spiritual needs was used the method of controlled talk and the same method was used in the case of talk with the clergyman and the social worker.
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Integrating spiritual and religious needs in the nursing process in Tábor hospital corp.
PETERKOVÁ, Blanka
During an illness, spiritual and pastoral needs play an important role, although their saturation is not yet accorded such importance as is the case in meeting biological, psychological or social needs. The first objective of the work was to determine how spiritual and pastoral care is integrated into the nursing process at the wards of Nemocnice Tábor, a. s. (Tábor Hospital). The second objective was to determine the satisfaction of clients/patients with the provision of such care. A qualitative research study was conducted based on semi-standardized interviews with nurses and clients of Tábor Hospital, and also with the clergymen and pastoral assistants who provide spiritual care in the hospital. The research sample consisted of 10 ward nurses, 10 hospitalized clients, 2 hospital chaplains and 2 pastoral assistants. The investigation revealed that the spiritual and pastoral care is incorporated in Tábor Hospital in the form of religious services, providing sacraments, conversations of clergymen and pastoral assistants with clients. Nurses are involved rather in the emotional support of clients and they do not basically saturate their spiritual needs, especially in consideration of their work load as well as their unfamiliarity with this issue. Clients are not satisfied with the providing of spiritual and pastoral care, because such care is not provided to them, particularly on the part of nurses.
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Terminally Ill Senior Citizen in Hospital.
KOZÁKOVÁ, Jitka
The thesis deals with insuring a humanly dignified care for terminally ill senior people approached as the goal of a social work in a hospital environment. Medical facilities belong to places where senior people most often pass away, and where their dignity is also most endangered. The basis for working out the thesis is describing the man seen as the being whole and at the same time uniuqe, in which one sees man?s dignity. The following part of the thesis is dedicated to a palliative care as a guarrantor of maintaining dignified and quality life till its end. A knowledge of conceiving a terminally ill senior man, his/her needs and values is for a provision of the palliative care necessary. A part of the thesis deals with a specificity of social work in a palliative care, and with professional a personal competencies of a social worker. A provision of a support to those terminally ill and their close ones is in a hospital environment insured only partly. Based on the information collected the thesis is dedicated to outlining a humanly dignified care as the aim of social work. A social worker can participate on the above mentioned by being in a role of an accompanying one and a consultant for those left. A possibility to support a spiritual dimension of the man to which a social worker is in his/her both roles often close is approached in the final part of the thesis.
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The Spiritual Care in Hospitals in the South Bohemia region
HRUBÁ, Jitka
Spiritual Care in Hospitals in the South Bohemian Region In contemporary holistic perspective, we see man as an integrated unity existing and functioning in four dimensions. These are biological, psychological, social and spiritual dimensions. All these spheres create a whole; they are inseparable and they influence each other. Therefore, caring for the ill can be characterized as a combination of these aspects {--} taking care of his biological needs, assistance in his social needs, identification and fulfilling of his psychological needs and help in meeting his spiritual needs. Spiritual needs are inherent in man{\crq}s nature and so it would be erroneous to suppose that they are present and pronounced only in people who are believers. The intensity of the urge to satisfy these needs changes during life. Research done on this topic has revealed that this kind of need intensifies in old age and illness. In some countries, it is already common that hospitals employ spiritual workers or hospital chaplains. In the Czech Republic, there has been a discussion going on regarding the introduction of the hospital chaplain function and several hospitals have one already. The goal of this work is to present an overview of the offer and ways of providing spiritual care in the individual hospitals in the South Bohemian region and to find out whether the offer of spiritual care in these hospitals corresponds with the needs and interest of the patients. The work should also find out what kind of spiritual assistance the patients are interested in {--} whether they would welcome if the hospitals employed their own chaplains or if regular visit of a clergyman suffice, and also, who should perform the role of the hospital chaplain {--} whether a clergyman or a qualified layman. The hypotheses will be verified through a quantitative research. To find out the intensity and kind of interest of patients in satisfying their spiritual needs and to ascertain the level of their satisfaction with offered services, a method of questionning will be used. The research will be conducted through a standardized questionnaire and a guided interview with patients who are unable to fill it in. Possible ways of satisfying spiritual needs will be assessed by the method of questionning through guided interviews with head nurses in the individual hospitals in the South Bohemian region.
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Pastoral Care in Prisons and the Following Spiritual Care for the Released
PEŠEK, Pavel
The thesis deals with the standard of spiritual care provided in prisons and stockades in the Czech Republic, and pastoral care in the St. Peter´s Asylum House in Záblatí. The theoretical part defines concepts of Christianity and pastoral care and it is focused on prisons in the Czech Republic and spiritual care that is provided in there. There is described and explained the concept of spiritual care in prisons. It examines the complicated situations of released prisoners. The practical part includes the research methodology, characteristics of the examined sample and description of research method. Questionnaire investigation was used for gaining information from prison chaplains. Semi-structured inverviews were used for gaining information from respondents. Data processing resulted into the final summary. The aim of the whole thesis is to find out a positive influence of pastoral care on people who found themselves in oppressive life situations.
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Spiritual Needs of Hospitalized Patients
SENDLEROVÁ, Klára
This Bachelor`s thesis has the title "Spiritual Needs of Hospitalized Patients." The work endeavors to capture the spiritual needs of hospitalized patients and the way they cope with their illness in relation with their religious belief; whether religious belief plays an important role in their lives. The theoretical part deals with human needs in general. It is followed by the characteristics of spiritual need, which is individual for every person. That is why the chapter on assessing spiritual needs is mentioned here. Furthermore, concepts of spirituality, religion, and religiosity are covered. This is followed by description of spiritual phenomena including personal relationships, spiritual knowledge, and love. I have also included spiritual health and spiritual distress here. The chapter Spiritual development in individual phases of life deals with the way we experience spirituality from childhood to adulthood. It is followed by the chapter Illness and hospitalized person, which mentions the effects of hospitalization on an individual, and also the meaning of religious belief during his illness. The last chapter is called Spiritual care, which includes pastoral care. The aim of the work is to find out, based on quantitative research, what kind of spiritual needs hospitalized patients have and how does the experience of illness differ in religious and non-religious patients. Two hypotheses were set {--} the importance of spiritual needs increases with age, and experience of illness differs in religious and non-religious hospitalized patients. Both of the hypotheses were verified. The research sample consisted of hospitalized patients from Moravian-Silesian Region, from the town Odry, hospitalized at the Chronic diseases ward and Internal medicine ward, and patients from Pilsen Region, from the city Pilsen, hospitalized at the Internal medicine ward and Surgical ward. The interviewing method was used in the form of questionaire data collection. In the discussion, the outcomes are compared with professional literature, and working hypotheses are evaluated. Current situation of the attitude towards spiritual needs, evaluation of hypotheses, and my personal opinion of the topic are mentioned in the conclusion.
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Hospices and Care Based on Individual Needs of the Patient
SEKYRKOVÁ, Michaela
This diploma work deals with hospice and a quality of care given to the clients of the hospice, that fully covers complex needs, changing during a life limiting illness, taking in account the dignity of the human being to the very last moment of his life. This care is a promise for a man, that he won´t be alone in the burdensome moments of his life. There are a hospice management and various forms of hospice care in Czech Republic described in a theoretical part of the work. This chapter is to be a handbook for providing companionship to the dying person and is to draw our attention not only to the changing priorities of the dying person and to stages, that he is to go through, but to an irreplaceable role of a caregiver at his bed. In a practical part of this work there are investigated the attitudes of the caregivers in hospice and public to the process of dying of the human being. The founded results of the research show, that people finding themselves in a final stage of the life-limiting illness change their priorities; the spiritual needs become more important, especially to attain a peace with self, with other people; clients trusting in God long for consilience with God; the results of the research show however, that most public is not familiar enough with the problem of dying and death, and that there is generally low knowledge on how to provide companionship to the dying person.
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