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Death and care for the survivors from pastoral perspective of a Roman Catholic priest
Kamínková, Anna ; Kolář, Pavel (advisor) ; Luptáková, Marina (referee)
6 ABSTRACT This thesis aims to provide information about the p rinciples of the care for the seriously ill, the dying, and the berieved in the context of the R oman-Catholic Church's pastoral activies. The theoretical section deals with the death from t he Bible's perspective, then with the death as well as the care for the berieved from the pasto ral point of view, and finally with the most suitable approach towards the individuals. In the p ractical part of the thesis, I assess the questionnaire that explores priests' and candidates ' for priesthood attitudes towards the matter of death and dying. The method is the literature an d primary sources analysis and questionnaires, which were used in my own research while collecting concrete experience Powered by TCPDF (www.tcpdf.org)
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Taking care of family members of a dying client in a home for the eldelrly.
ZIMOVÁ, Eva
People usually die in hospitals, at subsequent care departments and in retirement homes nowadays. Ill people die alone outside the comfort of their homes and in the care of professionals, who are strangers for them. Dying has become an institutionalized process. Dying is first of all a process that consists of three known periods of different length, which are linked together the pre finem, in finem and post finem periods. They are described in chapter 2. Chapter 3 describes the mental response stages according to Elisabeth Kübler-Ross in the usual order as the mostly occur. The fourth chapter mentions the needs of the dying and the role of a nurse in their satisfaction. Communication with family members is probably the most demanding activity for a nurse. Communication and its principles is dealt with by the fifth chapter. The sixth chapter describes the phases of grief according to Kubíčková (2001), but also the uncomplicated and complicated grief. The assistance to the family is described in the seventh chapter. A subchapter is also dedicated to counselling for the bereaved.The load on nurses in relation to dying is mentioned at the end of chapter eight. The last, ninth chapter describes a retirement home and the services it provides. The first goal was to examine the readiness of healthcare staff to communicate with the family members of dying clients. The second goal was to find the spheres in which the family members of a dying client need advice. The third goal was to examine the services provided to the family members of a dying client by a retirement home. The research questions:How are general nurses able to cope with communication with the family of a dying patient?What topics do general nurses avoid in communication with the family of a dying patient?What advice are general nurses able to give to the bereaved?What possibilities do retirement homes have to ensure dying with dignity?What services do retirement homes provide?Qualitative research in the form of semi structured interviews was chosen for elaboration of the empiric part of the thesis. The interviews were based on prepared questions and sub questions for general nurses from two retirement homes. One of them is in the South Bohemia Region and the other in the Central Bohemia Region. The sample consisted of eight general nurses. The interviews were recorded in written and then processed into individual categories. The names of the facilities are not mentioned to ensure anonymity. The thesis gives an insight into two addressed retirement homes in different regions. The research has brought the view on the care of family members and valuable comparison of the provided services and the possibilities of the homes. Communication with the family is in some situations unpleasant and stressing for a nurse, however it is frequent and inevitable. The research shows that informing of worsened state and client's death is most unpleasant and stressing. General nurses should be better aware of the phases of dying according to Elisabeth Kübler-Ross and they should realize that the family members go through the same phases. We have also found that if family members are not offered assistance and support, they usually do not ask for it. Both the homes are trying to create the environment for dying with dignity according to their possibilities. They offer unlimited visits, spiritual services and also the possibility of the last goodbye, however it is not offered automatically. The choice of funeral service is on the other hand always offered at the death notification.There are differences between the two homes in the environment where the care of the death body is taken, where the last goodbye is held and the inheritance passed. One home has the possibility to care about the deceased in a dedicated room, where also the last goodbye and inheritance passing is held. The other home does not have this possibility.
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Nursing care about patient in terminal stage at the ward follow-up and in Hospic.
PETROVICOVÁ, Eva
The bachelor thesis called "Nursing care of the patient in the terminal stage at the aftercare department and at a hospice" deals with the issue of nursing care for patients in the terminal stage at the aftercare department (AD) and at the hospice. Caring of a dying person is still a current topic, since each one will die and before the inevitable moment occurs, we will wish that it happens with dignity. The aim of the work was to examine the differences in nursing care and meeting the needs of patients in the terminal stage at the AD and in a hospice. To prepare the thesis, a qualitative research with the help of unstructured interviews with general nurses and patients in the terminal stage, who only complemented for less strain information from nurses. The talks took place in Strakonice Hospital and The Hospice of St. John Neumann of Nepomuk in Prachatice. Research file was made up of three general sisters and three patients from the aftercare department and three general sisters and three patients from the hospice. Patients with whom the interviews were conducted at the aftercare department were familiar with their own diagnosis, so the interview could be more open. Patients at the hospice were acquainted with their own diagnosis as well. Afterwards, the records have been processed into categories according to the research questions. The results show that among these facilities there are a lot of differences in the provision of nursing care and meeting the needs of patients in the terminal stage. The first research question related to the differences in nursing care of patients in the terminal stage. This area showed the differences in the current day mode, especially in times of waking of the patients, hygiene and breakfast. In addition, a difference in the area of food and fluid intake appeared. The second question dealt with ways how to control pain at the patients in the terminal stage. At the hospice, prevention from pain is at first place. Either with the help of analgesics, opiates or dispensers. From the conversations with nurses and patients from the AD there is an apparent lack of control of pain. The third question touched the issue of communication of nurses with patients in the terminal stage. From conversations with patients (AD and hospice) the feeling of a lack of communication arises. Nurses stop at the patients and talk, but some of the patients would welcome more opportunities to have a conversation. At the hospice, the presence of the nurse attendants or nuns is of benefit to patients. The fourth question related to the psycho-social needs. These needs, including the spiritual one, are fully provided at the hospice. The patients mentioned the students help, mass celebration or volunteers who fill a day. This fact is presented in contrast to the AD, in which patients can fill a day only with the visits that are allowed continually at both facilities. Spiritual care is adequately provided there as well. The fifth question dealt with communications of staff with relatives of the patients. At both institutions this occurs frequently. The nurses involved the family in the care of the patient and talks about the family as important. They highlight the need to know the patient's background and home. The final question discussed how they farewell the deceased. At the AD it occurs in a hospital room, whereas at the hospice with more dignity in a farewell room, which is decorated. The deceased is dressed in festive clothes that nurses request from the family before the death. The bereaved are also supported afterwards by the hospice staff through meetings or by sending cards. This bachelor thesis could serve as a learning resource for students with the major of General Nurse, but also for the general public or as a guide to those who care of their relatives in the future. I believe that knowledge of the bio-psycho-social and spiritual needs is an essential part of the comprehensive care about the dying.
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