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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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Absence of Rites of passage in liminal situations
NOVÁKOVÁ, Anna
This dissertation seeks to evaluate the absence of rites of passage in the context of indi-viduals´ marginal life situations. The aim of this research is to describe rites of passage and to highlight its importance in the contemporary age. Furthermore, it proposes an implementation of rites of passage in the area of social work due to its potential to aid in dealing with difficult life situations. For example, it can be used as a tool in group the-rapy for people with substance use disorder diagnosis, in social work with terminally ill patients or the bereaved dealing with grief. In addition to that, it is also a useful tool for the work woth adolescents going through multiple life changes. Conclusively, this dis-sertation proposes the rite of passage as a valuable tool for social work with many groups of people, and also seeks to encourage other social areas and individuals to im-plement rite of passage in their daily life.
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The social worker's role in the multidisciplinary hospice team
LIŠKOVÁ, Erika
The thesis deals with the position of a social worker in a multidisciplinary hospice team, and describes how the activity of a social worker in a hospice is unique, and how his work intersects with the activities of other members of the multidisciplinary hospice team. To clarify the assigned topic, palliative and hospice care and their forms are first described. It also describes social work in the hospice, which deals with the dying, family members and survivors, clarifies the role of a social worker in the hospice. The next part of the work focuses on multidisciplinary cooperation in the hospice. The theoretical knowledge presented in this work is supplemented by a particular example of teamwork of the home hospice of St. Markéta in Strakonice and the role of a social worker in it.
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The subjective view of nurses on the issue of dignified dying
FORMÁNKOVÁ, Kateřina
This bachelor's thesis deals with dignified dying from the subjective point of view of nurses. Whether it is possible to die with dignity in the hospital. What is important to ensure a dignified death. Which factors affect the quality of care for dying people. What are the needs of dying people. Furthermore, the attitudes of nurses to education in this area and also to the creation of palliative teams in hospitals. The empiric part is in the form of a qualitative research with the use of a semistructured interview. The focus group was made of 9 nurses working on hospital wards.
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Psychological and ethical aspects of the last things of man
KÜMMELOVÁ, Magda
The thesis deals with the very last issues of a person from the psychologically-ethical view, however it doesn't neglect the social view. With the topic is worked also in a context of selected current ethical systems, mainly deontologism and utilitarianism, also regarding the topic of the thesis, the topic of bioethics is discussed as well. Regarding the field of psychology, the thesis elaborates more in detail on the existential psychotherapy, actually also on the logotherapy, which was shaped by an Austrian psychologist Viktor E. Frankl. There is also included the problematics of burial, the possibilities of giving a last farewell, also in a religious and an ethnical point of view. The key part of the thesis deals mainly with a needed psychosocial care for the terminally ill, the dying and also their close ones, in the times of pre finem, in finem and post finem by the prospective death of adults, it deals also with the influence of this care on the experiencing of the final period of life of the dying, and the following grieving of the survivors. In the thesis is also shortly mentioned the topic of palliative and hospice care. The thesis also follows the evaluation of the influence of the last farewell on the process of the survivors' grieving. The inspiration for writing the thesis were apart from professional literature and other professional sources also to a bigger extent the many years of work experience of the author, thanks to which is the work supplemented with many own cases.
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Access to death and social work with the dying and their families
VIKTOROVÁ, Nikola
The bachelor's thesis deals with the phenomenon of death and dying which are defined in the first chapter. It also compares the access to death in the past time with the access to death nowadays. This thesis describes the forms of dying, funeral habits and rituals in the past and the concept of death nowadays. The last chapter deals with social work with dying people and their families, so it can serve as an inspiration for social work with this target group.
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Coping of nurses in the care of dying patients
VODIČKOVÁ, Anna
This bachelor work deals with the issue of how nurses treating the dying patients cope with their charge. It is divided into theoretic and empiric parts. The theoretic part includes explanation of basic notions of dying and death. It deals with the method of providing general and specialized palliative care. It also describes the nursing care for a dying human in pre finem, in finem, and post finem phases. It mentiones physical, psychical, and social charge, imposed on nurses by carrying out their profession. In an attempt of solving some of these issues, it offers various methods of coping with these charges, which are described in a special chapter. Last but not least, the theoretical part focuses on specific features of communication with a dying human, with a patient´s family, and within the nursing team. The empiric part of the work sets forth the results of research carried out by means of qualitative approach, using the method of semi-sctructured dialogue. The research set has consisted of nurses from a hospital internal department and from a hospice type facility. Acquired information have been analyzed and categorized by means of open coding with applying the "pencil and paper" method. In consequence with the research, the chief target has been selected, which is to determine the ways of how nurses in palliative treatment cope with their charges. Consequently, there have been two other targets set forth. These have been to ascertain factors imposing on nurses in contatct with a dying person, and to point out to ways of coping with charges. In the process of the research all inquiries concerning the stated targets have been responded. The research shows that the inquired nurses have vast experience with dying patients treatment. As the most serious the psychical charge has been indicated. They are well aware of this fact. For coping with this problem they use similar methods, among which active relaxation and rest are the most frequent.
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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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Dilemmas in social work when working with the dying
ŠTIKOVÁ, Petra
Dying is not only a highly personal topic, but we cannot forget that it is also a social theme, because people who are near death are always affected not only by other people but by society as well. Social workers and those in services that help the dying to live a meaningful, dignified, and painless existence in the interim must make a number of decisions, many of which being uneasy or uncomfortable, even in some cases where they have no clear solution. It is these problematic cases that these workers meet in their daily life. This thesis is therefore focused on the dilemmas faced by social workers that work with the dying. The theoretical part introduces problems of social work in the context of the dying. In order to understand a particular context, it must be something about the problems of dying to know why their work occasionally works as terms like dying, death and palliative care. As a crucial part of the work is the problem of dilemmas, where I come from Musil (2004) concept of everyday dilemmas. The theoretical part is devoted only dilemmas that research has not been proven. Other dilemmas are more specified in the empirical part. In the empirical part, I am setting one main goal, in which I try to find out what some of the dilemmas are that the staff working in social services with the dying people experience (such as in hospices, nursing homes, and retirement homes) and how to solve those dilemmas. To that end, I set two main research questions and six sub-research questions. To collect my data I chose the qualitative research method of questioning through semi-structured interviews. For the research sample, I chose the method of random selection. The research had to meet a set of predetermined criteria. For my data processing research, I chose the method of case studies. The research occurred in phases, where the first stage was partial, and then subsequently I conducted my own research. My goal in this work was to identify the problems experienced by people who provide social services to the dying, and how these are solved. The results have shown that they are indeed faced with many challenges. The research revealed nine such examples, while some individual workers had repeated instances. Further research showed that workers in most cases solve dilemmas as best as their knowledge and conscience permit. Accumulated experience is probably the most valuable asset in dealing with such situations, and the majority of respondents considered it important to discuss the issues faced by a multidisciplinary team. I believe that my work goals were met successfully and the research questions provided answers. My work could serve as a basis for a conference or for a technical article dealing with these issues in more detail.
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