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Support of autonomous decision-making of clients in homes for the elderly
ŠEBESTOVÁ, Adéla
The diploma thesis deals with the support of autonomy of the elderly in homes for the elderly. It points out its essence, especially from a philosophical and psychological point of view. It describes what changes a senior goes through in old age and how they affect his autonomy. It is important to understand that not everyone perceives autonomy in the same way, and this is the subject of the third chapter. Next, the thesis concentrates on the possible support for the autonomy of the elderly in homes for the elderly, but in order to provide this appropriately, it is necessary to understand how the elderly adapt to their old age. Taken together, the findings underline the importance of supporting senior's autonomy.
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Managing the leadership change and related activities during work with long-term clients on a helpline for elderly people in crisis
Borecká, Jana ; Holmerová, Iva (advisor) ; Tesařová, Martina (referee)
BORECKÁ, Jana. Managing the leadership change and related activities during work with long-term clients on a helpline for elderly people in crisis. Prague, 2010. Thesis. Charles University of Prague. Faculty of humanities. Department of management and supervision in social and health organisations. The supervisor: Prim. MUDr. Iva Holmerová, PhD. Key words: helpline, intervention into crisis, elderly people, changes in old age, mothodics of work with seniors on the help line, managing the change, permanent clients, ethics, teamwork, supervision, case study. The thesis concentrates on managing the leadership change dutiny work with long-term clients on a helpline for elderly people in crisis. The first part represents important theoretical base for understanding the second, practical part. The first part is engaged in specification of professional help on a help line - main principals of intervention into crisis that social worker must follow. It also considers problems of old age and the changes that come during this stage of lifetime. First part also introduces permanent clients as a specific group that needs the helpline for an assistance and brings special ethical questions not only for workers who have direkt contact with clients, but also for their superiors. The second part brings reader to...
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Retirement as a Turning Point in the Life of a Man
PELEJOVÁ, Lenka
This Bachelor thesis deals with retirement and changes that follow this turning point in human life. The topic is up to date with regard to demographical ageing process of Czech population in the Czech Republic and abroad. The theoretical part of the thesis focuses on questions regarding demographical development and its impact on the society. Other chapters describe particular changes in ageing process, changes in physical, psychological, cognitive and social area. The following chapters involve reflections on factors that influence pensioners' lives health, physical activity, income, sense of life and spirituality. One chapter deals with issues of social exclusion and pensioners' needs. The aim of the thesis is to find out the impacts of retirement on human life and on satisfying pensioners' bio-psycho-social and spiritual needs. A partial aim is to find out if the change of a social status leads to social isolation of pensioners. A qualitative research strategy, a questioning method and a semi-standardized dialogue method are used in this thesis. The communicative partners were pensioners at the age of sixty-five and over, who were chosen at the basis of progressive choice by Snowball sampling method. The obtained data were analyzed by open coding, which enables to separate the text into smaller parts. Mental maps are used to present obtained information. According to the research, fourty-four per cent of pensioners didn't think about ageing and retirement during their active working life. Pensioners over seventy, who were awaitening retirement, were convinced that they will be provided for a pension that they will get from the state. They didn't think about financial resources, such as saving or insurance. All pensioners noticed some changes they experienced in connection with retirement, which was an interesting finding. Two thirds of them devoted to their hobbies and didn't feel any limits eg. lack of opportunities or lack of finance, which would prevent them from devoting to their hobbies. The results have shown that when a person gets older and less fit, their value scale is changing. In their youth these people preferred family interests and finance maintanance. Elderly people put their health and health of their family members in the first place in life. Czech pensioners regard their pension as low, however they are satisfied and they are able to make ends meet, which is also an interesting point. Those who are fit keep going to work and are able to save money. Responses to questions regarding health were also interesting. After feeling tired and having a lot of health problems at the beginning of the retirement, pensioners feel more relaxed and quite well, only with tiny health problems. Some of them were feeling even better. The contribution of this research is the finding that there is no reason to be afraid of such a major change in life as the retirement represents. Pensioners have enough opportunities for self-realization and they needn't be afraid of being socially excluded or isolated, if they don't wish so. Also a generational cohesion between family members was proved. Pensioners can rely on their offsprings in hard times.
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Old age as a final stage of human life
HORVÁTHOVÁ, Jaroslava
This diploma thesis is theoretical and is dedicated to old age and ageing. The aim of this diploma thesis is to summarize existing knowledge of old age and to view this final stage of human life from different perspectives and in various context. It is based on periodization of human life. It deals with the process of ageing and its progress, it lists definitions and theories on ageing and also discusses possible premises of longevity. It attempts to define old age and lists myths and prejudices associated with old age. It describes old age from different perspectives of multiple science fields, such as philosophy, biology, medicine, psychiatry, psychology, demography, sociology and social work. It depicts science fields concerned with old age and points out selected aspects of life that can influence elderly person, such as financial situation, housing situation, education, leisure activies, interpersonal relations. It also mentions possible crisis situations during old age, violence against elderly people and system of care of elderly people in the Czech republic. It explains the importance of adaptation during old age and outlines possible image of end of life. At the end of the thesis a set of recommendations for happy old age is included.
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Seniors and leisure
Pošustová, Kateřina ; Ondrušová, Jiřina (advisor) ; Žáčková, Hana (referee)
Summary This diploma thesis focuses on seniors living in the home environment. In this work, I focused on descriptions of the leisure activities that today's seniors devote and I want to address to the problems of the old people they deal every day. I have also described the seniors of risks seniors and the basic terms with which we can meet in the senior's issue. The aim of the work was to find out what activities are seniors doing in their free time and whether their leisure time is sufficiently fulfilled. I also wanted to compare the hobbies of seniors from small and big cities. I learned from my research how todays seniors spend free time and what are the obstacles on spending their free time.
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Comprehensive care for seniors in hospital
HRÁDKOVÁ, Lenka
This bachelor thesis deals with the issue of Comprehensive care for seniors in hospital. The conception of this thesis is theoretically-empirical. The theoretical part is focused on the characteristics of old-age and changes that accompany it, on the concept of comprehensive care, workers who participate in complex care and comprehensive care in hospital reception and hospitalization. Subsequently, it is oriented towards peculiarities concerning communication with seniors, the nurse´s role in satisfying seniors´ needs, the family as a part of care for seniors, and senior health-care in hospital facilities. The empirical part includes a research which was done via a qualitative approach, a questioning method, a semi-structured observation technique with nurses and seniors in the Aftercare Ward. The information obtained was noted in written form, and subsequently rewritten and organized, via a pen-paper method into categorizing groups. In relation to the research, three aims were chosen. The first aim was to find out how nurses conceive comprehensive senior care. The second aim was to find out how comprehensive senior care is being fulfilled by the nurses. The third aim was to find out what aspects of care offered by nurses are missed by the seniors. Six research questions which were being answered during the research were added to these aims. The research has shown that nurses have proven comprehension and knowledge of the terms ´comprehensive care´ and ´multidisciplinary team´. Comprehensive care is implemented by nurses already when receiving introducing the patient with the ward in regard to their health condition. Further on, they take the patients´ anamnesis from them, and they evaluate their health condition via evaluating tools which are being updated and further evaluated during the hospitalization. It was found out that nurses emphasize ensuring biological, psychological and social needs. Aspects of comprehensive senior care which are being missed by nurses have emerged from the nurses´ and patients´ interviews. Nurses do not sufficiently fulfill the autonomy need, and in social needs it would be suitable for nurses to lay out more time for communication with patients. The research has further proven that spiritual needs are not being fulfilled. The seniors´ answers were different from those of the nurses, and the results prove clearly that these needs are not being fulfilled by the nurses. Having been asked about what aspects in care the seniors are missing, they answered that they were happy in the ward. They agreed to the nurses´ results, saying that they would welcome a greater emphasis on keeping privacy, and complete room equipment. They equally agreed on the insufficient staff numbers.
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Moving of seniors to home for the elderly as a crisis life event
HORVÁTHOVÁ, Jaroslava
This thesis is focused on the issue of old age and aging. It is dedicated to moving of a senior to a home for elderly. Aim of the thesis was to determine whether elderly people see moving to a home for elderly as a life crisis event. This thesis consists of two parts - theoretical and practical. Theoretical part lists and clarifies principal topics that blend together at the thesis. Those topics are old age, aging, life in old age, life crises and possible solutions of them. It is dedicated to the process of aging and its aspects, defines the concept of old age and delimits various forms of old age. It explains the term senior and lists specifics of senior age such as specific needs of seniors and life changes of seniors. It focuses more thoroughly on housing of seniors and the process of moving of seniors into a residential facility. It defines the concept of a crisis, introduces a typology of crises and describes crises situations and their solutions.Practical part of the thesis consists of a research. Strategy of a quantitative research, method of questioning and technique of a questionnaire has been chosen with respect to the topic. The data have been acquired by means of a questionnaire of my own construction. The questionnaire consists of 25 research questions in total. The research file consisted of 119 respondents. The data are statistically evaluated and the results are depicted by means of tables and charts.The results of the research suggest that one third of seniors deems moving to the home for elderly to be a crisis life event. Perception of moving as a crisis event is not connected to sex, age, education and is connected to marital status. This thesis points out how demanding the process of moving to a residential facility is for seniors. The results can be used as a base for future research of the topic, they can be used as an educational material and can be beneficial for staff of homes for elderly and families of seniors.
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Managing the leadership change and related activities during work with long-term clients on a helpline for elderly people in crisis
Borecká, Jana ; Holmerová, Iva (advisor) ; Tesařová, Martina (referee)
BORECKÁ, Jana. Managing the leadership change and related activities during work with long-term clients on a helpline for elderly people in crisis. Prague, 2010. Thesis. Charles University of Prague. Faculty of humanities. Department of management and supervision in social and health organisations. The supervisor: Prim. MUDr. Iva Holmerová, PhD. Key words: helpline, intervention into crisis, elderly people, changes in old age, mothodics of work with seniors on the help line, managing the change, permanent clients, ethics, teamwork, supervision, case study. The thesis concentrates on managing the leadership change dutiny work with long-term clients on a helpline for elderly people in crisis. The first part represents important theoretical base for understanding the second, practical part. The first part is engaged in specification of professional help on a help line - main principals of intervention into crisis that social worker must follow. It also considers problems of old age and the changes that come during this stage of lifetime. First part also introduces permanent clients as a specific group that needs the helpline for an assistance and brings special ethical questions not only for workers who have direkt contact with clients, but also for their superiors. The second part brings reader to...
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The spiritual needs of pensioners in the residential home in Velká Bíteš
Zavadilová, Marie ; Haškovcová, Helena (advisor) ; Marková, Monika (referee)
The spiritual needs of pensioners in the residential home in Velká Bíteš Abstract: This theses focuses on spiritual needs of senior citizens living in the residential home for pensioners in Velká Bíteš. The theoretical part concentrates on the human needs, ageing and old age, healh and social services. It deals with spirituality, pastoral care, meaning of life and some religions. The practical part examinates the spiritual needs of pensioners in Velká Bíteš and tries to find out if these are sufficiently met. Further it maps the relation between the elderly to the faith, especially to some religious activities, and their cooperation with pastoral workers. The theses provides specific recommendations based on the results of the survay. The conclusion lists recommendations, which could be put into the practice and increase the quality of the spiritual care for senior citizens in residential facilities. Key words: HUMAN NEEDS, MEETING OF NEEDS, NEEDS BY MASLOW, SPIRITUAL NEEDS, AGEING OF PEOPLE, CHANGES IN OLD AGE, HEALTH CARE (SERVICES), SOCIAL CARE (SERVICES), RESIDENTIAL HOME, SPIRITUALITY, PASTORAL CARE, PASTORAL WORKER, DEATH, DYING, MEANING OF LIFE, V. E. FRANKL, SOLITUDE, RELIGION
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The quality of nursing care for patients with the need for geriatric care
ŠEBESTOVÁ, Jana
Abstract The quality of nursing care for patients with the need of geriatric care. Current state: The quality of the nursing care is an important factor in determining the satisfaction of patients with provided care. The aim of the quality nursing care is to improve the quality life and patients´ satisfaction. The theoretical part deals with generally defined concepts regarding to the quality of the nursing care, as well as old age and biological, psychological and social changes in old age. A part of the theoretical introduction of this thesis is the issue of screening tests conducted in the elderly and the most common geriatric syndromes. The communication with the elderly and violence against the elderly are described at the end of the theoretical part. The aim of the research was to determine patients´ satisfaction with the provided nursing care in Masaryk sanatorium Dobříš. Another aim was to evaluate the incidences of falls among patients in the period from 2012 to 2015 and to identify the most common cause of falls in the monitored group of patients. Methodology: The research part was realized using quantitative methods. For the research I used a part of the standardized questionnaire called the Quality of Health Care from the Patients' Point of View, containing 30 questions. The research was carried out in Masaryk sanatorium Dobříš during March and April in 2016. The further research was a retrospective analysis of reported falls in the period from 2012 to 2015. The data obtained from these researches were tested in SPSS program. The chi-square and sign pattern were chosen for statistical processing. Participants: In the research, 98 patients from Masaryk sanatorium Dobříš were interviewed, 3 patients were excluded for inadequate responses. The overall response rate was 100%. In the retrospective analysis of reported falls, 853 falls were analyzed. The results: The research shows that patients´ satisfaction is influenced by several factors. These include the evaluation of the provided information by a nurse, depending on patient education. It was found that people with the university education are significantly more satisfied with the provided care, than those with the secondary education. The patients were completely satisfied with the time of morning waking, with hours for visits and with the temperature in the rooms. Hospitalized patients are often affected by the environment in which they are at the time of hospitalization. Another factor is the behavior of nurses and other patients, who they meet every day. In the retrospective analysis of reported falls in years 2012 - 2015, it was found that the number of falls does not diminish, but the number of fall reports is relatively higher than we expected. This means that nearly half of reported falls are without injuries and most of the falls needs a treatment of flesh wounds caused by falls. The research shows that the most common cause of falls in the monitored group of patients is slipping in the shower. Conclusion: The research suggests that all these factors affect patients' satisfaction with the nursing care. Each patient should be considered individually and a nurse should recognize the primary needs of the patient, which she should meet as soon as possible. The nurse must contribute to the comprehensive care of the patient and try to improve the quality of the nursing care and become convinced that patients understood the provided information. The results of this research will be used as recommendations to improve the nursing care in Masaryk sanatorium Dobříš and as the analysis of reported falls in the years 2012 - 2015.
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