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Paliative care from the point of view of non-medical healthcare workers
Štětinová, Natálie ; Klokočková, Šárka (advisor) ; Nikodemová, Hana (referee)
This bachelor thesis describes dying from the view of nurses and compares implementing principles of paliative care of the dying patient lying on a hospital bed with care in a hospice. The goal of this work was to find out how nurses with practice in both types of institutions look at this care and what differences between them they recognize. The theoretical part involves definitions of basic notions and introduces the the whole themes of dying to the reader. Also basic principles, thoughts and values, that paliative medicine has and practices, will be mentioned. Further it submits basic information about history of this specialization in our country and also in the world, approaches typical expressions and problems of a dying patient and explains what specifics the hospice institutions have and what kind of care they provide. For the comparison, there will be also described how the paliative care for the patient in the terminal phase laying on a hospital bed is implemented. The basis for this part will be mainly appropriate literature and internet sources. For the empirical part the method of qualitative research was chosen. It works with informations gained from interviews with four nurses that have the experience with a dying patient from their earlier practice in a hospital and who are taking...
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Use of assessment scales for palliative patients
SLÁDKOVÁ, Michaela
The thesis deals with evaluating scales used in palliative patients. Palliative care has become a quickly developing field of study. To ensure individualized high-quality care for palliative patients, it is important for the nurse to be able to work according to the latest nursing procedures, which include, among other things, work with evaluating scales. The aim of this bachelor thesis is to find out whether nurses use specific evaluating scales in palliative patients and in what way these evaluating scales are of use to a nurse taking care of a palliative patient. The theoretical part of this thesis helps the reader get a basic preview of the issue of evaluating scales in palliative care. First, the history and division of palliative care are described. Further, the way of how palliative care works in the Czech Republic is outlined, what roles nurses hold in palliative care as well as what needs patients in palliative care have. The second chapter deals with tools used for evaluating the needs of palliative patients. The empirical part of this thesis was carried out via a qualitative research survey. Processing was done using a semi-structured interview with 10 nurses at chosen hospice facilities. First, the nurses´ identification was carried out. The interview itself consisted of 14 open-ended questions organised so that research questions would get answered. Data found out via survey was further processed using the open-coding ´pen-and-paper´ method and dividided into 4 logical categories further divided into sub-categories. A difference was found out between nurses from mobile hospice care and bed hospices in terms of the type of evaluating scales used. Evaluating scales serve nurses as an indicator of care and a quick review of problems in palliative patients. Further, information obtained via evaluating scales is consulted with doctors who may, thanks to this information, adjust their patient´s healthcare plan.
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Social Work in Hospic and Palliative Care
DOMBROVSKÁ, Ester
The thesis aims to identify the positives and negatives of a hospice multidisciplinary team. The first part of the thesis focuses on an academic approach to palliative and hospice care. Specifically, it defines the concept of a team and its diversity. Moreover, it illustrates the ethical issues and dilemmas occurring in hospice care. The second part of the thesis is interview-based research of particular members of multidisciplinary hospice care teams whose objective is to find their opinion on the possible weaknesses and strengths in their teamwork background. The research also focuses on the ethical issues and dilemmas hospice workers face.
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Accompanying hospice care, public awareness and ideas
Mikulová, Jana ; Jirkovský, Daniel (advisor) ; Dorková, Zlatica (referee)
The bachelor's thesis "Accompanying in hospice care, public awareness and ideas" examined, compared and also evaluated the awareness and ideas of the general public about concepts such as: hospice, accompaniment, palliative care and also focused on the topic of death and dying. The aim of the work was to find out what the general public is aware of palliative care in the Czech Republic, what the public has fears of death and dying and also how ideas and awareness of the topics differ depending on age, education and place of residence. The theoretical part of the thesis explained the legal definitions and basic concepts. The importance of palliative care in the Czech Republic was emphasized, its development was mapped, its basic goals were defined and the target group of palliative care was defined. Furthermore, the bachelor's thesis presents a structured form of hospice care, describes the professions working in hospices and the final part of the theoretical part is devoted to accompanying the dying. The empirical part contains the results of our own survey and its comparison with the results of other similar works. Method: questionnaire survey - self- designed questionnaire. Results: 87 respondents out of the original 93 respondents participated in the research survey, ie 93.54%. Conclusions: The...
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Death and palliative care in pre-hospital care
NOVOTNÝ, Jan
The bachelor thesis entitled Death and Palliative Care in Pre-hospital Care reports on the interaction of death per se, but also deaths of patients in the care of paramedics. Furthermore, the thesis intersects the medical field called palliative care, which serves as an important agent in the care of patients in the terminal phase of their existence. The subject of death is a entirely timeless topic that has been, is, and always will be with us. Four research objectives were defined: namely to find out the attitude of the paramedic towards the dying of patients in pre-hospital care, to find out how paramedics cope with deaths of patients in pre-hospital care, to find out what communication techniques are used by paramedics with dying patients and their relatives or with bystanders in pre-hospital care and the last research objective was to find out what knowledge paramedics have in palliative care during pre-hospital care. The first, theoretical part deals with the perception of death from the Middle Ages to the present, the discipline of Thanatology and its subgroups. The chapter touches on euthanasia and describes communication, palliative care and its specifics. The second, practical part used qualitative research by conducting semi-structured interviews to gather in-depth data. The interview was conducted with paramedics belonging to the regional centre of Jindřichův Hradec. With the help of open coding and subsequent categorization, the data was analyzed and interpreted using the "show one's cards" technique. According to the analysis, all paramedics perceived death as an inevitable, natural fact, with this group divided by the fact of armouring themselves over their practice. Another finding projected the validity of debriefing as an appropriate factor after a mentally challenging ambulance despatch. Regarding communication, paramedics were not sure about the suitability of the methods used, which stems from the absence of the seminars in question. Awareness of the term palliative care was generally sufficient, but insufficient for the subsequent specification of the therapy. There has been an inconvenience in working with mobile hospice care, or pain alleviation, which is not officially defined and operates on a referral basis.
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Social work in hospice care
PUDIVÍTROVÁ, Tereza
The diplome thesis focuses on social work with dying person, including their family members in hospice care. This thesis is situated in five chapters. The first chapters focuses on death and dying. The second chapter focuses on hospice, hospice care and last but not least, dignified dying, including the quality of life in the hospice. The third chapter deals with social work and its place in hospice, including its focuses on the role of social worker in hospice care, where I describes the individual target groups and other areas of interest. The fifth and final chapter focuses on the ethical side of dying and death, first part in general, and second part on end of life issues.
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The development of providing palliative and hospice care in the Czech Republic - the teoretical study
VĚCHTÍKOVÁ, Monika
The diploma thesis deals with the development of palliative and hospice care in the Czech Republic. The development of palliative care in the Czech Republic began about thirty years ago. The beginnings were difficult because there was no tradition of this kind of service in our country to build on. Hospice care, which started in the 1990ies, was first provided only in hospitals or sanatorium for long term sick patients. Later basic hospices were established and also home hospices began to expand. The aim of thediploma thesis was to map the komplete development of palliative care and also additional aspects of its existence and providing of palliative care in the Czech Republic, all based on accessible literky sources. Data analysis from (books, magazines and the archive) was used, opinions and different wals of providing care to people at the end oftheir lives were described. Based on the results of the diploma thesis the Czech Republic isabout ten years behindhand withthe care fori ll and dying people compared to other states. Public awareness about palliative and hospice care is increasing slowly. The biggest lack lies in pediatric palliative and hospice care. There are still not enough hospices for children, and especially home hospice care for pediatric patients. Furtherl acks are in the financing which is still not sufficient or satisfactory. Palliative education centres at the Faculties of Medicine are slowly starting to develop in the Czech Republic. Very delikte for experts and also for the public is the very much discussed topic of euthanasia. Some experts cannot agree on its legalisation. Despite all this the quality of palliative and hospice care has started to improve, but we still have a long way to go.
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Hospice Movement in the World and in the Czech Republic.
MÍŠKOVÁ, Vendula
The bachelor thesis deals with the topic of the hospice movement across history and continents. This is a theoretical work using a search compilation of resources. It describes basic concepts such as hospice or palliative care, terminal stage of illness, dying, death and the stage of dying according to psychiatrist Elisabeth Kübler-Ross, which are very closely related to the topic. The main goal of this work is to create a comprehensive overview, not only of the origin and history of palliative hospice care in selected countries (Europe - Czech Republic, United States, Australia, People's Republic of China - specifically the Hong Kong region, Latin America - Chile and Argentina, Russia, Australia and Central Africa). Last but not least, there are types of hospice care, including the legislative entrenchment in the legal order of the Czech Republic. The bachelor thesis also focuses on the standards and principles of palliative care in the Czech Republic in comparison with other countries of selected continents. The Association of hospice palliative care providers unite hospices in the Czech Republic, so the work also focuses on the current list of its full members. There are also many myths about dying in a hospice, which is why I mention the most common misconceptions about living in a hospice. The content of the thesis also mentions the current process of approving euthanasia, which the Government of the Czech Republic is currently striving for.
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The social worker's role in the multidisciplinary hospice team
LEŠETICKÁ, Dagmar
The aim of the bachelor thesis is to describe the role that a social worker plays in a multidisciplinary hospice team. The subject of my research will therefore be primarily the job description of a social worker, the requirements for his personal qualities and abilities that arise from his position within the multidisciplinary team. The method for processing the work will be a search of professional literature.
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