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Needs of dying people in Štrasburk Hospice
MIKŠOVÁ, Libuše
The title of the bachalor{\crq}s thesis is: The needs of dying people in Štrasburk Hospice. It deals with the issue of how to accommodate needs of dying people. A dying human being has needs of various kinds: biological, psychological, social and spiritual. Palliative care in hospices is characterised by the fact it provides the client, i.e. the dying man/woman, with complex treatment which is focused on satisfying all of the said needs. The goal of such care is to accomplish the best possible quality of life in clients and their families. The theoretical part dwells on palliative care and palliative medicine, history of hospices, the status quo in palliative care in hospices around the Czech Republic, and particular details of the care provided in hospices. Later, it explains in detail the terms of suffering, pain, dying, and death. It takes a perspective of human needs and subsequently the needs of dying man, it includes a detailed summary of individual needs. Futher on, it discusses the issues of tellin people the truth, how tu attend the dying people, and pastoral care/counselling. The research part of the thesis is based on the qualitative survey using the methods of questioning and technique of non-standardized, semi-controlled interview. Another additional method introduced in the research was involved observation. The research group contained 9 clients of the Štrasburk Hospice. The objective was to monitor the fulfilment of a holistic approach to hospice clients and to find out which of their needs are saturated only thanks to hospice care and, while dying, which needs are considered most important by the clients. The outcome of the survey showed that the hospice provides a complex care which includes meeting the biological, psychological, social, and spiritual needs of the clients. Fulfilment of the spiritual needs could be improved in some aspects. It was also concluded that among the needs saturated only thanks to the hospice care, sufficient privacy ended first as the most valued service provided, staff attitude was the second most valued quality, and better surroundings ended third. The most essential needs from clients` perspective are: not to be left alone, stay close to their families and friends, not to suffer from pain.
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The comparison of communication skills of nurses with a deathward client in hospitals and hospice homes.
ADAMCOVÁ, Lenka
This Bachelor's work examines nurses' skills in communicating with terminally ill patients in hospital and hospice facilities. The aim of this work is to present a detailed overview of the communication skills of nurses treating dying patients in hospital and hospice facilities as well as to identify what approaches nurses working in hospital and hospice facilities are not taking when treating terminally ill patients and to identify the specific issues that nurses must deal with when treating terminally ill patients in hospital facilities. A method of quantitative research was used to obtain findings for this Bachelor's work, and questionnaires were used to collect data. The addressed respondents were medical staff treating patients at the Central Military Hospital in Prague as well as at the St. Agnes of Bohemia Hospice in Červený Kostelec, the St. Lazarus Hospice in Plzeň and the Hospice on the Holy Little Hill in Olomouc. A total of 129 questionnaires were distributed, and only 33 were not returned. Therefore, 74% of the respondents did complete and return the questionnaires. However, 12 questionnaires were excluded for being incomplete. A total of 85 questionnaires, 66% of the original number of questionnaires distributed, were used to process the data. Therefore, the answers of 85 respondents were used for the research. Four hypotheses were established: 1. The methods and the level of communication of nurses caring for terminally ill patients are influenced by education and awareness {--} this was confirmed; 2. The process of caring for terminally ill patients depends on the conditions for providing comprehensive treatment care in hospital departments and in hospital facilities {--} this was confirmed; 3. Nurses in hospital facilities lack sufficient education for communication with terminally ill patients, and the conditions for providing comprehensive care are insufficient as well {--} this was confirmed; 4. Nurses in hospice facilities are familiar with communication techniques and regularly use them when accompanying dying patients {--} this was confirmed. The results of the research will be provided to employees in management positions in the examined hospital facilities and two hospices in order to improve the quality of the care provided to terminally ill patients.
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THE AWARENESS OF PUBLIC OF THE POSSIBILITES OF PALIATIVE CARE IN THE CZECH REPUBLIC
MALÍKOVÁ, Gabriela
I have chosen the topic of my bachelor thesis "Awareness of general public about possibilities of palliative care in the Czech Republic" on purpose after a many- year- experince as a volunteer in some hospices in CR. In the thesis possibilities of palliative care in the Czech Republic are presented which can be used in case of need by citizens. The chapter of current situation of the given problems explains principles of palliative care and objectives of palliative medicine. It adverts to possible methods of providing care to the dying. Futher it is determinated providing this care in context of multidisciplinary team and to whom. The base element of palliative care is a family with a dying member. That is why this thesis is setting emphasis on accompanies not only dying but also immediate persons. The significant role in this direction represents counselling. Legislative aspect dealing with providing palliative care in the Czech Republic is also not omitted. The aim of the thesis was to find out knowing about palliative care and its present possibilities at general public. Respondents formed an accidentally chosen sample from grown-up population from regions of Moravia Slesia and South Bohemia. The chosen methodology was quantitative research, the method of questioning and techniques of questionnaire. The questionnaire was distributed online among respondents in the form of web pages. It contained 21 questions. The hypothesis was set as follow: "Respondents with university education have more information about possibilities and way of utilization of palliative care than respondents with secondary education and lower one." Whereas the hypothesis was confirmed. The bachelor thesis can be used as groundwork for establishment dealing with extension service of the given problems or hospices themselves which would like to deal with extension service. Further this bachelor thesis can be used by experts who are engaged in social or health counselling and further this thesis can use relatives of the seriously ill, who could better knowing use in care of their close ones.
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Helping hand in crossing over
LASCHOVÁ, Daniela
The thesis deals with palliative and hospice care. The thesis is divided into two parts - theoretical and practical. In the theoretical part there are provided with basic information about palliative care, it describes aspects of palliative care in terms of spiritual, social, psychological and physical. There are also recorded information on facilities that provide palliative care, their characteristic, mission and goals. The thesis is also reported on problems of dying, suffering and death. The work also records a pastoral and social care about dying seniors, a description of a multidisciplinary team of hospice care. The practikal part of the thesis is reported on a detection rate of awareness of palliative and hospice care at the clients of caritas Týn nad Vltavou. Next the research found out the respondents opinion of dignified dying in a domestic care
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Nursing care as provided to ante finem patients
JANSOVÁ, Markéta
The subject of death and dying is still considered a taboo in our society. It is awkward and anachronistic since our times require people full of life and vigor. The terminally ill are often snubbed by the society. Though being well aware of the unfavorable prognosis, many a doctor tries to treat the patients to the very last moment, and he or she perceives the death as a personal defeat. In 1967 Cicely Saunders, an English doctor familiar with the dismal conditions of dying in the then society, founded in London the St. Christopher's Hospice, the first modern facility of this kind. The philosophy of this effort has been perpetuated in the Hospice of the Agnes of Bohemia established in 1995 as the first hospice in the Czech Republic. The Bachelor Paper aimed to assess the possibilities of providing the ante finem care by health-care personnel at a hospital and a hospice. The Paper investigated these hypotheses: H1 - Health-care workers provide the ante finem patients with health care in conformity to the standards applicable to both types of the facilities; H2 - Approach of the personnel to the care is dependent on their emotional stability; H3 - Health-care personnel in hospitals are not aware that the art of accompanying is a part of the nursing process. The surveyed sample was compiled of nurses on the staff of the Internal Medicine Ward and the Post-Treatment Ward of hospitals in České Budějovice, Jihlava and Třebíč and the hospices in Prachatice, Červený Kostelec and Brno. The data were gathered through a questionnaire. Altogether 170 questionnaires were distributed and 136 out of them were processed in the final assessment. As follows from the assessment results, the care provided to the terminally ill patients in hospitals is affected primarily by time pressures and by the fact that the nursing staff are not fully aware of the possibilities that palliative care offers, while in hospices the conditions available for the palliative care have a quality basis. Results of the Paper will be given to one of the hospitals and two hospices specified above, where they can inspire some new ideas about possible improvement in providing the palliative care.
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Comparison of paliative care by clients in hospice establishment and oncology department
KADLECOVÁ, Ivana
Comparison of palliative care for patients in a hospice and at an oncology ward This thesis was focused on the various aspects of palliative care for oncological patients. Palliative care and its principles have been defined and it seems crucial to apply these principles not only in hospices but also at hospital wards where there are patients indicated for palliative care. The objective of this thesis was to find out whether the care provided to hospice clients and to dying patients at hospital oncological wards corresponds to the methods and procedures defined for palliative care and to find out whether there are any significant differences between the nursing care provided to the dying in a hospice and the dying at an oncology hospital ward. Four survey questions were formulated and the question dealt with maintaining palliative care standards, differences in providing palliative nursing care for the dying at the individual institutions, whether the dying clients{\crq} needs are answered in a holistic and humane way, and the nurses{\crq} approach to the dying at the individual institutions. The carried out research is a qualitative one. The research part {--} data collection {--} was carried out in the form of uncontrolled interviews with selected members of nursing teams in a hospice and at an oncology ward. Observations and case reports were used in case of several patients in at the individual institutions. The research was carried out in St Stephen Hospice in Litoměřice and at the oncology ward of an undisclosed health care institution by which information was provided in exchange for absolute anonymity. The research part resulted in the finding that the palliative care provided in the hospice corresponds to the methods and procedures defined for palliative care. There are efforts at the oncology ward to provide as perfect care for their dying patients as possible but this care does not correspond to the methods and procedures defined for palliative care. There are problems in providing palliative care especially in inadequate spatial conditions, equipment, shortages, high workloads, and strictly specialized focus of the personnel and these clients need very individual care that cannot be frequently provided under everyday operating conditions at a standard ward that concentrates primarily on curative care. The results of this thesis will be provided to those who may be interested in the various aspects of palliative care.
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THE POSSIBILITIES AND LIMITS OF HOME´S HOSPICE IN THE CZECH CONDITIONS AND A VIEW - POINT TO FUTURE
SVOBODOVÁ, Martina
Seriously diseased people need their families and their families need support and help. Such support can be offered in home-care hospices. Home atmosphere is certain1yoptimal for most of diseased people; however, even domestic care has its own limited possibilities and boundaries. Therefore, there are three kinds of hospice care: home-care hospices, stationary hospice care and in-patient hospice care. The main target of this bachelor thesis was to found out what the limitations in the field of home-care hospices in the Czech Republic are. The expected hypothesis that the development of home-care hospices in the Czech Republic is limited more due to economic than organisation reasons was confirmed. It results from insufficient legislative conditions for hospice care in the Czech Republic. There is no system of fmancing of home-care hospices by insurance companies. Other existing problems are insufficient information, both for the public and for medical workers, insufficient education in the field of palliative care, poor knowledge of the issue of dying and care of dying people among the laic public, lack of communication between doctors and patients, and others.
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Care for the Dying in Hospice Facilities
PTÁČEK, Jan
This Thesis deals with the issue of illness and dying, and the care for the dying in different hospice facilities. In describes typical features of palliative medicine, it´s practical use in hospices and also the lack thereof in current Czech Medicine. The legislative side of this issue is discussed in this thesis as well.
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Specifity nurse care about oncology patients in terminal stage
PFEFFEROVÁ, Eva
Terminal stage is gradual failure of life functions with death as it`s consequence. This stage lasts hours, days or weeks in some cases. Continuous must be taken to satisfy biological, psychical, social and spiritual needs of a dying patient. In nowadays, care in terminal state is being provided by after care departments, by oncological department and hospics.
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