|
|
Palliative care nursing vs. Student of Faculty of Health and Social Studies
LUDAČKOVÁ, Helena
This bachelor thesis deals with the issues of palliative care in relation to students of the Faculty of Health and Social Studies, namely to students of the programme General Nurse and Nursing. The thesis intentionally does not detail specialized palliative care, the problems of hospices and further specialized facilities. Here the palliative care works well and a lot has been written about that. Nevertheless most of the students take their practical placements at hospital wards or are employed in hospitals. This is why the thesis mostly deals with general palliative care, which should be a part of every healthcare facility. Actually in the Czech Republic, like in other European countries, an acute hospital is the most frequent place of death (60%). In long-term care hospitals the percentage is 9%. The theoretical part deals with the world and Czech history of palliative care and its development up to these days. It briefly describes both the levels of palliative care, general and specialized, as they are recommended nowadays. The thesis also mentions competences of nurses in palliative care and some specific problems and needs of incurably ill patients. These needs are divided into physical, psychical, social and spiritual although they are sometimes strongly linked. The thesis had two goals. The first goal was to map the awareness of palliative care among students; the other goal was to find out what experience the students have with palliative care and what kind of feelings this topic evokes in them. Quantitative research was used in the research part, an anonymous questionnaire was chosen as the data collection technique. The respondents answered 30 questions. 12 questions were closed, 9 questions were open and 9 semi-closed. Students of the first to third years of the bachelor programme General Nurse, Nursing branch from full-time and combined courses, and students of master programme of Nursing, specialization Nursing in Selected Clinical Fields, also from both course types of both years were addressed.
|
|
|
Problems of family integration into the care about a terminally ill client in home background
HLAVÁČKOVÁ, Kateřina
The theoretical part has six chapters: End of life and dying, Palliate care, Home hospice multidisciplinary team, Specific of care about a terminally ill patient in home background, Family and caregivers, Specifics of care about dying people in the CR. The second, practical part is based on qualitative-quantitative research with three goals. The first goal was to define the needs of family members caring about a terminally ill person in domestic background. The second goal was to define the skills of nurses necessary for saturation of the needs of family members caring about a terminally ill person in domestic background, and the last goal was to specify the present drawbacks of the care upon the research results. The following research questions were set in the qualitative part of the research: 1. What factors lead to decision of a family to participate in the care about a terminally ill person in domestic background? 2. What factors prevent families from integration into the care about a terminally ill person in domestic background? 3. What skills are necessary for a nurse in the process of family integration into the care about a terminally ill client in home background? The research sample of the qualitative research consisted of six respondents having experience with care about a dying patient in domestic background. A semi structured interview consisting of six questions was the research method of this part of the thesis. The questions focused on the care about a dying family member in home background. The following hypotheses may be deduced from the research: 1. Giving information to lay caregivers before releasing a terminally ill client to domestic treatment within education contributes to their active involvement in the care. 2. Participation of a mobile hospice team in the care about a terminally ill client in home background contributes to saturation of the needs of certainty and safety of the caregivers. The following hypotheses were set at the beginning of the quantitative research: 1. Respondent?s feeling of inability to participate in the care is an obstacle to the decision to start caring about a terminally ill person in home background. 2. Fear of economic risk is an obstacle to the decision to start caring about a terminally ill person in home background. 3. Utilization of professional services in the care about a terminally ill person in home background depends on awareness of their existence and the extent of services being provided. The research sample consisted of 198 persons from the wide public. The data were collected by means of a questionnaire. The questionnaires examined the readiness of the respondents to decide to start caring about a terminally ill person in home background and their awareness of the existence of institutions providing palliative care in home background. The first two hypotheses were confirmed by the results of the questionnaire research, the third one was not confirmed. A manual for general nurses ?Care about a dying client in home background? and an ?Informational leaflet for laics? deciding on caring about someone close in home background, which form a part hereof, were elaborated upon the results of the research.
|
|
|
Option of nursing care for incurables
JANEČKOVÁ, Zuzana
The paper subject covers Nurse Care Options for Incurables. A theoretical paper of the Diploma Thesis is something like a comprehensive summary of potential nurse care options for incurable people. Based on data gathered herein, I tried to create a schematic layout making the above options clearer. It forms the Annex No.1 to the paper. A practical part is prepared as a quality {--} quantity survey. I concentrated on the Czech Republic legislative and statistic data related to the subject as well as the informedness level of patients/clients and general nurse of nurse care options for incurable people. One of hypotheses related to the issue determined by me ( ``The nurse care options for incurable people in the Czech Republic meet their needs{\crq}q) was confirmed; other two options ( ``All nurse care options provided to incurable people are available to them{\crq}q and ``Incurable people are informed of the nurse care options available to them in the frame of their illness{\crq}q) were disproved. I determined three essential objectives in my paper: 1. Identify nurse care options for incurable people in the Czech Republic; 2. Determine the availability of the nurse care for incurable people in the Czech Republic; and 3. Find the informedness level of incurable people regarding potential use of nurse care suitable for them, that I met. My theoretical part defines nurse care options for incurable people in the Czech Republic; my quality and quantity survey resulted into a conclusion that the nurse care availability for incurable people in the Czech republic doesn not meet their needs, and the informedness level of incurable people of suitable nurse care availability to them is insufficient. The Diploma Thesis findings result into following recommendations: To continue in development of the palliative care and start to perceive it not only as care for oncology terminal ill people; aim to improvement in the informedness of incurable people of the nurse care options available to them (currently a social nurse, general nurse, as well also voluntary workes, in the future a case manager nurse {--} advisor), and promote development of community nursery in the Czech Republic.
|
|
|
Home Hospice Care
KOHOUTOVÁ, Lucie
Dying and death are topics which most people do not wish to talk about. However, at some point they touch every individual and therefore it is necessary, especially in social spheres, to confront these issues. This assignment concentrates on discovering the hurdles which people meet when caring for loved ones who are terminally-ill at home. The goal of this study is not to eliminate all possible hurdles that hamper care of the dying, but rather facilitate knowledge to those who are interested in giving this kind of care. The theoretical part obtains information about hospice care, further detailed characteristics of home hospice care and a focus on the family as the main source of this care. The research part is made up of a qualitative survey and to collect data a partially-prepared interview was used. The people who were interviewed comprised of fifteen relatives of clients from the Tereza Treatment Centre in Prague 10. In view of the goal of this work, as described above, the following research question was used: What hurdles do family members face when offering terminally-ill relatives care during their final stages at home? The answer to this gave the following as hurdles: physically demanding care, disruption of family relationships, inability to ensure continual care for the terminally-ill, financially demanding care, psychological demanding care, inability to give expert health care, limits associated with accommodation and worsening care of hygiene of the terminally-ill. One overall goal of this study was to discover what is actually known about home hospice care. The research showed that it is unsatisfactory. Only three out of fifteen of those questioned were able to characterise this form of care. Home hospice care is a needed part of care for the dying and therefore a bigger emphasis should be made on the spreading and building up of a net of home hospices and also on the removal of hurdles which hamper this care. Either of these cannot be realised without increasing public awareness.
|
guest ::
