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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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Movement interventions for patients in palliative care
Dopitová, Debora ; Kovařovic, Vojtěch (advisor) ; Hošková, Blanka (referee)
Title: Pohybové intervence u pacientů v paliativní péči Objectives: The aim of the systematic research was to find out and summarize, on the basis of the available literature, the benefits of movement interventions for oncologically ill patients in palliative care and to summarize the specific possibilities of movement interventions for these patients. Methods: The bachelor's thesis was prepared in the form of a literature search. A total of three literature databases - PubMed, Web of Science, EBSCO - were selected for the bachelor's thesis and were systematically explored using keywords that were purposefully chosen to answer the research question. A total of 599 studies were identified in the basic search, of which 7 were identified using a manual search. After removing duplicates, a further 586 studies were excluded. The final number of search titles was 15 studies. Results: A total of 15 studies were selected. In these studies, exercise interventions for cancer patients in palliative care have been identified as beneficial and have been evaluated to have a positive effect, particularly in improving physical fitness, mobility, dyspnea, sleep, muscle strength, independence, quality of life and reduction of fatigue, anxiety, depression, neuropathy and hemoptysis. The most represented movement...
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Psychological aspects of pharmacological pain management in palliative care
Trefná, Klára ; Niederlová, Markéta (advisor) ; Šivicová, Gabriela (referee)
This thesis deals with the psychological phenomena that are associated with the pharmacological pain management in a context of palliative care. The issue involves patient himself, but also a caregiver and a medical staff. The theoretical part of this thesis deals with pain and pharmacological pain management from a psychological point of view and focuses on a problematic attitude toward opioids. This thesis is based on the latest scientific findings by Czech and international researchers. This thesis also includes a research plan, which deals with the psychological factors that affect the attitude toward opioids in Czech environment.
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Dysthanasia
Johnová, Eliška ; Gallus, Petr (advisor) ; Janečková, Hana (referee)
The BA thesis titled "Dysthanasia: Home care as one of the prevention methods of dysthanasia" deals with the issue of prolonged death and proposes solutions to prevent it. The theoretical part introduces to readers the basic concepts related to the finiteness of life. It discusses death from both medical and theological perspectives, and further describes in detail the concept of dysthanasia as one of the ways of dealing with death. The thesis defines the problems associated with dysthanasia and proposes palliative care as the best approach to prevent this issue. It also mentions organizational forms of specialized palliative care to follow up on the chapter describing home care for the dying, which is not only the best solution in preventing a negative approach to death and dying, but also meets the wishes of the majority of the population who wish to die in a familiar environment close to their family or friends. The last chapter mentions supportive services that help caregivers in caring for the dying. The practical part focuses on the closer examination of home care for the dying and its function in practice. This section is based on qualitative research and information obtained through semi-structured interviews. Keywords Finitude of life, death, dying, dysthanasia, palliative care, home care,...
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Bereaved parents perception of perinatal loss
Havrdová, Marie ; Krejčí, Jiří (advisor) ; Brnula, Peter (referee)
The topic of the thesis is the perception of perinatal loss by bereaved parents. Perinatal loss is a tragic event in the life of parents that is still taboo in our society and parents are not given enough support. Therefore, the aim of this paper is to describe the perception of perinatal loss through the eyes of bereaved parents, and to further outline the main needs, communication with the spouse, their family and immediate family, and support services used, with the intention of contributing to a greater understanding and awareness to guide support in the health and social care system. Key words: perinatal loss, interpretative phenomenological analysis, paliative care, coping, mourning, support
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The View of a Worker of Homes for the Elderly on the Death of their Client
PECHOVÁ, Adéla
The aim of the bachelor's thesis was to find out how home for the elderly workers view their client's death, also to see if there is a difference in perspective between the social worker and the social services worker. A qualitative research investigation was used to find answers. Queries were used as a method of collecting data. The qualitative research technique was applied in a semi structured interview. The research set was composed with 6 workers of homes for the elderly. Social workers and workers in social services were represented in equal proportions. Homes for the elderly were chosen by random selection from homes in the South Bohemia Region. An open-coding method was used to evaluate the result. Research has shown that home for the elderly workers view their client's death as part of their job. This view was influenced by practice in arranged initially for them death was taboo, but with the length of practice their perspective changed and they are able to talk about death with clients. The research also found that the difference in the view of death by a social worker and a worker in social services was minimal. It also found out what the difference is between a facility that provides palliative care and a facility that does not use palliative care. Workers homes for the elderly practicing palliative care are used to and taught to interact more with the dying clients. It can make it easier for them to deal with the their death. The use of this bachelor's thesis is varied. It can be used as information material for the management of homes for the elderly, which it can serve as a basis for finding the help of individual workers of a home for the elderly. Another use of this bachelor's thesis may be to inspire other social work students to research the subject.
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Psychosocial problematics of dialysis patients
Majková, Anna ; Ondrušová, Jiřina (advisor) ; Válková, Monika (referee)
MAJKOVA, Anna. Psychosocial problematice of dialysis patients. Prague 2023. Bachelor thesis. Charles University in Prague. Faculty of Hussite Theology. Department of Psychosocial Sciences and Ethics. Thesis supervisor MUDr. Jirina Ondrusova, PhD. The bachelor thesis deals with psychosocial problems of dialysis patients. The theoretical part describes the function and failure of kidneys, treatment options for CKD - hemodialysis, peritoneal dialysis and transplantation. It also discusses the quality of life of dialysis patients, its dimensions, factors that influence it and its measurement. The fourth chapter describes the psychological and social aspects faced by CKD patients. The last chapter describes palliative care in CKD patients, its types, psychological and ethical aspects, and social work. In the practical part, I chose a qualitative method to collect data using a semi-structured interview. The aim is to describe the psychosocial issues of dialysis patients and to find out to what extent dialysis affects quality of life.
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Analysis of pharmacotherapy in patients in the hospice
Sládek, Jakub ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of pharmacoterapy hospice care patients Author: Jakub Sládek Tutor: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and purpose: The therapy of hospice care patients is accompanied by many changes and pitfalls that need to be balanced when choosing appropriate therapy. In the teoretic part we can find available information about paliative therapy of hospice care patients, with emhasis on pain therapy. The aim of this thesis is the analysis of pharmacotherapy hospice care patients. Methods: The data were collected in a hospice from September 2019 to November 2019. The farmacotherapy was revised every first day of the month. Informations from personal, drug, family and occupational social history of patients were noted into an electronic database and, after revision, were classified and evaluated by frequency analysis. In four randomly selected patients was described the management of drug-related problems (DRP). Results: In total we noted medical therapy in 40 patients, women were 75 % of this number. Average patient's age was 72.4 years for men and 74.6 for women. Patients most often used drugs from group N (drugs of the nervous system) according to the ATC classification. We indentified 115...
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