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Palliative care in intensive and resuscitation care units
ZIMOVÁ, Eva
The diploma thesis deals with the topic of palliative care in Intensive and Resuscitation Care units. Intensive care aims to save lives, while palliative care accompanies the patients and improves their last moments. Although it would appear that these two fields has not much in common, this is not the case. Both touch the death and work with people who balance between life and death. The theoretical part describes the various fields, including their history. The chapter is further dedicated to the connection of these two areas. The following chapters cover the ethical aspects of palliative care provided in Intensive and Resuscitation Care units. Following chapters deal with dying and death. The last chaptersof the theoretical part are focused on the relatives of dying and deceased patients. The aim of the thesis was to map the awareness of medical staff working in Intensive and Resuscitation Care, discover the approach of medical staff working in Intensive and Resuscitation Care to the provision of palliative care in Intensive Care units, to identify problems and shortcomings on the part of medical staff in providing palliative care to Intensive and Resuscitation Careunitsand to identify the factors which influence the medical staff in the provision of palliative care in Intensive and Resuscitation Care units. The research was carried out at the Department of Anaesthesiology and Intensive Care of one of the South Bohemian hospitals. Results are showing that the medical staff working at the Department of Anaesthesiology and Intensive Care staff have excellent theoretical knowledge in the field of palliative care. They try to provide the best possible care to patients and do their best for them. Despite all this, problems related to insufficient and inappropriate communication were found, which is underlined by the environment in which it takes place. Due to the great specificity of the ward, it is often very difficult to ensure the best possible conditions for the dying patient and his beloved ones. Another shortcoming was the absence of psychological support and care for medical professionals, who are constantly exposed to stress. There was also a complete absence of support and care for the bereaved which is part of and a prerequisite for providing quality palliative care. Based on the interviews, we can say that at Department of Anaesthesiology and Intensive Care is highly educated stuffandthey do their work with passion and want to provide it with the best possible quality. However, in this case, it would be appropriate to offer healthcare professionals sufficient training opportunities in palliative care and communication. The results of this work could help to minimize the problems identified and could serve as a basis for lectures and seminars for Department of Anaesthesiology and Intensive Care staff.
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