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Dying in the hospitals from 1945 to the present: attitude to the death and the change in the care of the dying.
Urbanová, Stanislava ; Dudová, Radka (advisor) ; Jirkovská, Blanka (referee)
This thesis explores the access of care for the terminally ill in hospitals from 1945 until present. Issue include humane access to medics and nurses for terminally ill patients, and focus on the changes in care over time. The focus of exploration is palliative care in hospitals, awareness of palliative care, and the education of medics and nurses in this domain. Studies of postwar information is an integral part of this thesis's empirical research. This thesis deals with death as a taboo of modern society, and aspects of experiences of the terminally ill in last phase of life. The postwar period has emphasized spirituality, but the quality of care in the hospitals has worsened over time. After 1948, in the period of real socialism, there has been a measured deficit of psychological and spiritual support, less involvement from sanitary personnel, but a measured increase from the support of families. The present has put emphases on expertise, but there is less family cohesion and space for family care. The growing bureaucracy of sanitary care, and in general, more serious cases, has led to the work becoming harder.
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Possibilities of grave and restful dying on the longterm ill department in Hospital České Budějovice Inc.
KRATOCHVÍLOVÁ, Eva
The work deals with the topic of palliative care and the background of such wards, as well as of the possibilities to provide such care. Dying is inseparable part of life. Peaceful and dignified dying is burdened with problems within hospitals. The principles of palliative care are difficult to apply even in wards where it can be supposed that considerable percentage of patients of such wards is indicated for such care. Such ward is also the ward of subsequent care. The theoretic part describes the significance of palliative medicine, the general view on dying, as well as stages of dying which the dying person and his or her family passes are described here. Further there is information of hospices, dying from the point of view of lay public and from the point of view of a health care worker. The research was performed in form of non-standardized interview with selected 15 nurses working in the ward of subsequent care at least 3 years and ready to hold a conversation on that topic. The research confirmed that the nurses in wards of subsequent care have knowledge of the specifics of nursing care for dying people, but they feel need to go on educating themselves further in that topic. All of them state that the problems of palliative care are very topical in this ward. Further it was found out that this ward is not technically equipped with single-bedded rooms and dignified rooms for communication with the family. All nurses think that this topic should be paid more attention.
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