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Feasibility of advance directives in paramedic care
Fajferová, Kristýna ; Lejsal, Matěj (advisor) ; Hradcová, Dana (referee)
This diploma thesis deals with feasibility of advance directives in the practice of emergency medical services. It explores how two emergency medical services deal with rising public interest in this topic - The Emergency medical service of Central Bohemia Region and of Vysočina Region in Czech Republic. The goal of the thesis is to detect under what circumstances can the EMS (emergency medical services) play a functional role in the practice of patients end-of-life decisions and in situations containing advance directives. Another goal is to make a set of recommendations for the organizations which could potentially help with dealing with advance directives in pre-hospital care. The empirical part of the study is constructed using a case study approach, it analyses organizational tools, documentation, and internal legislation. It is also made using semi structured interviews with the employees of both organizations. All acquired information is then divided under several categories that are profitable for the case study. The analysis of preparedness for dealing with patients with advance directives and identification of touchpoints - where certain approaches and opinions collide are considered a contribution of this thesis and were identified based on acquired information. Important factors that...
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Civil Liability in the Case of Disrespecting a Patient's Advance Directives
Mayerová, Vendula ; Holčapek, Tomáš (advisor) ; Salač, Josef (referee)
Civil Liability in the Case of Disrespecting a Patient's Advance Directives The aim of this thesis is to analyse and describe the problematic of Civil Liability in the specific case of disrespecting a patient's advance directives by a medical. The institute of Advance Directives was first introduced in the Czech law by the Convention on Human Rights and Biomedicine in 2001 and later by the Law No. 372/2011 Coll., Act on Health Care Provision. Thought the Advance Directives cannot be considered as a new institute in the Czech law, it is hardly ever used in practice. There is no judicature and practical knowledge on the topic of civil liability in this case, and the insecurity causes that doctors do not feel like willing to respect the exceptionally occurring advance directives, because they fear the criminal liability they think that could arise if they did not provide the health care necessary for saving life of their patient. This thesis is trying to highline the importance of a patient's will. Meanwhile, it is pointing to the fact that even saving a patient's life can cause legal liability of a doctor. The thesis is primarily analysing and describing such liability within the general provisions on liability in the Czech Law and is also trying to give an insight to the problematic of potential...
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Knowlege the public about the issue previously expressed wishes
Šandová, Petra ; Prošková, Eva (advisor) ; Lukášová Jeřábková, Lenka (referee)
The patient's autonomy is very important part of medical and nursing practice and every patient should have a right to express their opinion about their treatment. Advance directives give person an opportunity to express even in situations when it is not possible to communicate with others. Although it is possible to write advance directives in the Czech Republic only negligible percentage of people take advantage of this possibility. Why is it so? I have set two goals in my thesis. My first goal is to determine the awareness of the general public about the advance directives in the Czech Republic and also I want to find out awareness about the possibility to appoint a guardian as a mediator of fulfilment of advance directives of an individual. It is also my goal to discover whether respondents would welcome greater awareness of this topic. My second objective is to determine the attitudes of respondents to the problematics of advance directives. I want to discover if the respondents have ever dealt with the idea of being in a situation which they could not communicate with their environment and if they would like to have an opinion to decide about their treatment and also if they would like to name their mediator. I would like to provide the results of my thesis to the department of quality...
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Criminal Law Issues Related to Advance Directives
Blažík, Michael ; Sovová, Olga (advisor) ; Císařová, Dagmar (referee)
Criminal law issues related to Advance directives Abstract The aim of this thesis is to describe the recent institute of Advance directives in the Czech legal system and to analyze criminal law issues related with it's aplication. The focus is on medical workers which can get into jeopardy of criminal liability by respecting the Advance directives. Furthermore in this thesis are compared the legislations of Czech republic and the Australian state Queensland conserning Advance directives. Also, key rullings of Australian courts and other common law courts related to the aplicaton of Advance directives are described in this thesis. Descreption methods were aplied to describe each institute and terms close to it, analyzing methods to analyze liability of medical workers and comparative methods to compare the Czech and Queensland legislations. The thesis is divided into seven chapters and many subchapters. The first chapter is dedicated to the institute of Advance directives, to it's definition, history and to the legislations it is based in. The second chapter describes fundamental human rights related to Advance directives. These are the Right to Life, Right to dignity and the Right to self- determination. Every one of these rights is closely described and a subchapter deals with their collisions. The third...
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Living will in the Czech Republic's legislation in comparison with Australian Legislation
Kocichová, Ondřejka ; Šustek, Petr (advisor) ; Salač, Josef (referee)
The aim of this thesis is a detailed description and analysis of the institute advance directives/previously expressed wishes in the Czech Republic in comparison with the Australian legislation. This thesis deals with the Queenland's legislation and the legislation of the Northern Territory. The methods used in this thesis are analyzes of legal norms and comparison of specific law regulations. Introductory chapters are focused on the principle of patient's autonomy in the Czech Republic legislation and on the protection of the person's integrity. The thesis covers not only the rules contained in the Act. No. 89/2012 Coll., the Civil Code, but also mentions rules in the Act. No. 40/1964 Coll., the Civil Code. The next chapter is focused on different patient's rights, such as the right to life and be healthy, the right to self-determination and the right to dignity. In the second part, the author focuses on the institute of advance directives/previously expressed wishes. First within the international legal framework. This chapter also underlines negative opinions about advance directives/previously expressed wishes and points out the benefits of their use in practice. Next the author focuses on the Czech legal regulations. The author does not mention only the Health Services Act, but also not...
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Actual problems of criminal liability in medical treatment in connection with advance directives
Franková, Petra ; Sovová, Olga (advisor) ; Císařová, Dagmar (referee)
Title of thesis: Actual problems of criminal liability in medical treatment in connection with advance directives Abstract The main aim of this thesis is to analyze the topic of advance directives, recent institute in Czech legislation, its problems and mainly criminal liability in medical treatment, which is not summarized complexly in Czech professional literature. This thesis is composed of seven chapters, which are divided into sections and subsections. Chapter One is introductory and is dedicated to moral rights of a patient, which provide the basic starting points of this thesis. The chapter is subdivided into two parts. Part One describes evolution of rights of patients and part Two presents right to life, right to self-determination and finally right to protection of human dignity. Chapter Two analyzes advance directives. This chapter is subdivided into five sections. The basic characteristic is processed with respect to legislation, particular types, issues and critical aspects of advance directives. Chapter Three discusses the legal liability in healthcare. Chapter is divided into four sections; each is devoted to one of the civil, labor, administrative and disciplinary liability. Chapter Three is related to the following chapter, which deals with criminal liability and represents, with respect to...
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Respect for the wishes of the patient's pre-out - the ethical context
PLVANOVÁ, Veronika
This diploma paper ``Respecting Patient{\crq}s Needs Expressed in Advance{\crqq} is divided into a part containing theoretical ground and a practical part. The theoretical part outlines the basic principles of ethics and then moves towards patients{\crq} needs and wishes, their rights, and the issue of wishes expressed in advance. The domain of wishes expressed in advance is based on the principle of patient{\crq}s autonomy and it is laid down in the Convention on Human Rights and in biomedicine. The situation in the Czech Republic is made difficult by the fact that this domain has not been governed by laws and it does not have any tradition in the Czech environment. The practical part utilizes the method of qualitative research {--} a semi-controlled interview. First, I created short casuistries for selected patients and, afterwards, I spoke to them about individual topics. I had selected 11 questions that guided the interviews. My group of respondents consisted of patients hospitalized at oncology departments or leaving for outpatient chemotherapy in Nemocnice Jihlava (a hospital in Jihlava). I interviewed ten patients. The objective was to find out about the patients{\crq} informedness about their rights and about their options of expressing wishes during hospitalization. It was also intended to learn about the things the patients would like to decide upon and whom they would like to authorize to make decisions on their behalf should they become unable to express their wishes themselves. The research questions and the division of the general questions into three areas helped to the reach individual objectives. The first area comprised patients{\crq} rights most of the respondents were aware of. The most important ones included: telling the truth about their disease and treatment, the option to select and terminate their treatment, familiarity with medical staff. Another section dealt with wishes. Most of the patients hoped that a right approach of medical staff will reveal the patients{\crq} wishes without the necessity of expressing them. None of the selected respondents has ever thought about the issue of wishes expressed in advance. The final block contained questions dealing with the options of choosing a person representing patients in decision making. The patients frequently chose their family members (partners, children). In practice, the knowledge obtained through the research could be used for publication in specialized literature and to prepare instructional materials for patients as well as medical staff.
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