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The Financial Literacy of Senior Citizens
KOCANDOVÁ, Soňa
This bachelor thesis focuses on the elderly and their financial literacy. This thesis is divided into two main parts, theoretical and practical. The theoretical part defines actual knowledge about this theme and is divided into two chapters an introduction to issues about ageing and financial literacy. The author talks about seniors, demographic situation of ageing, forms of living, secured retirement in old age and financial literacy. The author also paid attention to presentations of products. The practical part includes the actual implementation of research and interpretation of the data is divided into four chapters. The first chapter is devoted to the work and objectives of the research questions. The aim is to map the awareness of seniors in the effective management of their finances. The author also set partial research questions and the main research question is whether seniors are aware of their financial security. The second chapter researches methodology, which includes a qualitative research method of semi-structured interviews. The interviews are divided into three fields. The first is introductory information, the second field is financial literacy and the last field is presentations of products. The research methodology also characterizes the surveyed group, which consists of ten respondents over sixty five years old and lives in the Trebon region. In the third and the most extensive chapter there are the results and data. The elderly mostly answered in a different way however in some ways they agreed. The last chapter evaluates results and draws the author´s opinion. It has been found out that respondents have diverse interests and hobbies in retirement and they participate in them very actively. The income of the respondents is satisfactory to those who live in a household of two members. The financial situation has been described as good as well as average. Fifty percent of the respondents have experience with credit and only two of them create the budgets. The last set of questions was about demonstrations of goods and majority of the respondents have some experience with them. The last chapter is the conclusion which summarizes the information obtained. The main research question is whether seniors are aware of their financial security and the results show that all respondents have an over view of their finances. The elderly people orientate themselves well in money matters and they can optimally manage their money. They are vigilant in connection with credit and loans. They rather save money and they say that they do not buy anything when they do not have money. It is good that they are informed and can thus better resist the pitfalls that exist in this world, whether we like it or not. This thesis might be useful in practice for the elderly who want to try to draw up the budget. It can make a contribution to higher awareness about dangers of presentations of products.
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The Issue of Nursing Care in Old People's Homes
MARKOVÁ, Štěpánka
The thesis deals with the issue of nursing care in old people's homes. Given the improving medical and nursing care and also the prevention of diseases, the human life extends. This leads to the aging of population. Therefore, it is essential to understand this issue, its interconnection with nursing care, but also to find the right approach to the elderly in residential facilities providing social services. The theoretical part of the thesis deals with old age and aging, behavioural changes in old age, specifics of communication with the elderly, long-term care for the elderly, care for a man in nursing homes. It deals with the work of nurses in old people's homes and with their education. Five objectives were set within the framework of the research. The first objective was to determine areas of nursing care, in which the nurses working in old people's homes have most problems. The second objective was to find out how the nurses manage physical strain. The third objective was to determine how the nurses manage psychical strain. The fourth objective was to find out what theoretical knowledge and practical skills the nurse must have. The fifth objective was to identify possibilities of further training for nurses working in old people's homes. Qualitative research was applied in the empirical part of the thesis. The method of non - standardized interview was used. The research group consisted of 10 nurses who work in residential facilities for the elderly in old people's homes. To process the interviews, the open coding technique was applied - a paper-and-pencil method. To complement psychical resilience of nurses, S.O.C questionnaire by A. Antonovsky was used. There were 42 questionnaires used in the research. The interviews with the respondents showed that the work of a nurse in homes for the elderly is physically and mentally demanding. And it is obvious that nurses feel the mental strain as more damaging. The physical demands are connected with the state of the client and his diseases but also with the space limitations of homes and night shifts. The mental burden is caused by similar factors and also by the family of the client, specifics of the communication with the elderly, cooperation with the hospital, working atmosphere, responsibility and keeping records. Next important factor that negatively influences mental state of the nurses is a lack of prestige and recognition of their work. Even though the nurses feel both types of stress, most of them cope with it without problems and they try to restore their balance in their leisure time. The conclusions of the thesis also point to the high demands and wide range of expertise and skills required from the nurses when providing care. Even specialized procedures are carried out in homes. Nurses must know how to communicate, handle conflict situations, co-operate with colleagues from different fields. Great emphasis is placed on independence in evaluating the health state of the client while ensuring the nursing care. The nurse must have personal qualities for work with the elderly. Another important component of their work is their knowledge and practical skills in the field of social work theoretically backed by the Act 108/2006 Coll.
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Social Activation Programs for Seniors from the Perspective of Social Workers
HAMERNÍKOVÁ, Lada
This Bachelor thesis entitled Social Activation Programs for Seniors from the Perspective of Social Workers mainly deals with the issue of social activation programs that are provided to seniors in residential facilities. The main objective is to ascertain the views of social workers on these programs. There are set two main research questions in the Bachelor thesis. The first one deals with the practicality and quality of activation programs for seniors, the second research question examines the opinion of social workers, whether the social activation programs are used by seniors. The theoretical part describes the current situation related to aging, engaged in gerontology, biological, psychological and social manifestations of aging, preparing for retirement, communication with the elderly, seniors' quality of life, social exclusion of older people, further discusses the services provided to the elderly , the role of social workers in residential facilities, individual planning, active aging, activation programs for seniors. It was chosen the qualitative research method through semi-structured interviews with the social workers in selected residential social services for the empirical part. It was set five basic questions and one additional question regarding to social activation programs for the interview. The results of the work showed that social activation programs for the elderly in residential facilities are from the perspective of social workers very beneficial, efficient, high-quality, relevant, they are used by seniors and improve the quality of life for seniors. The results of this Bachelor thesis can be used to improve the quality and the numbers of activation programs which are offered to seniors in residential facilities.
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Home care versus institutional care for seniors from the perspective of nursing
SLÁDEČKOVÁ, Petra
For many years, great attention has been devoted to the care of the elderly due to global aging of population. Almost all people want to spend their old age at home in their environment. This idea is supported by many experts who deal with the issue of old age and point to the advantages that it entails for both the senior and for the society. Therefore, it is paradox that many old people are placed in various health and social care facilities despite a wide range of various external services that enable seniors to stay in their home environment. That is why this master thesis aims to compare the nursing care provided to elderly people in their home environment with the care provided in institutions, both from perspective of a nurse who provides the care and from perspective of the elderly person or members of their family. The thesis is divided into two main parts. The theoretical part focuses on explaining the old age and the changes that come along with the old age. It also points out how old age is perceived in contemporary society. Further, it deals with different types of senior care that is most frequently divided into family, health and social care. The practical part is focused directly on individual families of seniors who live at home supported with home care, and to families who have a member in the department for the chronically ill (DCI). In the practical part I also focused on nursing staff, particularly nurses who come into contact with the seniors every day. A qualitative research method was used for the research survey. The technique of in-depth interview was used for data collection. The first part of the research group consisted of nurses working in DCI and nurses working in home care. The second part of the group consisted of seniors who reside in DCI and their families and the elderly who use home care services and their families. Interviews with the nurses, seniors and their families are divided into individual categories: awareness, reason for placement to DCI, satisfaction with the care provided, the advantages and disadvantages of home care/DCI, differences in care in DCI and at home, in foods and drinks, positioning and incidence of pressure sores, hygiene, administering medicines, re-bandaging, in bowel habits, behavior of staff/family, facilities for a senior. The investigation shows that families consider hospital care and home care to be very good, but it can be seen that home care nurses enjoy greater trust of the family and have much closer relationship than those in a hospital. Both groups of nurses think that the care they provide is of high quality and professional, but point to the lack of funding that a hospital and a home care agency have. A very surprising fact emerged that families that have an elderly person in institutional care are eager for the placement since they believe that they would not be able to care of them properly themselves. The investigation cannot clearly assess which type of care is best because both methods have their positives and downsides for every party involved and there are different variables, such as the health condition of the elderly, their family or social background. Quantitative research over a longer period of time would be required for thorough mapping of the entire situation which could monitor the provided care in the long run and also take into account the above variables that may change over time.
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The Respect for the Rights of Seniors in Nursing Homes
TROUSILOVÁ, Iva
Old age and aging become an increasingly topical issue. All periods of human life are very important, but old age is the last stage of life, it is the crowning of human life. Aging and the period of old age brings many changes. An important change in seniors' lives may be moving in a residential care, for example a residential home for elderly people. This change can be very difficult and problematic. Human rights should be still respected as well as a person's needs should be met. Nevertheless peoples' needs change with age, some grow more important and others become minor. Every person in the world without exception has freedom and rights that should be respected no matter the race, nationality, religion, education, sexual orientation, gender or age. The topic of this thesis is The Respect for the Rights of Seniors in Nursing Homes. The aim is to map different points of view on respect for the rights of older people in particular nursing homes. Two sub-goals have been set. The first sub-goal is to find out how employees of a concrete nursing home perceive the respect for rights of elderly people. The second sub-goal is to find out how the seniors perceive the respect for their rights by employees in a concrete nursing house. The strategy of qualitative research, the questioning method and the semi-structured interview technique were used during the research. The main research question was set What are the risk areas while respecting the human rights in a concrete nursing home? To answer the main research question other six more specific component research questions were stated. The research showed that employees of a particular home for the elderly perceive that the rights are respected for the domains of physiological needs, the needs of safety and security, the needs of solidarity and love, respect and recognition needs and the need of self-realization. The most difficult areas of human rights to respect are the right to personal protection, equality and the dignity. According to seniors' answers we can understand that the biggest limitation in hygiene and movement domain is experienced by immobile seniors. Those who stay mobile do not feel isolated and they feel their freedom. On the other hand the seniors in the category below sixty years of age feel limited by their age and this has an impact on their feeling of isolation and unsociability. I have given the results of this work to the Nursing Home XY as a feedback from seniors on services provided in this nursing home. Results have also been used in the Nursing Home XY during the Quality Standard no.2 revision called "Protection of Rights".
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Value System of Senior Citizens in Nursing Home Domov seniorů Jindřichův Hradec
BERÁNKOVÁ, Jana
This thesis focuses on the values preferred by senior citizens in old people's homes. Values are an integral part of every human life. The old age brings about a reorientation of values; there is a fixation on the family when senior citizens need to feel a sense of necessity and love. Accommodation of needs is a basis for the development of a value system where its value hierarchy is a structured system governed by importance. Old people feel a need for communication but this need is not very well saturated. With increasing age, feelings of loneliness occur and biological needs become accentuated. The empirical part of the thesis defines the objective to find out what life values are preferred by the senior citizens in the Old People's Nursing Home in Jindřichův Hradec. The method for data collection was a qualitative research, the method of case studies. The research group was selected using the method of quota purposive sampling. It consisted of six users of the OPNH; they were communicative men and women aged 65-85 years who received care allowance of the 2nd degree. The key technique used for data collection was an interview using a manual that was used with the six respondents at the OPNH in Jindřichův Hradec. A total of 15 users were interviewed who met the quota conditions but only six users were willing to participate in the research and to be interviewed. The last research question examined what their view of the life in the OPNH is. The research showed that the respondents were affected most by their stay at a triple room, which restricted their quality of sleep, privacy and adaptation. Retaining the dignity and communication with the staff is most important for the respondents. It is possible to comment answering the main research question What life values are preferred by the senior citizens in the Old People's Nursing Home in Jindřichův Hradec' by stating that the respondents feel as the most important their self-sufficiency and health, which undoubtedly affect the fulfilment of all the other needs, and the family that is the purpose of lives of the respondents, it is their driving force and they have something to live for. This thesis should highlight the importance of the issues preferred by users in the Old People's Nursing Home, the importance of cooperation with their families, how important is communication that helps the users to adapt to the new environment and then the creating of individual plans to maintain self-sufficiency of the senior citizens and, in the event they can no longer be self-sufficient and there is a need of help from another person, it is necessary to realize how important it is for the users to maintain their dignity. This thesis helps to justify the importance of the value system of senior citizens. It also expresses the efforts to improve the quality of life of senior citizens in residential social-service facilities while making social work more effective.
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Prevention of injuries of elderly clients in retirements homes
STRAKOVÁ, Dana
This diploma thesis focuses on the characteristics of aging process and old age, it deals with the prevention of injuries of elderly clients in retirement houses. While dealing with these problems the secondary literature is properly researched and analysed. The main aim of this thesis is to find out whether proper measures for prevention of injuries are taken in the selected retirement houses. The theoretical part of thesis focuses firstly on possible risks of injuries, secondary on the measures needed within the scope of prevention of injuries. Regarding the methodology the qualitative research is being used and it is based on interviews and observation of the researcher himself. In the practical part of the thesis the outcomes of the research are discussed. As the result there are proper measures taken by the retirement houses to lower the risks of injuries. This diploma thesis might be used for education and enhancement of awareness of the staff in the retirement houses.
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Prejudice of some geriatric patients and their relatives against hospitalization at the long-term care unit of the Tábor hospital.
BIDMONOVÁ, Alena
Basic theoretical background The opening parts deals with the issues of old age and characterize aging and old age in general. It specifies changes and needs of the old age, acceptance of the old age and describes a senior as a patient. The next part describes communication in general and specifics of communication with seniors and their relatives. The theory is then focused on the most frequent old age diseases, their specifics and on nursing care typically provided at a long-term care unit. Special attention is paid to nursing rehabilitation, palliative care and treatment of patients with pains. An insight into approach of a nurse to provision of nursing care to seniors is also important. The other part deals with health-social services provided to patients at the long-term care unit (LTC). Chapters on personality of a nurse caring about geriatric patients, on nursing ethics and the basic points of Seniors' Rights Charter close the theoretical part. The aim of the thesis The first aim of the thesis is to find out the reasons why geriatric patients refuse hospitalization at aftercare wards. The second aim is to determine why patients' relatives are afraid of hospitalization at LTC. The third aim is to determine whether the reasons for refusing hospitalization are substantiated or whether they are just baseless prejudice. Applied methods Qualitative research form, the method of interview was applied to the research. Data collection was performed by means of semi-structured interviews with geriatric patients and their family members. Three areas of interviews were applied to the research. The patients were first asked at the beginning of hospitalization. The second interview was performed with the same patients after some time of hospitalization, when they were already able to assess quality of the care provided. The third area of research questions was aimed at senior's family members during hospitalization at LTC. The interviews were analysed and categorized. The selection of respondents was intentional, oriented at patients and their families that first refused hospitalization at LTC for some reasons, but finally they were hospitalized. The research sample consisted of 6 patients and 6 members of their families. Results The results of the research have shown that geriatric patients mostly refuse hospitalization at long-term care units as they do not know the nature of the department. Patients themselves refuse hospitalization more often than their family members. Patients have incorrect ideas of the department caused by ignorance or maybe based on negative experience of people around them. Only when the respondents had used to the new environment of the LTC and had got familiarized with it they were able to assess the nursing care quality independently. The respondents and their families appreciated individual approach of the healthcare staff, complex nursing care, rehabilitation care, services of social workers as well as voluntary activity performed at the LTC. Already during hospitalization the patients admitted that they had had negative prejudice against long-term care unit not backed by negative personal experience. Respondents' families did not refuse hospitalization; they mostly welcomed it because of provision of care, professional rehabilitation, self-sufficiency improvement and compensation of health condition of their senior. Conclusion This bachelor thesis focuses on the problems and specifics of the care of geriatric patients that a nurse of a long-term care unit faces every day. Particular outputs from the thesis will be integrated into a lecture for LTC staff that will be presented at an operation meeting. The results may help the healthcare staff of the long-term care unit as feedback for continuous improvement of healthcare quality.
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The role of a nurse in prevention of injuries with women patients with osteoporosis aiming at women in menopause
ŽAMBOCHOVÁ, Pavla
Injury rate among seniors has been increasing rapidly in the Czech Republic recently. Women in menopause with osteoporosis diagnosed form a large group. These are so called low-energy injuries, which are closely linked to increased mortality among old people. This issue is not only related to healthcare, but also to social and economic spheres. Proper education in prevention of injury occurrence in women with this diagnosis is one of the key means leading to reduction of the number of osteoporotic fractures. The Code of Ethics of the International Council of Nurses points out the obligation of a nurse to take responsibility in prevention sphere. The theoretical part of the thesis deals with characteristics of the menopause period, development of osteoporosis, the most frequent osteoporosis related injuries prevention, and an outline of social and economic impact of the injury rate. The practical part deals with a research performed on patients of the orthopaedic outpatient department of the Tábor Hospital. Six women with diagnosed osteoporosis in menopause were chosen. The main goal of the work was to find out what role a nurse from an orthopaedic outpatient department plays in prevention of injuries in women with osteoporosis, whether patients are aware of injury prevention possibilities, which form of provision of such information is best appreciated by the patients and whether the patients apply their knowledge of prevention to practice. A qualitative research in the form of non-standardized interview with open questions prepared in advance was performed. The interviews were conducted individually with each patient. A framework analysis based on the results from the interviews was performed and category groups formed. Processing of the results revealed that the information on prevention of injury in osteoporosis provided to the patients by the orthopaedic outpatient department was poor. Nurses are involved in this prevention activity just marginally or not at all. Complex identification of the problem might be the topic of further research. It might be necessary to find out whether insufficient time, poor knowledge of the problem or indifferent attitude to the problem is the reason. On the other hand only some of the patients apply their obtained knowledge to practice. We can however conclude from the interviews that provision of general information on prevention and the risks of injuries might inspire women to modification of their present way of life. Organization of group lectures with the possibility to obtain printed complex data of this society-wide problem seems to be a suitable form of providing information.
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The spectrum of nursing care services of dependent seniors at chosen providers.
PFLEGEROVÁ, Monika
Seniors and elderly are the current theme of this day and age, together with the question who, when and in what way is going be able to meet the needs of this growing group of population. In advanced age a person needs an increasing amount of aid in frequent everyday activities. The aim of this thesis is to map the spectrum of nursing care and the availability of care for aid dependent senior given by senior home institutions, home care agencies and general practitioner´s office in cooperation with the family. These research questions were chosen: How well are the physiological needs of seniors met by chosen care providers? How well are the psycho-social needs of seniors met by chosen care providers? How well is needed information supplied to the senior by the chosen care providers? How accessible is senior health care with the chosen care providers? Qualitative research was chosen for this thesis. The technique of in depth interview using open questions was used in order to obtain the required information. The conducted interviews were after agreement with the respondents recorded and then exactly transcribed. Data collected from individual interviews was analysed through manual coding, the method of pen and paper. The chosen research group consisted of 12 respondents aged 65 to 94. The average age was 87. The group included 8 women and 4 men. The respondents were divided according to the chosen care provider and decided degree of dependency. The choice of the respondents was intentional. Each provider group included all dependency degrees in order to maintain homogeneity. The results show that respondents with first and second degree of dependency, considering the provider, lack serious problems regarding satisfied needs and the given services are also satisfactory. Major differences have been identified for seniors with higher degrees of dependency with negative effects experienced especially by seniors using field services. The output of this work will be a publication of a research paper in journal Medicína pro praxi. (Practical medicine)
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