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Evaluation of the availability and quality of hospice home care in the area of Jindřichův Hradec´s region from the perspective of patients and nurses
ŠABOUKOVÁ, Alžběta
The bachelor's thesis deals with the issue of hospice services in the selected area of Jindřichův Hradec, with a focus on the roles of nurses in field hospice services, the coverage of these services and the behavior of employers in supporting the mental health of nurses in hospice care. Palliative care in field forms is a developing sector of global health with an expected rise. In the theoretical part of the thesis, issues related to hospice and palliative care, such as its history and present, legislative framework and financing, are explained. The thesis aims to clarify how the roles of nurses differ in hospice care provided by a home care agency and in a multidisciplinary mobile hospice group, to further analyze the structure of palliative care provision in a selected area and to describe the activities of providers to work with the mental health of their employees. In the practical part of the work, research was carried out using qualitative method of using semi-structured interviews. A total of 14 respondents participated in the research from groups of nurses, managers of palliative services in the selected area and caregivers or patients under the care of hospice providers. The results of the research revealed an overlap of the roles of nurses in both forms of hospice care. The research finds the difference in the characteristics and personality traits of nurses and the concept of care provided. The thesis presented the structure of the provision of hospice services, where research points to the insufficient availability and unprofitability of specialized services in sparsely populated areas of the selected area. The bachelor's thesis describes activities to improve the mental health of nurses in hospice services. The research finds an underestimation of these activities by home care agencies and the Czech healthcare system as a whole. The conclusions of the bachelor's thesis can serve especially for administrative authorities, providers and nurses interested in hospice care.
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The role of a social worker in a hospital and home hospice facility considering human dignity
CIMBUROVÁ, Kateřina
This Bachelor's thesis deals with principles of providing care in a hospital and home hospice facility and both facilities describes in detail. Thesis focuses on the staff and family approach to a client. The approach should respect the client's uniqueness and human dignity in old age or in disease. In the thesis the emphasis is given on the role of a social worker in a hospital or in hospice facility, his work and qualities he should have. Furthermore, the focus is also given on the role of a social worker during the work with a client not only considering quality advice and help in difficult life situation, but also on emphatic approach, equal treatment and respect to each other. The motivation to study this issue is my interest in the field of palliative medicine and experience gained in study practice.
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Differences and specifics of general and specialized home hospice care
ŽÁČKOVÁ, Hana
The bachelor thesis deals with the issue of specialized hospice care and home health care. It describes hospice care, conditions of its provision, briefly characterizes the development of palliative and hospice care in the world and in the Czech Republic. The role of the multidisciplinary team in hospice care is discussed in more detail. The current legal regulation of the provision of specialized hospice care and home health care is described. The concept of specialized hospice care is illustrated on the example of the Home hospice St. Veronica in České Budějovice. Attention is paid mainly to comparison of specialized hospice care and home health care, with reference to the shortcomings of home health care, which in the present concept cannot be conceived as a full substitute or alternative to specialized hospice care. The main findings and findings are summarized at the end of the thesis.
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Paliative care for people with learning disabities - history and direction, posibities in the Czech Republic
Lando, Lenka ; Janečková, Hana (advisor) ; Ulrichová, Monika (referee)
The bachelor thesis Palliative care for people with mental disabilities / History and direction, possibilities in the Czech Republic deals with the situation of people with mental disabilities in the terminal stage of their lives, especially in residential social services. Emphasis is placed on meeting the need for communication in non-traditional ways, supported decision-making at the end of life, including passing on and receiving bad news, and meeting spiritual needs. The theoretical part defines the issue of people with mental disabilities at the end of life from a historical point of view, followed by a part devoted to the current direction in Europe. Another of the chapters discusses the research currently being conducted on the topic of communicating bad news and the current possibilities in the Czech Republic. The practical part is based on qualitative research. It brings the results of a questionnaire survey examining the situation of palliative care in social care institutions (hereinafter DOZP) and the results of interviews with representatives of mobile and stone hospices. The results points to the insufficient systematic anchoring of palliative care in social care institutions and the need for fundamental changes aimed at ensuring that the ability of people with mental disabilities to...
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Training and Education of Volunteers in the Home Hospice "Cesta domů" - the Homecoming
Matochová, Jana ; Haškovcová, Helena (advisor) ; Váňová, Věra (referee)
The issue of death and dying affects everyone, it is not easy and yet a natural part of everyone's life. Hospice care offers help and support a dying man and his close on the last trip "home". This thesis describes the possibilities of a preparatory course for the volunteers who play an irreplaceable role in hospice care. The practical part describes the specific example from the conditions of the Czech home hospice - The Home Coming, which is being commented on the ground of literature and my personal experience. The outcome of the research is the feedback for the management of the home hospice - The Home Coming, including recommendations for changes of the preparatory course.
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The use of volunteers in hospice care and creating working conditions for their activities
Řehořková, Veronika ; Urban, David (advisor) ; Dočkal, Jan (referee)
The main topic of these theses is the use of volunteers in hospice care with the aim of creating conditions for their activities. The theoretical part is devoted to the characteristics of volunteering, hospice care and the specifics of volunteering in hospice care. Its main part focuses on a description of what a good volunteer program should generally include and what specifics are added to it in the area of hospice care. The creation of conditions for volunteer activity takes place primarily in the field of correct selection, training, motivation, supervision and evaluation of volunteers. The practical part of the theses is focused on an example of an established volunteer program in the community palliative care unit "Cesta domů". The analysis describes all the essential areas defined in the theoretical part of the theses. The reason for choosing this organization is its 15-year experience with a volunteer program and the specific status of a volunteer in a community palliative care unit.
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Practical Ethical Questions in Mobile Specialized Paliative Care
Konečný, Jan ; Ovečka, Libor (advisor) ; Štica, Petr (referee)
This diploma thesis deals with practical ethical issues in specialized mobile palliative care. First of all the terms necessary for understanding the context are explained. History of palliative care. Than introduction to the legal order and the principles of palliative care in the Czech Republic follows. Diploma thesis summarizes the phases of coping with the disease and the loss of a close person. This is both from adult's and a child's point of view. Next section deals with spiritual and pastoral care of dying, four principles of medical ethics and informed consent. Based on an interview with MUDr. Irena Závadová, supported by specialized literature, the ethical issues and theire possible solutions are mentioned too. This thesis deals with ethical issues as follows: education system in palliative care controversial interpretation of the law n. 372/2011 opiatophobia antibiotics in palliative and hospice care nutrition in palliative care palliative sedation transfusion in palliative/hospice care autonomy patient with dementia Keywords Home hospic, dying, death, specialized mobile palliative care, ethical dilemmas.
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White lie in home hospice care
HAHNOVÁ, Nikola
A bachelor thesis deals with a communication in special form called as white lie. This phenomenon is analysed in home hospice care. Theoretical part describes home hospice care, historical progress and type of home hospice care. In this chapter is described home hospice too which is important part of bachelor thesis. Next chapter attentions to lie, typology of lie which contain white lie too. White lie is complemented perspective by physician and family. Third chapter is recommendations how to tell malignant diagnosis. In research is applied method narrative interview and a result is executed to five brief casework from Home hospice St. Veronika in České Budějovice. This five client have experience with white lie. Casework reflect white lie in relationship between family and dying. This is the main aim of the bachelor thesis too.
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Practical Ethical Questions in Mobile Specialized Paliative Care
Konečný, Jan ; Ovečka, Libor (advisor) ; Matějek, Jaromír (referee)
This diploma thesis deals with practical ethical issues in specialized mobile palliative care. First of all the terms necessary for understanding the context are explained. Than brief introduction to the legal order and the principles of palliative care in the Czech Republic follows. Diploma thesis summarizes the phases of coping with the disease and the loss of a close person. This is both from adult's and a child's point of view. Next section deals with spiritual and pastoral care of dying, four principles of medical ethics and informed consent. Based on an interview with MUDr. Irena Závadová, supported by specialized literature, the ethical issues and theire possible solutions are mentioned too. This thesis deals with ethical issues as follows: awareness of diagnosis education system in palliative care development of palliative care in hospital facilities opiatophobia antibiotics in palliative and hospice care proxy decision making in a patient with dementia alternative forms of nutrition palliative sedation transfusion in palliative/hospice care Keywords Home hospic, dying, death, specialized mobile palliative care, ethical dilemmas.
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Social work with children terminally ill parents in hospice care.
NĚMEČKOVÁ, Michaela
This work is dealing with children and adolescents, who are going through a loss of their parent. It describes how the multidisciplinary team of home hospice care works approach this focus group. My work explains how death is perceived by children and adolescents, understanding of which is instrumental in handling communication with individuals suffering from the trauma of loss. We need to understand family as a unit where everyone influence each other. Therefore I point out the importance of open communication in the family which is the basis for strong life-long relationships and also helps coping with loss better. This work is enriched by interviews with home hospice care social workers and their hands-on experience working with children going through the loss of their parent.
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