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New Concepts and Models of Care in Residential Facilities for Elderly
Němcová, Kateřina ; Ondrušová, Jiřina (advisor) ; Nová, Monika (referee)
Diploma thesis on the topic of New concepts and models of care for seniors in social service residential facilities is divided into theoretical and practical part. The initial three chapters are focused on problems of old age and ageing, needs of retired clients of social service residential facilities and concepts of long-term care for the elderly people in the Czech Republic. The fourth chapter forms a basic for this work. It describes selected approaches and models of the care that were applied mainly in western European countries and are being adopted by some of residential facilities in our country. The practical part of the thesis consists in quantitative research among social workers and staff of registered residential facilities. The aim of the questionnaire survey was to determine knowledge level of the individual concepts and models of care among employees and to find out to which extent the selected facilities apply new concepts and models in their everyday life. Because these new concepts and models emphasize an individual approach and constant improvement their application is considered a viral part of care for clients of old age. The conclusion of the research confirms that application of newly introduced concepts and models increased quality of provided services in 95,3 % of...
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Work with risk in residential social services
Šmok, Petr ; Marádová, Eva (advisor) ; Hájková, Vanda (referee)
The diploma thesis focuses on the term risk in human life in general, as it is seen in the society and defined by current knowledge in the field of social science. Furthermore, the thesis explores the risk as a phenomenon connected to the social services. The social integration of disadvantaged groups of inhabitants into majority society have brought with it the need to defend the rights of people with disabilities, with an emphasis on their active involvement in everyday life, in seeking the opportunity to experience those situations that define this life. This focus brings a number of theoretical solutions for risk planning with respect to clients of social services. These solutions have been further taken into account in this section of the thesis. The experimental part of thesis focuses on the perception of risks by the employees who work in residential facilities in Zlín district, directly taking care of clients. This part of the thesis provides a relevant insight into risk awareness in selected residential facilities and its active use in practice. Consequently, it deals with other factors that may affect employees of facilities for people with disabilities when assessing risk planning and generally concerning their perception of the risk phenomenon in clients with mental disabilities. On the...
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New Concepts and Models of Care in Residential Facilities for Elderly
Němcová, Kateřina ; Ondrušová, Jiřina (advisor) ; Nová, Monika (referee)
Diploma thesis on the topic of New concepts and models of care for seniors in social service residential facilities is divided into theoretical and practical part. The initial three chapters are focused on problems of old age and ageing, needs of retired clients of social service residential facilities and concepts of long-term care for the elderly people in the Czech Republic. The fourth chapter forms a basic for this work. It describes selected approaches and models of the care that were applied mainly in western European countries and are being adopted by some of residential facilities in our country. The practical part of the thesis consists in quantitative research among social workers and staff of registered residential facilities. The aim of the questionnaire survey was to determine knowledge level of the individual concepts and models of care among employees and to find out to which extent the selected facilities apply new concepts and models in their everyday life. Because these new concepts and models emphasize an individual approach and constant improvement their application is considered a viral part of care for clients of old age. The conclusion of the research confirms that application of newly introduced concepts and models increased quality of provided services in 95,3 % of...
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Costs of providing nursing and rehabilitation care in institutions of social services.
SKRUŽNÁ, Andrea
The dissertation themed "Costs of providing nursing and rehabilitation care in institutions of social services." maps out current issues in provision of health care in the residential facilities of social services. The dissertation focused on analysis of expenses for provision of nursing and rehabilitation care in residential facilities of social services. The theory part is divided into five chapters. In the first chapter, I deal with the social services in the European Union and in the Czech Republic. Further, I describe the system of long-term care. The second chapter focuses on residential facilities of the social services, their division by types and specification of their basic activities. In the third chapter, I describe funding of the residential facilities of the social services, where I focus on description of each funding source. The fourth chapter is focused on health care in the residential facilities of the social services. I describe author's expertise of general nurse in the social services, the list of tasks of health care for the expertise, conditions for indication of health care, the ways for payments of health care by health insurance companies, and audits of the reported health care conducted by the health insurance companies. The last chapter deals with the issues related to per os administration of drugs in the residential facilities of the social services. The practical part of the dissertation consists of my own quantitative research. Described is methodology for data collection; in addition, the research set is characterized, and the research implementation description is given. Results of obtained data were processed in two chapters where structure of users of facilities as well as health care provided to the user was described in a statistical way using tables and graphs. Thereafter, discussion on results obtained was made. The research survey was performed in Senior House in Roudnice nad Labem (hereinafter referred to as "the facility") in November 2013, where data was collected for period from 18 to 24 November 2013. The facility provides social service of senior house and social service of a house with a special regime to its users. At the moment of the research, there were 129 users, of which 95 received health care from health care employees of the facility. Two hypotheses were defined for the dissertation. The hypothesis No. 1 is: The number of health care professionals in the residential facilities of the social services corresponds to time demands for health care indicated by a general practitioner. The hypothesis No. 2: Administration of medical therapy per os as indicated by a general practitioner is the most frequent health care service provided to the users of the residential facilities of the social services. The research confirmed both hypotheses. I can see importance of results of the dissertation particularly in that they outlined how the medical care in the residential facilities of the social services is currently provided. The processed results of the provided health care could then serve as one of the grounds in making a draft for transition of funding of the health care in the residential facilities of the social services from performance-based to flat-based model. The dissertation could also be used as the grounds for training of health care professionals of the residential facilities of the social services in the field of indication, provision, and reporting of health care provided to users of the residential facilities of the social services.
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Health insurance and settlemento of nursing and rehabilitative care provided in institutions of social services
VOBORNÍKOVÁ, Gabriela
The topic of my diploma thesis is Health insurance and reimbursement for nursing services and rehabilitation care provided in social services facilities. I chose this topic not only because social services and related fields are currently very topical but also because I wanted to find out what changed whit regard to social services facilities with the arrival of the possibility of funding nursing and rehabilitation care. I wanted to explore opinions of people who work in this field and encounter such issues on a daily basis. Since the possibility of reimbursement for nursing and rehabilitation care has been in the Czech Republic for a relatively short period of time, I assumed that the collection of data would bring new insight into the matter. The theoretical part of my thesis deals with social services and subjects that establish and provide social services. Furthermore, I also discuss the main aims of social services. Next chapter deals with the funding of social services and the factors that help improve the quality of social services. This is followed by the description of nursing and rehabilitation care in residential care facilities. This part focuses closely on the new legal regulation and the types of residential care facilities and also analyses the term competence for the performance of health profession. The practical part of the thesis contains the results of my research work. It describes the methodology (in order to achieve the goal established and to confirm, or reject the hypotheses, I did a questionnaire-based survey and performed the secondary analysis of data). The group studied included all facilities that met the following condition: they had to be residential social services facilities located in the South Bohemian Region. The aim of my work was to find out whether the change in the legal regulation helped improve the funding of nursing and rehabilitation care in residential care facilities. It follows from my research that the possibility of reimbursing for rehabilitation and nursing care from public health insurance means more resources for a social services facility. Furthermore, the obligation to charge a particular health insurer a fee for health care implies more administrative work for the facility. I conclusion, the hypotheses suggested were confirmed and the goal of the work was achieved. My diploma thesis can serve as a full-range source of information for the facilities providing social services. It can also become a useful study material for other students.
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