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Dysthanasia
Johnová, Eliška ; Gallus, Petr (advisor) ; Janečková, Hana (referee)
The BA thesis titled "Dysthanasia: Home care as one of the prevention methods of dysthanasia" deals with the issue of prolonged death and proposes solutions to prevent it. The theoretical part introduces to readers the basic concepts related to the finiteness of life. It discusses death from both medical and theological perspectives, and further describes in detail the concept of dysthanasia as one of the ways of dealing with death. The thesis defines the problems associated with dysthanasia and proposes palliative care as the best approach to prevent this issue. It also mentions organizational forms of specialized palliative care to follow up on the chapter describing home care for the dying, which is not only the best solution in preventing a negative approach to death and dying, but also meets the wishes of the majority of the population who wish to die in a familiar environment close to their family or friends. The last chapter mentions supportive services that help caregivers in caring for the dying. The practical part focuses on the closer examination of home care for the dying and its function in practice. This section is based on qualitative research and information obtained through semi-structured interviews. Keywords Finitude of life, death, dying, dysthanasia, palliative care, home care,...
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Home hospic care from the point of view of the nurse
HERDOVÁ, Elena
The subject of this bachelor's thesis is "Home hospice care from the point of view of the nurse". It consists of parts theoretical and research. The theoretical section describes: home hospice care, its definition and for whom it is intended; necessary equipment, instrumentation or personnel: the meaning and composition of a multidisciplinary team; the extent of the care and role the nurse holds for the dying, family and survivors or description of dying according to Elisabeth Kübler Ross. This thesis includes overview of the hospice care agencies operating in the South Bohemia Region according to the expertise of 926 and last but not least the legislative regulation of the home hospic care. The research part was processed in the form of qualitative research with the main aim of finding out the nurse's point of view on home hospice care. Partial targets have been also set - to determine the extent of nurse's care in home hospice care and see how nurses themselves assess their workload and identify the factors complication the delivery of this care. Research questions are set for each objective aim. The data collection took the form of semi-structured interviews, which were carried out with nurses working at home hospic care agencies in the South Bohemia Region. The conversations were recorded on a dictaphone with permission of the interviewed nurses and then literally transcribed into written form. A total of six categories and twenty subcategories were created. The research took place between February and March 2022 and the size of the research file was based on the saturation of the responses of the interviewees, as a result eight nurses. The result of the thesis can be published for both lay and professional publics, which could result in increased awarness in families where a dying member is located, who wishes to die at home, or increase nurse's interest in the field.
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Sick and his family in home palliative care.
SUCHOMELOVÁ, Jitka
The bachelor thesis deals with home palliative care. The main goals of this work are to ensure the areas of care that nurses focus on in the education of family members of patients in home palliative care. Furthermore, to find out what communication techniques nurses use when communicating with sick and family members in home palliative care. Also point out the share of family members of the patient in the provision of palliative home care. Finally, this thesis find out how family members perceive the nurse when providing home palliative care to the patient. In connection with these goals, research questions were set: 1. What areas of care do nurses focus on in educating family members of patients in home palliative care ?; 2. What communication techniques do nurses use when communicating with patients in home palliative care ?; 3. What communication techniques do nurses use when communicating with the patient's family members in home palliative care ?; 4. How does the patient's family participate in the provision of palliative home care ?; 5. How do family members perceive the nurse when providing a home? The research part of the bachelor thesis was processed by methods of qualitative research. The survey itself was performed using the technique of semi-constructed interview, as well as participatory observation. The analysis of the survey results in answers to the research questions: 1. Nurses focus on the educational skills of the family on the practical skills needed to provide care for a sick client, namely positioning, hygiene care, changing diapers, feeding and medication; 2. When communicating with a patient in home hospice care, nurses use verbal communication techniques through dialogue and monologue. Nurses also use non-verbal communication techniques, while working with a sick client, especially touch through handshake, caresses and elements of basal stimulation; Based on the analysis of the results, it is possible to answer the 3rd research question: Nurses use elements of verbal communication in the form of dialogue and monologue when communicating with family members. From the non-verbal component of communication, nurses most often use touch specifically to shake hands, hugs or caresses; 4. The family participates in the care of the patient, by devoting time and activities such as: positioning, hygienic care, feeding, medication, changing the diaper's panties 24 hours a day; Research question 5 can be answered: Family members perceive nurses caring for their loved ones positively. They find physical and mental support of the nurses for themselves and for the patient. The results of this work can be used by individuals who are interested in this issue as an information stream.
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Dying at home: The possibilities of hospice care at home and its importance for the patients and their families
Řepová, Lucia ; Ulrichová, Monika (advisor) ; Křížová, Eva (referee)
The diploma thesis is concered with the provission of domestic hospice care and its effect on patient and their family. The theoretical part decribes the basic concepts conected with the provision of domestic hospice care. It biefly describes the history, the emergence of the development and growth of domestic hospice care in the Czech republic. Its describes the organisation of the services provided, their legal basic, related services and also their limitations. The main concern of the work is describe the access to the patient in home care in the context of three levels of home care provided: the provission of social and medical services and spiritual support. The provision of domestic home care, its effect and influence both on the family as a whole and patient their is an aditional purpose of the work wich is desribed in the practical part of the thesis. This part concentrates mainly on an analysis of the principal and component parts in the context of the needs of seriously ill patient and their desire of longing to be at home with their family. It describes the possibilities and extent od hospice care in a doestic setting. It also defines the meaning and role of the family in the care of a seriously ill member and their anxiety in connection with the care of the patient. The conclusion...
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Experiences of caregivers with home hospice care
Schiebelová, Eva ; Mužáková, Monika (advisor) ; Durdilová, Lucie (referee)
The subject of this diploma thesis is to analyze and describe the specific experiences of three caregivers with a home hospice care using chosen qualitative research method. It try to find answers to questions about why these people chose home hospice care, in what they see its positives and negatives and what obstacles and problems need to be overcome during care. The first part focuses on the characteristics of home hospice care, the introduction of various concepts of bereaved and mapping support for caregivers. In the second part is done phenomenological investigation of experiences of these three participants of research.
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Návrh marketingového plánu rozvoje domácí hospicové péče pro Mobilní hospic svatého Martina
Vágnerová, Yvonne
This diploma thesis is focused on the issue of home hospice care in Blansko and its surroundings and it presents existing information about palliative care. The text preferably examines the current state of awareness of this care among the general public and its availability in South Moravian region. In addition the text offers suit-able marketing plan for development of St Martin's Hospice in Blansko, three action plans are evaluated.
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Dealing of palliative care in home environment from perspective of patients and family members
BRODCOVÁ, Petra
Bachelor thesis is dealing with topic of home palliative care. The aim of the thesis is to find out how the patients and their accompanying family members are coping with providing care in the home environment. Because majority of incurable ill persons are willing to die at home with their close family members then the topic of palliative care is becoming a hot discussed topic. In general, there is being settled new centres where the patients in terminal stage of life can receive palliative care. In contrary to Czech Republic in foreign countries are the hospice services and palliative care more spread and anchored in the medical system. Nevertheless, there is aim of our Czech doctors, palliative care associations and many other organizations to contribute and set up the conditions for palliative care development. The care which should be available for all sick persons and which should offer the good quality and dignified dying to all patients. In the Bachelor thesis were set up three research questions with the focus to answer the aim of the thesis. The first research question is dealing to describe the scope of barriers which are common in the home palliative care. The second research question consists of the analysis of the needs of ill person and their accompanying family members. The third research question is targeting to describe the process of home palliative care. The research was done by method of qualified survey with the help of semi-structured interview and method of observation. The research itself was performed among eleven persons. There were five nurses employed in the home palliative care. Further on there were three patients in terminal stage of life and their three accompanying family members. The answers from interviewees were processed with the method of "pencil-paper. "The method of observation was used at the sick interviewees in the terminal stage of life where was detected what are the relations in the family, what is the patient's status and which household conditions can allow the home palliative care. Those results were continuously recorded into the Observation sheet. Based on the obtained results it is possible to mention that home palliative care can be provided in the stable and cooperating family who lives in the flat or house suitable for providing all necessary supporting equipment to the ill person and which lives in the accessible distance for the employees of home palliative care. During the interviews with the ill persons in the terminal stage of life and their accompanying person were not detected any barriers which would not allow to provide palliative care in the home environment. From the point of view of nurses are the major barriers not cooperating families, difficult communication with families and the lack of physical strength on the side of accompanying persons. Holistic view on the ill and the accompanying person allow to nurses satisfy respondent needs in all aspects, that means they care about biological-psychological-social and spiritual areas. By the listed respondents' nurses provide mainly psychological support, in the biological area they cure about the pain of ill persons. Considering the results from research survey the home palliative care has enormous success and the increasing palliative care is becoming a standard in the treatment about the patient. The results from Bachelor thesis can serve in the future in the education of next nurses.
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The importance of a social worker in home hospice care
ŠIMKOVÁ, Lucie
The paper deals with the importance of social worker at home hospice care. The first part characterizes the hospice care from a general point of view and specifies the forms of hospice care. The second part is devoted in more detail to home hospice care, its historical developments in the Czech Republic, bringing in an overview of home hospices in the Czech Republic including their financing, and specifies the purpose and aim of home hospices. The focus is on the hospice clients, their needs, fears and pitfalls related to the home hospice care. The third chapter is a crucial one since it deals in more detail with the personality of the social worker, scope of their roles at home hospice and with the entire range of functions performed by these workers. The goal is to reflect how significant and hard-to-substitute role is performed by the social worker at home hospice care. At its conclusion, the paper draws attention to some potential pitfalls that the social workers at home hospice care might have to deal with.
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Managing of the workers´ workload in selected home hospic care
ADLEROVÁ, Michaela
The escort is for the workers in hospice and palliative care a symbol how to give the helping hand to the teraminally ill people and go their way. The main objective of a social worker and a nurse is to improve the quality of life of the person in the terminal stage of the disease. A social worker and nurse of home hospice care are normally part of a multidisciplinary team in hospice care and, together with other professionals, contribute to improving the quality of clients' lives. Many home care workers are subjected to daily stress and are at risk of burnout or the development of some anxiety disorder or depression. The topic of the bachelor thesis is how the workers in the selected home hospice care manage their workload. The aim of the work is to map the workers' workload and how the workers deal with it. The main research question is: What factors do affect workload management in home hospice care? The qualitative data collection was used as a methodology, using the interview method and the semi-structured interview technique. Employees in hospice care are selected by the quota selection method. The selected quotas are: The interviewee works in direct care with the client for at least half a year and is willing to cooperate.
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