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Application of the principle of autonomy in the field of death and dying of seniors in the Czech Republic
D´mello, Petra ; Fošum, Jan (advisor) ; Svoboda, David (referee)
Diploma thesis "Application of the principle of autonomy in the field of death and dying of seniors in the Czech Republic" primaly deals with issues related to the right to self-determination, human dignity and desires associated with the end of life. It seeks to answer the question of the extent to which the autonomy of the individual can be respected and to participate in end-of-life healthcare decisions through the legal concept of living will, even if the person is in a position that does not allow to express the will. Although this institute is firmly rooted in the legal order of the Czech Republic, awareness of this legal concept is insufficient among the public and rarely used, unlike the Federal Republic of Germany, where the institute is usually applied by seniors. The aim of the work is to reflect the current issues of dying and death from an ethical point of view and provide comprehensive information on the current possibilities of exercising the right to self-determination, which can significantly support the quality of human care in the terminal phase of life.
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The Needs of the Dying and Their Care-Taking Family Members in a Mobile Hospice
NOVOTNÁ, Jana
This bachelor thesis focuses on identifying the needs of the dying and family caregivers in a mobile hospice. The aim of the thesis is to find out what the needs of patients and carers in a mobile hospice are and how the hospice meets these needs. The bachelor thesis is divided into theoretical and practical parts. The theoretical part deals with the services of mobile hospice, the most common problems that are solved for patients, their caregivers and also for the bereaved. The practical part focuses on the research and its results. The research was conducted using semi-structured interview and observation method. The research revealed that the most common problems are concerns about pain, loneliness, and securing medication that will control other negative symptoms of the illness. In addition, the concern of the family and hospice staff is important to the patients. Psychological support, help with care, medical devices are most important for carers. The research part of the thesis showed that mobile hospice helps to meet the needs of the dying and their family members. All respondents were maximally satisfied with the care provided by the mobile hospice. The results of the bachelor thesis will be provided to mobile hospices in the South Bohemia region, where they can be interpreted as feedback to the entire mobile hospice team.
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Essential factors in the solution of ethical dilemmas in the Hospice care of St. Kleofáš, o.p.s.
NOVOTNÁ, Simona
The diploma thesis focuses on the topic of signifiant factors influencing the final solution of ethical dilemmas in Hospice Care St. Kleofáše, o.p.s. The thesis provides an overview of the specifics of hospice care and non-profit organization Hospice St. Kleofáše, o.p.s. The aim is to find out signifiant factors influence the solution of ethical dilemmas in this organization and which of the identified factors coincide with selected values from the Code of Ethics for Hospice Employees. The diploma thesis describes hospice care, social work in a mobile hospice, ethical issues and selected values from the Code of Ethics for Hospice Employees. It also describes the process of identifying factors influencing ethical dilemmas and the results of semi-structured interviews. The aim of the work is to show the issue of decision-making ethical dilemmas.
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The issue of palliative care in hospice and mobile facilities in the Czech Republic
Vlčkovová, Jana ; Angelovská, Olga (advisor) ; Dobiášová, Karolína (referee)
This rigorous thesis pursues evolution of specialized palliative care and looks at the same time into problems of contemporary legislation and current legal frame of for care in mobile hospices in the Czech Republic. It thus builds on my previous master thesis on euthanasia, which discussed the Act on dignified death submitted to parliamentary debate by Zlatuška, M.P. (ANO) on May 27, 2016. Euthanasia is often perceived as an alternative to palliative care. There are several different forms of palliative care - hospice palliative care, special beds/stations for palliative care in hospitals and care in a mobile hospice. The analytical part of the thesis will include analysis of palliative and hospice care issues based on existing documents and secondary analyses. Methodologically, qualitative approach based on semi-structural interviews with relevant actors from political as well as healthcare spheres will be used. Political actors will be represented by the Ministry of Health and health insurance companies. Attention in the healthcare sphere will be focused on providers of palliative care and founders of hospice facilities and mobile hospice care facilities. Under certain conditions, the latter ones can, however, become also political actors. Part of the qualitative research will be analysis of...
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How to Establish Manage a Mobile Hospice
Urbanová, Bohumila ; Roth, Martin (advisor) ; Pazlarová, Hana (referee)
The aim of my bachelor's thesis is to describe the process of establishing a mobile hospice in the Czech Republic. The main focus is on essential measures that are necessary for establishing a mobile hospice from the theoretical perspective but it also includes several examples of good practice. The first part treats the concept of palliative care and related legislation. Further the thesis elaborates key steps of the establishing process of a mobile hospice regarding the management activities in practice. The conclusion deals with the management and the role of hospice as an institution where all relevant resources are efficiently integrated.
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Home Palliative Care as Sensitive Way to a Dignified End of Life - Possibilities of Social Work
Adamčíková, Pavlína ; Cimrmannová, Tereza (advisor) ; Nová, Monika (referee)
The aim of thesis is to create an overview of the holistic concept of domestic palliative care in the context of social work. This overview includes identification of the needs of people in the terminal stage of life and the dilemmas that families face in the final stage of the lives of their loved ones. The individual chapters of this thesis describe the needs of the dying and informal caregivers, and they point out the importance of the family environment for coping with death-related concerns. The qualitative survey carried out via semi-structured interviews includes identification of the needs of the dying and caregivers, the dilemmas of caregivers in making decisions about choosing the form of care for their loved ones, and mapping the awareness of caregivers about the possibilities of social work support.
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Problems of a hospice care considering the viewpoint of nurses of the Home Care Agency and the patients
PEŠKOVÁ, Petra
The topic of my bachelor thesis is ``The issues of hospice care from the viewpoint of nurses working for home care agencies and potential patients``. The following two objectives and three hypotheses were formulated for the thesis: The first goal was to map the situation in provision of home hospice care from the viewpoint of nurses working for home care agencies. Two hypotheses were formulated for this objective. H1- Nurses working for home care agencies provide home hospice care and H2 - Nurses working for home care agencies are interested in expanding the home hospice care by means of mobile hospice units. The second objective of the bachelor thesis was to survey awareness of the lay public about the provision of hospice care by home care agencies. For this objective the third and the last hypothesis H3 was formulated {--} The lay public has no information about the provision of hospice care by home care agencies. A quantitative research method has been used to achieve the objective, using inquiring with questionnaires. Two types of questionnaires were used, one for nurses working for home care agencies and one for the lay public. The resulting data have been processed with a descriptive statistical method. The first surveyed group consisted of 57 nurses and the second surveyed group consisted of 75 respondents. We have found out that nurses working for home care agencies provide home hospice care but they are often unable to ensure quality conditions for such home hospice care. Another surprising finding was that the nurses working for home care agencies were not interested in extending the home hospice care with mobile hospice units. We believe that the nurses working for home care agencies lack the necessary information about the home hospice care. The hypothesis No. 1: Nurses working for home care agencies provide home hospice care has been disproved and also the hypothesis No. 2: Nurses working for home care agencies are interested in expanding the home hospice care by means of mobile hospice units has been disproved, which means the first objective has been met. Further, we have found out that the lay public does not have sufficient information about the provision of hospice care by home care agencies, which means that the hypothesis No. 3: The lay public has no information about the provision of hospice care by home care agencies has been confirmed and the second objective has been met. In this connection I have proposed some measures to improve the awareness of home hospice care. I have recommended informative articles to be developed for magazines intended for the lay public, as well as for professional journals for nurses. I have also recommended informative workshops for nurses and cooperation with hospice facilities.
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