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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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Business plan - extending the activities of specialized mobile peadiatric paliative care into the Central Bohemia Region for the existing organization Cesta domu
Kosíková, Jitka ; Vrzáček, Petr (advisor) ; Krejčí, Jiří (referee)
In this thesis is a demonstration of a business plan for existing organization Cesta domu. Cesta domu is an organization providing mobile palliative care especially for adult patients. In last four years admits also pediatric patients. The plan ambitions is to extend the services for children not only in capacity, but also in the area to which it will be extended. This work maps the complexity of such a step from financial, personal and organizational points. In the theoretical parts are shown the layers of management and planning as important parts of organizational structure. That is followed by demonstrating the analytical tools for organization, the environment and the importance of preparing the financial plan. Moreover it maps the individual steps of risk analysis. The second part is dedicated to palliative care. The evaluation of current situation in Czech republic and the recommendations from the professional organizations are based on currently available sources. The empirical part compiles all the part of business plan itself. The current situation and also the position, which Cesta domu helds, is presented. The business plan for enlarging the services is shown in individual steps such as financial overview with risk assessment and plan. This thesis aspirate to bring an overview on the...
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Current forms of care focused on dying people in a home environment
Hoblová, Petra ; Krejčí, Jiří (advisor) ; Marková, Monika (referee)
After 1989, we have seen a great development of hospice and palliative care in the Czech Republic. At that period, the first hospice institutions came into being which later broadened their concepts on providing also the at-home care. The main aim of this thesis is to characterize the available concepts of the care of the dying patients in their home environment in the Czech Republic. The initial theoretical section introduces the definitions of the basic concepts of palliative and hospice care; the characteristics of the key institutions providing the at-home care; and deals with the hospice and palliative care legislative. The practical part, based on the use of the qaulitative research design and semi-structured interviews, helps to show the experience of various providers of palliative services. The analytic part depicts two concepts of the care of the dying people, which were identified on the base of the linterviews and which are currently available to patients. Keywords: hospic care, palliative care, mobile hospic, specialized mobile palliative care general practitioner, home care, social services, care of the dying patients, dying, death
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The Development of Mobile Hospice Care in the Conditions of the Czech Republic Based on the Example of the Hospice of St. Kleofas in Trebon
NEKOLOVÁ, Helena
There is given a description of hospice and palliative care in their different forms in the theoretical part. This is followed by the overview of the health and social legislation under which hospices in the Czech Republic work. The main challenge for inclusion mobile specialized palliative care in the legislative system in the Czech Republic are the unclear competences between the Ministry of Health and the Ministry of Labor and Social Affairs. The influences of the Way Home, the Association of Hospice and Palliative Care and the Forum for Mobile Hospices are explained too. The importance of the support which is offered by a multidisciplinary hospice team to the patient, his family and his close people is discussed in detail. The aim of the work was to create an imaginary list of successive steps to be taken by those who decide to build a mobile hospice before the first patient can be admitted. This list has been put together after exploring the history of St Kleofas´ Hospice in Třeboň and other mobile hospices operating in three regions: South Bohemia, Plzeň and Karlovy Vary.
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Business plan - extending the activities of specialized mobile peadiatric paliative care into the Central Bohemia Region for the existing organization Cesta domu
Kosíková, Jitka ; Vrzáček, Petr (advisor) ; Krejčí, Jiří (referee)
In this thesis is a demonstration of a business plan for existing organization Cesta domu. Cesta domu is an organization providing mobile palliative care especially for adult patients. In last four years admits also pediatric patients. The plan ambitions is to extend the services for children not only in capacity, but also in the area to which it will be extended. This work maps the complexity of such a step from financial, personal and organizational points. In the theoretical parts are shown the layers of management and planning as important parts of organizational structure. That is followed by demonstrating the analytical tools for organization, the environment and the importance of preparing the financial plan. Moreover it maps the individual steps of risk analysis. The second part is dedicated to palliative care. The evaluation of current situation in Czech republic and the recommendations from the professional organizations are based on currently available sources. The empirical part compiles all the part of business plan itself. The current situation and also the position, which Cesta domu helds, is presented. The business plan for enlarging the services is shown in individual steps such as financial overview with risk assessment and plan. This thesis aspirate to bring an overview on the...
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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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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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