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Paliative care from the point of view of non-medical healthcare workers
Štětinová, Natálie ; Klokočková, Šárka (advisor) ; Nikodemová, Hana (referee)
This bachelor thesis describes dying from the view of nurses and compares implementing principles of paliative care of the dying patient lying on a hospital bed with care in a hospice. The goal of this work was to find out how nurses with practice in both types of institutions look at this care and what differences between them they recognize. The theoretical part involves definitions of basic notions and introduces the the whole themes of dying to the reader. Also basic principles, thoughts and values, that paliative medicine has and practices, will be mentioned. Further it submits basic information about history of this specialization in our country and also in the world, approaches typical expressions and problems of a dying patient and explains what specifics the hospice institutions have and what kind of care they provide. For the comparison, there will be also described how the paliative care for the patient in the terminal phase laying on a hospital bed is implemented. The basis for this part will be mainly appropriate literature and internet sources. For the empirical part the method of qualitative research was chosen. It works with informations gained from interviews with four nurses that have the experience with a dying patient from their earlier practice in a hospital and who are taking...
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Bereaved parents perception of perinatal loss
Havrdová, Marie ; Krejčí, Jiří (advisor) ; Brnula, Peter (referee)
The topic of the thesis is the perception of perinatal loss by bereaved parents. Perinatal loss is a tragic event in the life of parents that is still taboo in our society and parents are not given enough support. Therefore, the aim of this paper is to describe the perception of perinatal loss through the eyes of bereaved parents, and to further outline the main needs, communication with the spouse, their family and immediate family, and support services used, with the intention of contributing to a greater understanding and awareness to guide support in the health and social care system. Key words: perinatal loss, interpretative phenomenological analysis, paliative care, coping, mourning, support
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Analysis of pharmacotherapy in patients in the hospice
Sládek, Jakub ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of pharmacoterapy hospice care patients Author: Jakub Sládek Tutor: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and purpose: The therapy of hospice care patients is accompanied by many changes and pitfalls that need to be balanced when choosing appropriate therapy. In the teoretic part we can find available information about paliative therapy of hospice care patients, with emhasis on pain therapy. The aim of this thesis is the analysis of pharmacotherapy hospice care patients. Methods: The data were collected in a hospice from September 2019 to November 2019. The farmacotherapy was revised every first day of the month. Informations from personal, drug, family and occupational social history of patients were noted into an electronic database and, after revision, were classified and evaluated by frequency analysis. In four randomly selected patients was described the management of drug-related problems (DRP). Results: In total we noted medical therapy in 40 patients, women were 75 % of this number. Average patient's age was 72.4 years for men and 74.6 for women. Patients most often used drugs from group N (drugs of the nervous system) according to the ATC classification. We indentified 115...
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Social Work in Hospic and Palliative Care
DOMBROVSKÁ, Ester
The thesis aims to identify the positives and negatives of a hospice multidisciplinary team. The first part of the thesis focuses on an academic approach to palliative and hospice care. Specifically, it defines the concept of a team and its diversity. Moreover, it illustrates the ethical issues and dilemmas occurring in hospice care. The second part of the thesis is interview-based research of particular members of multidisciplinary hospice care teams whose objective is to find their opinion on the possible weaknesses and strengths in their teamwork background. The research also focuses on the ethical issues and dilemmas hospice workers face.
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Palliative care in pre-hospital emergency care
DOBOŠ, Štěpán
This bachelor thesis is concerned with the topic of palliative care in the context of paramedic services. The basic feature of palliative care is the amelioration of care for patients whose curative treatment has been replaced by palliative treatment. The topic is actual because today paramedics visit palliative patients more often. The main goal of the thesis is to learn how paramedics discern the needs of palliative patients. In the thesis, paramedics' knowledge about possibilities of delivering palliative care is researched, as well as their psychical readiness for visits of palliative patients. Research questions are: "What needs of palliative patients employees of paramedic services discern?", "What possibilities of delivering palliative care these employees know?", "How do employees of paramedic services feel about their psychical readiness for visits of palliative patients?" The thesis contains theoretical and empirical parts. The theoretical one defines palliative care and differentiate among palliative patients' needs, and among kinds of delivering palliative care. It analyses possibilities of palliative care delivering in the South Bohemian Region and questions of the confrontation of paramedic services with palliative medicine. The empirical part provides a qualitive research analysis that uses semi-structured interviews with chosen paramedics. Answers to the research questions result from experience of paramedics with the chosen topic and reflect their views on it. Palliative care is perceived as a difficult subject by them that better needs to be dealt with. In light of the confrontation with scholarly literature about the phenomenon of palliative care, chosen paramedics have good knowledge of possibilities of delivering palliative care, as well as of palliative patients' needs. In addition, they declare that they are psychically ready for visits of these patients, yet some more demanding visits happen in the case of infant and younger patients.
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The social worker's role in the multidisciplinary hospice team
LIŠKOVÁ, Erika
The thesis deals with the position of a social worker in a multidisciplinary hospice team, and describes how the activity of a social worker in a hospice is unique, and how his work intersects with the activities of other members of the multidisciplinary hospice team. To clarify the assigned topic, palliative and hospice care and their forms are first described. It also describes social work in the hospice, which deals with the dying, family members and survivors, clarifies the role of a social worker in the hospice. The next part of the work focuses on multidisciplinary cooperation in the hospice. The theoretical knowledge presented in this work is supplemented by a particular example of teamwork of the home hospice of St. Markéta in Strakonice and the role of a social worker in it.
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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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Criminal liability of a doctor for withdrawal and withholding of a medical treatment
Peterková, Helena ; Císařová, Dagmar (advisor) ; Sváček, Jan (referee) ; Salač, Josef (referee)
The making of an end of life decision represents worldwide one of the most difficult issues that physicians can be confronted with - not only should it be regarded as consisting of medical and legal aspects, but ethics and moral values are present as well. Furthermore, it shall not be supposed that the economic parameter is negligible, unfortunately even to the contrary. The fact that the decision is often made by physicians under pressure caused by a system of limited resources (and therefore it can not avoid being distorted ) must be kept in mind. At any rate , according to Czech law under which neither assisted suicide nor life termination on the request is allowed, the legality and legitimacy of withdrawal and withholding of medical treatment is based on the argument of informed consent of the patient, advanced directives and the standard of lege artis treatment. These also shall be pleaded as defences in eventual criminal proceedings.
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Current management of counseling in practical matters for family members and survivors - a proposal for how to provide counseling in social services
Mašejová, Ivana ; Povolná, Pavla (advisor) ; Vráblová, Eva (referee)
This diploma thesis deals with counselling management for families of deceased persons in practical matters. The goal of the work is to to describe the contemporary practical reality of social services in counselling for families and survivors. Another aim is to identify the matters in which help for survivors is most necessary. The research in this thesis is qualitative and uses semi-structured interviews as a primary method. It focuses on two groups of respondents, one of which consists of social services managers, while the other includes survivors who have experienced the practical matters of caring for a family member or their decease. The semi-structured interviews are analysed using open coding and subsequently split into categories which emerged from data analysis. Recommendations for social service managers are presented in the conclusion of the thesis based on the results of research surveys. These recommendations include suggestions on counselling for survivors in practical matters. Keywords: expert social counselling, counselling for survivors, paliative care, social services, practical matters
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Analysis of pharmacotherapy in patients in the hospice
Sládek, Jakub ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of pharmacoterapy hospice care patients Author: Jakub Sládek Tutor: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and purpose: The therapy of hospice care patients is accompanied by many changes and pitfalls that need to be balanced when choosing appropriate therapy. In the teoretic part we can find available information about paliative therapy of hospice care patients, with emhasis on pain therapy. The aim of this thesis is the analysis of pharmacotherapy hospice care patients. Methods: The data were collected in a hospice from September 2019 to November 2019. The farmacotherapy was revised every first day of the month. Informations from personal, drug, family and occupational social history of patients were noted into an electronic database and, after revision, were classified and evaluated by frequency analysis. In four randomly selected patients was described the management of drug-related problems (DRP). Results: In total we noted medical therapy in 40 patients, women were 75 % of this number. Average patient's age was 72.4 years for men and 74.6 for women. Patients most often used drugs from group N (drugs of the nervous system) according to the ATC classification. We indentified 115...
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