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Specifics of nutrition in hospice care
Turková, Jana ; Starnovská, Tamara (advisor) ; Novák, Ondřej (referee)
Introduction: Hospice palliative care is provided to patients in the terminal phase of life with the aim of ensuring quality of remaining life with an emphasis on their individual needs and wishes. An integral part of palliative care is nutritional care and ensuring the patient's adequate nutrition. The theoretical part of the thesis describes the principles, standards and concept of development of palliative care, and provides a comprehensive overview of the types and forms of hospice care currently provided in the Czech Republic, and concludes with a consideration of nutrition and hydration in the terminal phase of the disease. In the practical part, the results of the questionnaire study are processed and presented. Objective of the thesis: The main objective of my bachelor's thesis is to determine whether an individual approach is applied to nutrition in the inpatient care of a selected hospice. The secondary objective is to discover whether patients in inpatient hospice care are satisfied with the nutrition and meals provided. Methodology: The project deals with research into the inpatient care of St. Štěpán's Hospice in Litoměřice. The research is designed as a questionnaire study. The data source is my own semi-structured questionnaire with 30 questions; 15 questions are closed, 13...
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Nutritional specifics in hospice care
Macinauerová, Romana ; Starnovská, Tamara (advisor) ; Holubová, Barbora (referee)
Palliative care is an approach focused on improving or maintaining quality of life for patients and their families who suffer from terminal illness in an advanced stage. Hospices are most commonly associated with palliative care, where hospitalized patients are expected to live less than six months. The aim of this work is to introduce the issue of palliative care and the nutritional approach in hospices from a nutritional therapist's perspective. The theoretical part is focused on the general issues of palliative care and its division. It presents the needs and life values of patients and their families, introduces the issue of nutrition and hydration in the terminal phase of the disease, possible interventions and symptoms that affect food intake. The main objective of the empirical part of the research, which was conducted in the form of semi-structured interviews, is to find out among the patients at the Hospic u Dobrého Pastýře in Čerčany their favorite food and dishes. The sub-objectives were to find out the preferred consistency, quantity and texture of food, identification of situations and symptoms affecting patient's food intake in hospices and to find out through a questionnaire survey in inpatient hospices in the Czech Republic the importance of a nutritional therapist. Based on the...
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All´s Well That Ends Well: Architecture of Palliative Care
Vítková, Kateřina ; Sládek, Martin (referee) ; Mléčka, Jan (advisor)
Can architecture ease the departure of people and their loved ones and remove or at least alleviate the stigmatization and taboo of death? The aim of this work is to design an ideal space for palliative care. The aim is not to design another hospice, or home for the elderly people, which has been designed and built more or less enough (see Analytical section). The task I set out was to accommodate this space on the basis of its broad context, to focus on the right urban location, operational content, relationships with and around, linking, opening, ... but also the very idea of death, leaving parting. The theme of palliative care is very complex and societal, which is reflected in its own design, which represents a new model of palliative care architecture. Palliative Care Center.
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OLOMOUC – Densification Urbaine – Urban Consolidation
Nguyen, Jana ; Spusta, Ondřej (referee) ; Koleček, Ivan (advisor)
The diploma thesis deals with a possible solution for the construction of a hospice in Nové Sady in Olomouc. The aim was to design a place where, despite the severity of the disease, people can spend their last moments in peace and dignity. The aim was to open up the hospice, not only physically - towards the river, but also in its function - by connecting it to the children‘s centre.
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Saint Barbara's house
Neuhauserová, Klára ; Spáčil, Miroslav (referee) ; Sedláková, Markéta (advisor)
The aim of the diploma thesis is the processing of project documentation for the construction of children's hospice. The building is located in Opava, specifically in the Jaktař district. Acess to the building is from street Karafiátová on building 2121/1, 2119, 2118, 2117, 2122/1. The children's hospice is a health and social facility in which relief care and facilities for a child suffering from a serious illness will be provided. The ground plan of its object is reminiscent of a person with open arms, which leads to the hospice garden, where a memorial site will be created. The capacity of the hospice is 10 rooms for patients, which will be connected to the rooms of family members. There will also be 4 separate rooms for patients, where it will be possible to place an extra bed. The children's hospice has two above-ground and one basement. The building will be built next to the hospital in Opava and is intended to expand the services provided by palliative care not only in the Moravian-Silesian Region, but throughout the Czech Republic, in which none of these buildings is yet in operation. External walls of the basement are reinforced concrete monolithic, the rest of the external walls are made of ground brick blocks with mineral insulation. The ceiling structures of all floors are monolithic reinforced concrete slabs. The roofs of the building are flat, above the single-storey part a vegetated flat roof is designed and above the second above-ground floor there is a flat roof loaded with aggregate. There is wall structural system.
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Proposals for Improvement of the Communication Mix of the selected Company
Horníčková, Adéla ; Marčíková, Šárka (referee) ; Mráček, Pavel (advisor)
This diploma thesis deals with communication mix for the selected company. The theoretical part is devoted to the general basis in marketing that is used in the following chapters of the thesis. In the second part, analyses of the current situation of the company have been conducted and conclusions about improvements of the current communication mix have been drawn. These specific recommendations for implementation are presented in order to increase publicity and raise awareness of company’s services.
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Palliative Care Centre
Matějíčková, Petra ; Burianová, Lenka (referee) ; Kacálek, Petr (advisor)
The subject of the diploma thesis is the new building of the alliative care center in Žamberk. It is a detached building, which is partly basement and has three above-ground floors. From the operating point of view, it is a medical-social facility. The facility has a range of palliative care services - a dormitory, a day hospice, a mobile hospice facility and outpatient services. Due to the type of facilities and persons using the facilities, emphasis was placed on the location of an object situated on the outskirts of the city in the area of other social and health facilities designed for long-term residence in a quiet, quiet environment with plenty of surrounding greenery. The mass of the building consists of several blocks, the shape and material solution is simple. The construction system is a monolithic reinforced concrete skeleton, coated with ceramic blocks. Several types of flat roofs are covered, 2NP is designed as a receding floor with a barrier-free terrace.
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St. Michael's Hospice
Krmaš, Jan ; Kalivoda, Tomáš (referee) ; Kalousek, Lubor (advisor)
The topic of the master thesis is new medico-social facility hospice St. Michaela. The purpose of the object is the maximizing of improvement in the quality of life of dying, severely ill and incurable patients, with the use of palliative care. The construction follows the Complex of Regional Hospital Náchod. Together with as a retirement home Náchod completes a support network of health and social care. The building is designed as a four-building storey and is partially embedded into the sloping terrain. Floors are divided into individual facilities and together constitute a functional unit. In the basement is the technical room, warehouses, garages and kitchen facilities. On the ground floor are then socio-public rooms and facilities. On the second floor is located hedmaster of hospice and accommodation area. The third floor is devoted to the accommodation area. The proposed structure made of brick longitudinal system, supplemented by concrete basement walls. The horizontal structure is made of filigree ceiling panels. Stairs are designed as a precast concrete and steel. Individual roof structures is made from unwalkable, walkable and vegetation compositions. The cladding consists of ventilated facade of glass and wooden panels. Foundations are designed from the lineal foundation.
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Systematic evaluation of quality of palliative care in the Czech Republic
Žáčková, Lucie ; Loučka, Martin (advisor) ; Vosečková, Alena (referee) ; Dobríková, Patricia (referee)
In both the social work and health sector, there is an increasing emphasis on monitoring and improving the quality of care and services provided. In both areas, quality standards are already established in wider practice and attention is therefore focused on monitoring the quality of services and care at a system level. However, this requires the availability of appropriate tools. This also applies to palliative care, which is developing rapidly in the Czech Republic and whose need will continue to increase as a result of the prolongation of life expectancy. The theoretical part of this dissertation shows, through the example of palliative care, the deeper interconnection of the social and health spheres. It occurs thanks to its holistic approach to the patient and the irreplaceable role of social workers in a multidisciplinary team. There is also a growing demand in palliative care for systematic quality monitoring and improvement of care and services. The theoretical part summarizes knowledge regarding the development and use of quality indicators, presents examples of systematic quality measurement in palliative care abroad and compares their strengths and weaknesses. The empirical part deals with the creation and subsequent pilot implementation of a methodology for assessing the quality of...
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Preventing Terminal Hospitalization in Nursing Home for Older Adults
Pechová, Karolína ; Loučka, Martin (advisor) ; Kubalčíková, Kateřina (referee) ; Dobríková, Patricia (referee)
This dissertation deals with the topic of terminal hospitalizations of residents of nursing homes for older adults and was written within the framework of the doctoral study of Social Work at the Faculty of Humanities, Charles University. The aim of the thesis is to understand the factors that lead to terminal hospitalization of residents of nursing homes for older adults. The research design is mainly descriptive in nature and exploratory to a lesser extent. The thesis consists of peer-reviewed articles, three of which have been published in peer- reviewed journals, and a fourth is currently under review. The first article is a directed documentary analysis. It focuses on analyses of a public policy document for older adults, tracking how elements of palliative or end-of-life care are emerging in those documents in the 13 most rapidly aging populations. It provides insight into the system in which terminal hospitalizations are happening. The next two articles focus on terminal hospitalizations of nursing home residents. The second study is qualitative; the article summarizes the findings of an analysis of 27 semi-structured interviews conducted with general nurses, social workers in nursing homes and general practitioners who had their patients in nursing homes. The third article (under review)...
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