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Dying in Medical Institution from the Point of View of Nursing Staff
VÁCHOVÁ, Agáta
The bachelor's thesis deals with dying in medical institution from the point of view of nursing staff. The thesis is divided into theoretical and research parts. The theoretical part of the thesis contains basic information and concepts related to dying and death, the impact of dying on nursing staff and the specifics of nursing care for dying patients. The main aim was to find out what support the nursing staff receives from the management and how the nursing staff provide for the needs of the dying patient. In order to achieve these objectives, five research questions were identified. The empirical part of the thesis was done through a qualitative research investigation in the form of a semi-structured interview, which included twenty-one questions. The research population consisted of nurse practitioners and general nurses in the selected hospital wards. The collected information was then processed in the form of open coding and then categorized into seven categories. From the results, it is clear that psychological support from the management is mainly provided to the nursing staff by the station or head nurse. In case of psychological need, the nursing staff refer more to family and friends. A large number of informants were identified with burnout syndrome, which can result from a lack of psychological support from the management, that could be provided for example in the form of seminars or through visiting a psychologist. The second objective revealed that the pain control, hygienic care adapted to the patient's health condition and the provision of food according to the patient's wishes are essential to ensure biological needs. The support from the staff is important to meet psychological needs, which is often neglected due to the lack of time and staff. The social needs are mainly provided by the family of the dying patient through visits or by a hospital chaplain. The most common obstacle is the arrangement of patient rooms, which is not suitable for ensuring the privacy of the dying patient and his/her family. The results of the thesis research were used to form the basis of a workshop for nurses.
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The Contemporary Legislative Scope of Palliative Care in EU Countries
PLOCKOVÁ, Jana
Palliative care is new multidisciplinary field that aims towards development and continuity of the end-of-life care and it has undergone a relatively short evolution in the Czech Republic. The Bachelor work concerns care of patients with serious life-threatening disease. It describes development of palliative care and conducts a survey of economic end legislative background that impacts its integration into the health and social system. It provides comprehensive insight into needs of terminally ill patients and outlines alternatives of their solution. The final qualifying work is theoretical, and its aim is to cover the care specifics in the Czech Republic and in selected countries of the EU. It subjects areas that are related to development and quality of the palliative care, i.e. educating of physician, nurses and other professionals, legislation and funding.
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The Meaning and Availability of Care and Support for the Dying and their Families
VODIČKOVÁ, Jana
This work concerns with dying issues, with the last stage of life. My aim was to establish the biggest problems of the dying people, what they face at this stage of life at the state of such a big physical and mental strain, and afterwards even their caring cognates who provide their help and care. In the first part are described terms which are related to these issues. The second part considers qualitative survey, through this survey I would like to find out the sense of needs and information concerning the help for a dying person and his family.
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The possibility of using elements of palliative care in a nursing home
KADLECOVÁ, Lucie
The thesis focuses on the possibilities to use elements of palliative hospice care in the retirement home. The work describes basic theoretical themes such as human dignity, its interpretation and dignified dying. It also presents basic issues concerning dying and death, ethical problems of different phases of dying, as well as the dying person's needs. The thesis tries to answer the question about the possibility of dignified dying through the use of hospice care. It also defines palliative care provided in hospices as one of the approaches to long-term care of dying people. The research analyses two standards of nursing care in retirement homes The care of a dying person and The care of a dead person. It presents results of its own research method realized through semi-structured interviews with clients of a retirement home. The aim of the research is to find out whether the clients themselves are interested in application of hospice palliative care in the retirement home.
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Dying process and needs of dying persons.
SMILKOVÁ, Božena
The thesis studies the process of dying with a special focus on the needs of dying persons, aiming to provide a complete outline of typical needs. The first section compares and contrasts the process of dying in the past and the present, identifies the stages of the dying process and addresses the psychological issues of hope and human dignity. The next section clearly outlines the needs of dying persons, in particular it discusses the issues of pain management, conversations about truth, accompanying a dying person and understanding the meaning of life and suffering. In order to see how these needs are met, the thesis looks at hospice care, in comparison to euthanasia requested by the ill person.
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Analysis of home hospice care sesrvices considering the needs of users
DOSTÁLOVÁ, Zdislava
In the theoretical part the terms hospice, home hospice care and palliative care are defined. History, principles, objectives and the concept of hospice care in the Czech Republic are mentioned. The phases of psychological responses to a serious illness undergone by a patient and the patients´ reaction to impending death are described. The traditional model of dying in the Czech Republic in the home environment, the gradual institutionalization and the taboos surrounding death, and the new inception of humane methods in the care for the dying after the year 1989 are particularized. The current types of hospice care in the Czech Republic and especially home hospice care are described in detail, and also the needs of the dying and those of their loved ones, which is the main topic of my thesis. The aim of this work is to survey the availability of palliative home care services in the Vysočina region, to compare the range of offered services, to map the users´ experience and to identify the risk factors in providing this care. In the realized qualitative research the availability of these services was surveyed through the content analysis of data by the technique of official documents and virtual data analysis. In order to map the users´ experience, managers of two agencies providing home hospice care in the town of Třebíč were addressed, as well as the users or their families to whom these agencies provide their services. The interview method, the technique of a semi-structured interview was used. There are eight providers of home hospice care in the Vysočina region. The Vysočina region supports not only home hospice care, but also supported the establishment of residential hospice services in the Long-Term Care Hospitals in three towns in the Vysočina region and the Palliative Care Department in the Jihlava hospital. These facilities have partially substituted a non-existent hospice in the Vysočina region. Hospice care in the Vysočina region is relatively new. It is necessary to get some experience and discover possible shortcomings. The complexity of the care for the seriously ill can be extended, which may enable the seriously ill patients to stay at home with their relatives as long as possible. Although home hospice care has its limits in terms of pain alleviation and complications resulting from a disease, the users´ experience is satisfactory and meets their expectations. The contribution of the thesis lies in uncovering deficiencies in home hospice care and the provision of identified information to the care providers and other health care workers, thus enhancing the awareness of this care among health professionals and family members of seriously ill patients.
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Dying and Death as Regarded by the Social Welfare Institutions Workers.
RUDOLFOVÁ, Martina
The theses deal with the last period of the person´s life and the possibilities of the care focused on the spiritual, psychic, physical and social aspect of the issue. It offers possibilities of ethical way how to cope with this life´s stage having the help of social workers, family and also the dying person. The practical part compares opinions of the hospice workers with the views of the workers from old people´s homes with respect to this issue. It also points at the demnad of the work and some of its difficulties.
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