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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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Pastoral care for palliative patients and their families
Víravská, Marie ; Kolář, Pavel (advisor) ; Stretti, Sylvie (referee)
This study is aimed at a pastoral care of palliative patients and their families (the bereaved). The first part is dedicated to the content of the pastoral care of the dying person and the naming of individual tasks. There is described a pastoral conversation that is accompanied in the course of caring typical for this group of patients and the pastoral targets. The second part is devoted to the care of the bereaved and its possibilities in the current time. There is giving a description of the particular stages in terms of the bereaved and the carers and the specifics of the care of a bereaved child. It is ended with a chapter discusses about the importance of the hope (particularly transcendental) in the pastoral care of the dying person and the bereaved families.
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Pastoral care for palliative patients and their families
Víravská, Marie ; Kolář, Pavel (advisor) ; Stretti, Sylvie (referee)
This study is aimed at a pastoral care of palliative patients and their families (the bereaved). The first part is dedicated to the content of the pastoral care of the dying person and the naming of individual tasks. There is described a pastoral conversation that is accompanied in the course of caring typical for this group of patients and the pastoral targets. The second part is devoted to the care of the bereaved and its possibilities in the current time. There is giving a description of the particular stages in terms of the bereaved and the carers and the specifics of the care of a bereaved child. It is ended with a chapter discusses about the importance of the hope (particularly transcendental) in the pastoral care of the dying person and the bereaved families.
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Taking care of family members of a dying client in a home for the eldelrly.
ZIMOVÁ, Eva
People usually die in hospitals, at subsequent care departments and in retirement homes nowadays. Ill people die alone outside the comfort of their homes and in the care of professionals, who are strangers for them. Dying has become an institutionalized process. Dying is first of all a process that consists of three known periods of different length, which are linked together the pre finem, in finem and post finem periods. They are described in chapter 2. Chapter 3 describes the mental response stages according to Elisabeth Kübler-Ross in the usual order as the mostly occur. The fourth chapter mentions the needs of the dying and the role of a nurse in their satisfaction. Communication with family members is probably the most demanding activity for a nurse. Communication and its principles is dealt with by the fifth chapter. The sixth chapter describes the phases of grief according to Kubíčková (2001), but also the uncomplicated and complicated grief. The assistance to the family is described in the seventh chapter. A subchapter is also dedicated to counselling for the bereaved.The load on nurses in relation to dying is mentioned at the end of chapter eight. The last, ninth chapter describes a retirement home and the services it provides. The first goal was to examine the readiness of healthcare staff to communicate with the family members of dying clients. The second goal was to find the spheres in which the family members of a dying client need advice. The third goal was to examine the services provided to the family members of a dying client by a retirement home. The research questions:How are general nurses able to cope with communication with the family of a dying patient?What topics do general nurses avoid in communication with the family of a dying patient?What advice are general nurses able to give to the bereaved?What possibilities do retirement homes have to ensure dying with dignity?What services do retirement homes provide?Qualitative research in the form of semi structured interviews was chosen for elaboration of the empiric part of the thesis. The interviews were based on prepared questions and sub questions for general nurses from two retirement homes. One of them is in the South Bohemia Region and the other in the Central Bohemia Region. The sample consisted of eight general nurses. The interviews were recorded in written and then processed into individual categories. The names of the facilities are not mentioned to ensure anonymity. The thesis gives an insight into two addressed retirement homes in different regions. The research has brought the view on the care of family members and valuable comparison of the provided services and the possibilities of the homes. Communication with the family is in some situations unpleasant and stressing for a nurse, however it is frequent and inevitable. The research shows that informing of worsened state and client's death is most unpleasant and stressing. General nurses should be better aware of the phases of dying according to Elisabeth Kübler-Ross and they should realize that the family members go through the same phases. We have also found that if family members are not offered assistance and support, they usually do not ask for it. Both the homes are trying to create the environment for dying with dignity according to their possibilities. They offer unlimited visits, spiritual services and also the possibility of the last goodbye, however it is not offered automatically. The choice of funeral service is on the other hand always offered at the death notification.There are differences between the two homes in the environment where the care of the death body is taken, where the last goodbye is held and the inheritance passed. One home has the possibility to care about the deceased in a dedicated room, where also the last goodbye and inheritance passing is held. The other home does not have this possibility.
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How to introduce children to the topic of death?
BRISUDOVÁ, Eva
In this thesis I follow up the question How can we communicate with children in a question of death. I mainly focus on dying, acceptance of death and what are the effects that death can have on children i describe historical and current views of the death from sociological perpective. I compare the differences of burials in various countries. Burials are closely related with the topics like grief and remembrance of survivors. The work also shows views of children's literature on the subject of death. This literature has become a guide for understanding the child's feelings perceived in personal contact with death. It also says how the child accept and how it is influenced by death. Finally, it points out the importance of communication and explanation of the current situation of the child. The main role does family or professional assistance that should be provided to the child. The contribution of this work to see that the critically summarized on Czech literature and briefly compared to abroad.
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