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Use of the diary of nursing care for patients in the terminal stage of the disease
STEHLÍKOVÁ, Eva
The bachelor thesis deals with the possibilities of using the diary of nursing care for patients in the terminal stage of the disease. This theoretical bachelor thesis is based on research of sources taken from Czech and foreign literature, including database sources. The work focuses on general palliative care and the terminal stage and is divided into several sections. The needs of a dying person are described in detail here, both biological, psychosocial, and spiritual. The work also focuses on the dying stages, according to Kübler-Ross, which are described here in detail. The central chapter focuses on palliative communication, which is of special importance. Medical staff, including nurses, are not trained in how to talk to the family of a dying or deceased person. The following sub-chapters are devoted to the central topic of using a nursing diary for terminally ill patients abroad. The creation of a nursing diary in various countries of the world is described here in detail, as well as its acceptance in practice. It also includes a description of the diary, how it looks in certain healthcare facilities, and its possibilities. The effect of using a diary in practice on the quality of care provided is also discussed. The data show that the diary was very beneficial, especially to the families of the patients who kept the nursing diary. The diary helped families to better come to terms with the death of a loved one during the grieving process. The author's view on the issue is described at the end of the work. In response to the data, a proposal for a nursing diary in the Czech version was created to contribute to the development of palliative nursing care within the Czech Republic.
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The nurse's work in the care of the patient in the terminal stage.
LAŠKOVÁ, Vendula
The bachelor thesis submitted deals with the topic of palliative treatment of dying people. Its aim is to map the approaches used by nurses during palliative treatment of dying patients admitted either to hospitals for long-term patients (LDN) or to inpatient hospices. This work explores the differences in treatment and in meeting the requirements of these hospitals. Three research questions were identified in the present work: 1. "How does a nurse take care of patient's biological needs when he/she is effectively dying?" 2. "How does the nurse take care of patient 's psychological and spiritual requirements?" 3. "How does the nurse take care of patient's social needs?" The research part was conducted methodologically and qualitatively by using the technique of semi-structured interviews with nurses who work either in LDNs or in inpatient hospices. The interviews were steered on the basis of a prepared questionnaire. The research group consisted of a total of sixteen nurses. The interviews were recorded and subsequently typed. The gained data yielded evidence that was put it through the coding method (via "pencil and paper" technique) in order to obtained the categorized results. Based on the obtained information, the research shows the differences in terms of treatment provided in hospitals for long-term patients (LDN) and in inpatient hospices. Whereas LDN nurses are focused primarily on patients' biological needs, nurses in inpatient hospices, apart from providing the biological needs of patients, focus more on spiritual and psychosocial requirements. Another difference can be seen in the individual approach to patients provided adequately in inpatient hospice. This difference is justified by LDN nurses' saying that they have to look after a large number of patients while facing a lack of medical staff. Despite the difficult conditions, LDN nurses try to ensure that this lack of staff is not reflected in their work. Clearly, many of them take their work as a mission. The bachelor thesis can be a source of information for both nursing students and nurses. A brochure has been created that can help nurses work with patients who are terminally ill.
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Faith in a terminal stage of disease
ZIKMUNDOVÁ, Eliška
This work examines faith development of people in the terminal phase of illness. The theoretical part of this work describes faith from the theological point of view and from the perspective of the psychology of religion. It also aims to characterize the meaning of terminal phase and focuses on dying patients. The practical part consists of interviews with dying patients situated in the Hospice of Saint Lazarus in Pilsen. The practical part also describes human approach towatds faith in the last part of their life. It addresses the importance of faith in this uneasy situation.
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Communication with dying patient in the department of internal medicine
KUBĚNOVÁ, Nikola
One of the most important aspects of a nurse's work, which is an integral part of this profession, is communication. It is the basis of health and social care in general. Each of us learns to communicate with our whole lives. More specific to our profession is to be able to communicate with a dying person in the terminal stage and his close family. To look at the patient in this situation as a bio-psycho-socio-spiritual model and respect his needs. Shyness is often an obstacle for nurses, the topic of death is too taboo for them and they are unable to provide support to the client in his mental, physical and social condition. . Find out whether the nurses in the Internal Medicine approach patients in the terminal stage individually.
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Psychosocial aspects of cancer in adults
Škardová, Kateřina ; Arnoldová, Anna (advisor) ; Ventura, Václav (referee)
Anotation: The diploma thesis " The Psychosocial Aspects of Cancer in Adults" deals with problems of the psychosocial aspects of the oncological disease and its command by adults patient.The theoretical part engages in individual phases of disease and its consequences of patient's life. It also deals with basic ethical problems which are connect with this disease. The theoretical-practical part states the basic forms and methods of supportive oncological care and it demonstrates the propsal for its classification. The practical part is elaborated by the form of interviews. The first interview was accomplished with the hospital chaplain woman and the following interviews with oncological female patiens. The main aim of the thesis is to alert to problems of the psychosocial disease aspects whose solution should be the inseparable component of the complex oncological care.
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Hospice care through the eyes of the general public and health care professionals
Světová, Jana ; Víchová, Jana (advisor) ; Jirkovský, Daniel (referee)
Bachelor's dissertation "Hospic care from laymen's and nurses' perspective" assesses laymen's and nurses' knowledge of hospic and palliative care. The dissertation is divided into two parts - theoretical and empirical. The theoretical part explains basic terminology, forms of hospic care and goals of this dissertational paper including history of hospic movement. It does not omit the conception of death by Elizabeth Kübler Ross and her contribution to the terminal patient's nurse care. This dissertation focuses on legislation and the knowledge of hospic and palliative care among laymen and nurses and then it compares and contrasts the hospic care between the Czech Republic and the world. The empirical part sets the goals and working hypothesis for a research. Prime analysis is based on real data from questionnaires. Research outcomes help to understand the knowledge rate of hospic and palliative care among laymen and nurses.
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Paliative Nursing Care of the Patient with Creutzfeldt-Jakob disease
Kubíčková, Tereza ; Lukášová Jeřábková, Lenka (advisor) ; Maffei Svobodová, Ludmila (referee)
Creutzfeldt-Jakob disease (CJD) is very rare disease (estimated incidence is one case for one million people per year), which nature is uncontrollable reproduction of infectious prion protein in brain tissue. In some cases, the disease might have long incubation time but then very fast progression and in all cases, it ends with death. Nowadays we do not know curative treatment and the patient depends only on palliative treatment. The main goal of my Thesis is to describe a nursing care of a patient with this disease and to emphasize the importance of the palliative care. Partial goal is to describe disease progression (clinical condition of the patient) from the admission to the hospice until the end of her life (total of 27 days) and to increase knowledge about this disease among the medical staff. I also set a goal to find out specifics of care of patients with this disease. The Thesis is written as case report of a specific patient with Creutzfeldt-Jakob disease. The methodology for case report is detailed study of patient's medical documentation in the hospice and cooperation with nursing staff and doctors. Based on the case report I can state that palliative care does not differ a lot for varied diseases of patients, however for patients with CJD the specific is the preventive use of...
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Dying in the hospitals from 1945 to the present: attitude to the death and the change in the care of the dying.
Urbanová, Stanislava ; Dudová, Radka (advisor) ; Jirkovská, Blanka (referee)
This thesis explores the access of care for the terminally ill in hospitals from 1945 until present. Issue include humane access to medics and nurses for terminally ill patients, and focus on the changes in care over time. The focus of exploration is palliative care in hospitals, awareness of palliative care, and the education of medics and nurses in this domain. Studies of postwar information is an integral part of this thesis's empirical research. This thesis deals with death as a taboo of modern society, and aspects of experiences of the terminally ill in last phase of life. The postwar period has emphasized spirituality, but the quality of care in the hospitals has worsened over time. After 1948, in the period of real socialism, there has been a measured deficit of psychological and spiritual support, less involvement from sanitary personnel, but a measured increase from the support of families. The present has put emphases on expertise, but there is less family cohesion and space for family care. The growing bureaucracy of sanitary care, and in general, more serious cases, has led to the work becoming harder.
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Home Palliative Care as Sensitive Way to a Dignified End of Life - Possibilities of Social Work
Adamčíková, Pavlína ; Cimrmannová, Tereza (advisor) ; Nová, Monika (referee)
The aim of thesis is to create an overview of the holistic concept of domestic palliative care in the context of social work. This overview includes identification of the needs of people in the terminal stage of life and the dilemmas that families face in the final stage of the lives of their loved ones. The individual chapters of this thesis describe the needs of the dying and informal caregivers, and they point out the importance of the family environment for coping with death-related concerns. The qualitative survey carried out via semi-structured interviews includes identification of the needs of the dying and caregivers, the dilemmas of caregivers in making decisions about choosing the form of care for their loved ones, and mapping the awareness of caregivers about the possibilities of social work support.
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