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Les personnes âgées infectées par le VIH ne sont plus des exceptions. Elles vieillissent avec cette maladie devenue chronique et, de surcroît, se découvrent de nouvelles pathologies liées à un phénomène de vieillissement prématuré. La question de leurs représentations pour les années à venir se pose en termes d’accompagnement et de lieux de vie. Par ailleurs, le regard des services et des institutions susceptibles de les accueillir ne sont pas nécessairement en phase avec ces représentations. L’expression de ces perspectives s’est concrétisée par une enquête qualitative auprès de patients âgés de 60 ans et plus, de la file active du COREVIH Ile-de-France Centre et par des entretiens avec des professionnels du secteur sanitaire et médico-social. Une cartographie des situations de vie et des logiques en place a permis d’identifier les profils pertinents pour répondre à la problématique posée. Dans ce contexte, les paroles recueillies montrent que celles-ci se projettent dans une situation de vie en perte d’autonomie, à l’exception étonnamment des plus âgées. Les personnes immigrées souhaitent plutôt une vie en institution pour personnes âgées, les HSH (hommes ayant des rapports sexuels avec des hommes) optent pour un maintien à domicile ou des résidences services haut de gamme, les personnes hétérosexuelles sont plus partagées mais envisagent plus de rester à domicile. Néanmoins, la poursuite d’une vie dans l’âge, à domicile ou en institution, s’accompagne de craintes fortes. Les pratiques discriminatoires en lien avec la pathologie VIH ou l’orientation sexuelle, la divulgation du secret en institution et le refus d’admission lié au VIH sont très souvent exprimés. Ces craintes engendrent de véritables angoisses. Le regard des professionnels est encore réducteur, les tabous persistent, et le coût engendré par l’accueil d’une personne âgée vivant avec le VIH peut constituer un frein. La question d’adapter ou de créer de nouveaux établissements se pose alors pour les rendre plus justes et bienveillants à l’égard de ces personnes âgées. / Elderly HIV-positive people are no longer the exception. People are aging with this now chronic disease and moreover discover new diseases, aged-related premature. The question arises of their representations of the coming years in terms of accompaniment and living place. In addition, the view of the services and the institutions for elderly are not necessarily in phase with these representations. The expression of these prospects was concretized by a qualitative survey near 60 years old patients or older, of the active file of the COREVIH Ile-de-France Centre and by interviews with health-care and social-services professionals. A cartography of living situations and logics in place allowed to identify the relevant profiles to this study. In this context, replies show that they see themselves living in situations with loss of autonomy, except the oldest. The immigrant people rather wish a life in a nursing home, the MSM (men who have sex with men) choose home care or exlusive residence and heterosexuals people are shared but prefer to remain at home. Nevertheless, the continuing of a life in the age, at home or in institutions for elderly, comes along with strong fears. Discriminatory practices related to the disease or sexual orientation, disclosure of their HIV status in senior housing facility, rejection based on the review of the medical records, are frequently expressed. These fears generate true anguishes. The point of view of health-care and social-services professionals is still reducing, the taboos persist, and the cost represented by a elederly HIV-positive people can be a significant barrier. The issue is whether to adapt or create new facilities so that they are fairer and more compassionate for these seniors.

Made available in DSpace on 2015-05-08T14:47:51Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 556239 bytes, checksum: 93a9113107e526b234009a4ecd5c7a38 (MD5) Previous issue date: 2009-10-23 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Introduction: The aging problem is a set of current relevance and concern of Public Policy for the Elderly. When In studying this problem from the point of view as is thought by health service users and their use as a public good with an emphasis on social representations is important to know the care provided to older people in public service, particularly in Unit Family Health. Study Objectives: apprehend the social representations of aging constructed by elderly patients at USF; know the care provided to elderly at USF from the social representations and whether the care provided to older people meet their expectations. Methodology: This was an exploratory study in a quantitative and qualitative approach developed seventy elderly (n = 70) who agreed to participate in the study and met the inclusion criteria. To collect data we used a semi-structured interview and the Test of Free Association of Words with the following stimuli: 'aging' and 'care for the elderly. " Data from the interviews were organized in databases and processed by software Alceste Evoc 4.8 and, after analysis of thematic content. Results: For the elderly, aging is represented by associating it with: old, old age, elderly and aging, accounting for 23.44% of the words evoked. This was considered a very strong category consists of 7 different words, with 34 occurrences. It can be seen in the speeches of the elderly emphasis elderly person as a person with a reduced functional capacity, represented by fatigue, difficulty walking and moving, thus showing the importance of physical activity for prevention and health promotion. On the one hand, the service is represented by the elderly poor and slow in the elderly should conform, on the other, or getting old age is natural, which is confirmed by the appearance of white hair. Conclusion: We identified social representations of aging constructed by elderly patients in USF's involvement in the presence of disease, the care provided to elderly at USF is suitable for the elderly and partially serves your needs. / Introdução: O envelhecimento se configura uma problemática de relevância atual e uma preocupação das Políticas Públicas do Idoso. Ao se estudar essa problemática do ponto de vista de como é pensada a saúde pelos usuários dos serviços; sua utilização como um bem público com ênfase nas representações sociais é importante para se conhecer o atendimento oferecido aos idosos no serviço público, em particular, em Unidade de Saúde da Família (USF). Objetivos do Estudo: apreender representações sociais sobre envelhecimento construídas por idosos atendidos nas USF; conhecer o atendimento oferecido aos idosos em USF a partir das representações sociais e verificar se o atendimento oferecido aos idosos atende as suas expectativas. Metodologia: Tratou-se de um estudo exploratório em uma abordagem quanti-qualitativa desenvolvido com setenta idosos (n = 70) que aceitaram participar do estudo e atenderam aos critérios de inclusão. Para coleta de dados utilizou-se uma entrevista semi-estruturada e o Teste da Associação Livre de Palavras com os seguintes estímulos: «envelhecimento» e «atendimento ao idoso». Os dados obtidos das entrevistas foram organizados em bancos de dados e processados pelos softwares Alceste 4.8 e Evoc, após análise de conteúdo temática categorial. Resultados: Para os idosos o envelhecimento é representado associando-o a: velho, velhice, idoso e envelhecimento, correspondendo a 23,44% das palavras evocadas. Esta foi considerada uma categoria bastante forte formada por 7 palavras diferentes, com 34 ocorrências. Observa-se nas falas dos idosos uma ênfase a pessoa idosa como um portador de uma diminuição da capacidade funcional, representado por cansaço, dificuldade de andar e se movimentar, mostrando assim a importância da atividade física para a prevenção e promoção da saúde. Por um lado, o atendimento é representado pelo idoso por ruim e devagar em que o idoso deveria se conformar; por outro, envelhecer ou ficar velho é natural, que é confirmado com o aparecimento dos cabelos brancos. Considerações finais: Identificou-se representações sociais sobre envelhecimento construídas por idosos atendidos nas USF associando-o a presença de doenças; o atendimento oferecido aos idosos em USF é para os idosos satisfatório e atende em parte as suas expectativas.

Made available in DSpace on 2016-04-27T18:12:40Z (GMT). No. of bitstreams: 1 Cecilia Penha de Lima Venancio.pdf: 2054110 bytes, checksum: 3d0f20cdabab81592dd49f0c2a20be7d (MD5) Previous issue date: 2009-02-11 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This dissertation is part of a research service project, and analyzes the employment of art theraphy perspectives and techniques used in a speach therapy program for the elderly at the São Paulo Municipal Public Hospital (HSPM-SP) The elderly who participated in the program are medically diagnosed as depressive or senile, besides having communication difficulties, related to their advanced age, as well as social and emotional issues, such as lonlieness, isolation or social social discrimination. The object of the research was to evaluate the relevance in the use of art therapy in speach therapy with regard to communicative rehabilitation and the recuperation of the elderly, capable of communicating in different situations and interactive contexts, especially if they are listened to and their needs are met, and therefore validated in their human condition. Art therapy works through the esthetic expression as a framework to help the participants in the elaboration, expression of, and dealing with their conflicts. Their articulation through speach therapy, in the management of relational and subjective dimensions, potentializes the work with the language and communication of the research participants, expanding their communication and interaction skills / A dissertação se configura como uma pesquisa em serviço, que analisa o emprego de perspectivas e técnicas da arteterapia em um programa fonoaudiológico com idosos do Ambulatório Geronto-geriátrico do Hospital do Servidor Público Municipal de São Paulo (HSPM-SP). Os idosos participantes possuem diagnóstico médico, entre outros, de depressão e problemas de memória, além de alterações de linguagem ou dificuldades de comunicação, derivadas de problemas orgânicos próprios à velhice, bem como de questões sociais e afetivas como, por exemplo, solidão e isolamento ou discriminação social. O objetivo da pesquisa foi analisar a pertinência do uso da arteterapia no trabalho fonoaudiológico, com vistas à reabilitação comunicativa e ao resgate dos idosos como interlocutores capazes de circular por várias situações e contextos discursivos, sobretudo se ouvidos em suas necessidades e validados na condição de sujeitos. A arteterapia opera por meio da expressão estética como dispositivo para ajudar os sujeitos na elaboração, na expressão e no equacionamento de seus conflitos. Sua articulação com a fonoaudiologia, no manejo com dimensões relacionais e subjetivas, potencializou o trabalho com a linguagem e com a comunicação dos participantes da pesquisa, ampliando possibilidades dialógicas e interacionais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aimed to highlight the disciplines of the courses of Medicine, Nursing, Dentistry, Social Service, Physical Education and Psychology at the Federal University of Sergipe, which programs present subjects related to aging. It also identifies if during these courses the senior was focused as a biopsychosocial being, if these professionals felt the need for training in their area after higher education, if there was training and where it was performed. In this research, a qualitative and quantitative methodology was employed, characterized as a cross-sectional study, exploratory, descriptive and documentary. The following instruments were used: self-applied questionnaire with objective and subjective questions, and spreadsheet for analysis of the disciplines programs. In the qualitative analysis, it was used categorical analysis, and found subcategories were presented. In the quantitative analysis was calculated the frequency of appearance of the subcategories in the responses. For analyze the needs of the elderly, it was used the theory of hierarchy of human basic needs described by Maslow. The research was conducted at the Federal University of Sergipe UFS, hospitals and Basic Health Units UBS of the city of Aracaju-SE. Participated in this survey 265 graduated professionals by UFS and that serve the elderly, and of these, 91 were doctors, 71 nurses, 47 dentists, 32 social workers, 14 physical educators and 12 psychologists. It was obtained as a result that the training of health professional participants did not contribute significantly to the performance of these with the elderly population, according to their responses. It was observed that although formations are still focused on the treatment and prevention of diseases, except in the Social Service course that is more focused on the safety of the elderly, the elderly people needs on being esteemed and loved were seen by these professionals during their academic backgrounds. As additional results of this study were, it was obtained suggestions for improvement of the training, it were been shown that teamwork has hardly existed and that the failure in the education of professionals was reflected in difficulties in the practice of care for the elderly, except the psychologists who, despite having reported failures in their training, connected their difficulties to the physical limitations of the elderly. It was also observed that, despite the need for training of most of professionals, the few were trained and the most of the conducted trainings was organized by the Health Department of the Municipality of Aracaju, only for professionals working in their own UBS. . / Este estudo teve como objetivo evidenciar as disciplinas dos cursos de Medicina, Enfermagem, Odontologia, Serviço Social, Educação Física e Psicologia da Universidade Federal de Sergipe, que apresentam em seus programas assuntos referentes ao envelhecimento. Identifica, também, se durante a realização destes cursos o idoso foi enfocado como um ser biopsicossocial, se estes profissionais sentiram necessidade de capacitação na área após sua formação superior, se houve capacitação e onde estas foram realizadas. Nesta pesquisa, foi empregada uma metodologia qualiquantitativa, sendo a mesma caracterizada como estudo de corte transversal, de caráter exploratório, descritivo e documental. Como instrumentos, foram utilizados: questionário autoaplicável, com questões objetivas e subjetivas, e planilha para análise dos programas das disciplinas. Na análise qualitativa, foi utilizada análise categorial, na qual subcategorias encontradas foram apresentadas. Para análise quantitativa foi calculada a frequência de aparecimento das subcategorias nas respostas. Por sua vez, para análise das necessidades dos idosos, foi utilizada a teoria da hierarquia das necessidades humanas básicas descrita por Maslow. A pesquisa foi realizada na Universidade Federal de Sergipe UFS, em hospitais e em Unidades Básicas de Saúde UBS da cidade de Aracaju-SE. Participaram desta pesquisa 265 profissionais graduados pela UFS e que atendem idosos, sendo que destes, 91 são médicos, 71 enfermeiros, 47 odontólogos, 32 assistentes sociais, 14 educadores físicos e 12 psicólogos. Obteve-se como resultado nesta pesquisa que a formação dos profissionais de saúde participantes desta muito pouco contribuiu para a atuação destes junto à população idosa, conforme suas respostas. Observou-se que, apesar das formações ainda estarem voltadas para o tratamento e prevenção de doenças, à exceção do curso de Serviço Social, que está mais voltado à segurança do idoso, as necessidades do idoso de estima e de amor foram vistas por estes profissionais durante suas formações acadêmicas. Como resultados adicionais deste trabalho, foram obtidas sugestões para a melhoria da formação dos profissionais, foram mostrados que o trabalho em equipe praticamente não tem existido e que a falha na formação superior dos profissionais refletiu-se em dificuldades na prática do cuidado ao idoso, à exceção dos psicólogos que, apesar de terem referido falhas em sua formação, relacionaram suas dificuldades às limitações físicas do idoso. Observou-se ainda que, apesar da necessidade de capacitação da maioria dos profissionais, poucos foram os que se capacitaram, e que a maioria das capacitações realizadas foi organizada pela Secretaria de Saúde do Município de Aracaju, apenas para os profissionais que trabalham em suas próprias UBS.

Äldreomsorgen står inför en rad nya utmaningar, en ökande andel äldre befolkning som har stora vård- och omsorgsbehov samtidigt som resurserna till verksamheterna minskar. Detta innebär att verksamheterna behöver organiseras och ledas för en hållbar och hälsofrämjande arbetsmiljö för medarbetarna med chefer som leder med delaktighet och tillit som grund. Hur visar sig denna förmåga hos chefer att bjuda in till delaktighet och ge stöd i vardagen? Syftet med studien är att beskriva chefers förhållningssätt som blir synligt i mötet med medarbetare i äldreomsorg. En kvalitativ observationsstudie med induktiv ansats har använts och enhetschefer inom äldreomsorgen har observerats med ett passivt deltagande av författarna. Resultatet redovisas utifrån de underkategorier och kategorier som innehållsanalysen gav. De tre kategorierna är Kommunicerande förmåga, Relationsskapande och Uppdragsinriktad. Resultatet visar att enhetschefer uppvisar relationsskapande och kommunicerande förmåga till medarbetarna. Enhetscheferna förstärkte sina ord och tankar med sitt kroppsspråk i kommunikationen med sina medarbetare. Enhetscheferna arbetade aktivt med att få medarbetarna engagerade i verksamheten och när olika problem uppstod var enhetschefen tydlig med att låta medarbetarna själva komma med olika förslag på lösningar och bjöd in dem till delaktighet. Resultatet kan sammanfattas i temat Ett förhållningssätt som synliggörs genom att ha fokus på uppdraget grundat i kommunikation och skapandet av relationer. / Elderly care is facing several new challenges, an increasing part of the old population with significant health and care needs, as the same time as limiting resources for the function. This means that the operations need to be organized ang managed for sustainable and health-promoting work environment for the employees with managers who lead with participations and support? The purpose of the study is to describe managers attitudes that become visible in the meeting with elderly care workers. A qualitative observational study with inductive approach has been used and unit managers in the elderly care have been observed with the passive participations of the authors. The result is reported based on the sub-categories and categories that the context analysis provided. The three categories are Communicative Ability, Relationship Creation and Mission-oriented. The result show that unit managers show relationship-building and communicative ability to employees. The unit managers complemented their verbal language/ communication by using bode language in communication with their employees. The unit managers worked actively to get the employees involved in the business and when various problems occurred, the unit manager was direct in allowing the employees themselves to come up with different proposals for solutions and invited them to participate. The result can be summarized in the theme an approach that is made visible by focusing on the assignment based on communication and the creating of relationships.

Den kommunala äldreomsorgen har hög sjukfrånvaro bland medarbetarna vilket skapar arbetsmiljöproblem för enhetscheferna som har svårt att hantera detta. Syftet med denna studie är att skapa förståelse för enhetschefers förutsättningar att hantera sjukfrånvaron inom den kommunala äldreomsorgen. Tidigare forskning är begränsad rörande enhetschefers förutsättningar att hantera sjukfrånvaron. Politikerna, som är arbetsgivare, har det juridiska ansvaret och ska styra verksamheten för att främja en bra arbetsmiljö, både organisatoriskt, socialt och fysiskt. Det får konsekvenser för hela organisationen om inte chefers arbetsmiljö och förutsättningar är goda. Denna studie har genomförts med en kvalitativ ansats med tio enhetschefer från två utvalda kommuner och kombinerar teorier om organisatoriska förutsättningar med ett medarbetarperspektiv. Empirin har samlats in med hjälp av semistrukturerade intervjuer som genomfördes digitalt via Zoom. Berättelserna från intervjuerna har analyserats och sammanställts genom en tematisk analys. Resultatet visar att enhetscheferna är begränsade i hanteringen av sjukfrånvaron på grund av organisatoriska förutsättningar vad gäller både de krav som ställs och de resurser som tilldelas. Denna studie bidrar med förståelse för vad organisatoriska förutsättningar betyder för enhetschefers möjlighet att hantera sjukfrånvaron i den kommunala äldreomsorgen. Studien visar också att medarbetaren har betydelse för enhetschefers förutsättningar att hantera sjukfrånvaron. / The municipals care for the elderly has a high level of sick leave among the employees, this creates work environment problems for the unit managers who finds this difficult to deal with. The purpose of this study is to create an understanding of unit managers' conditions for managing sick leave within municipal care for the elderly. Previous research is limited concerning unit managers' conditions for managing sickness absence. Politicians as employers have the legal responsibility and must direct the business to promote a good organizational, social and physical working environment. If there are insufficiencies in the work environment and conditions for managers', it will impact the entire organization. This study has been carried out with a qualitative approach with ten unit managers from two selected municipalities and combines theories about organizational conditions from an employee perspective. The empirical data has been collected by using semi-structured interviews that were conducted digitally via Zoom. The stories from the interviews have been analyzed and compiled througha thematic analysis. The result shows that the unit managers are limited in the management regarding sick leave due to organizational conditions in terms of both the demands made and the resources allocated. This study contributes with an understanding of what organizational conditions mean for unit managers' ability to manage sick leave in municipal care for the elderly. The study also shows that the employee is important for unit managers' conditions for managing sick leave.

Submitted by Aline Batista (alinehb.ufpel@gmail.com) on 2018-03-28T21:55:12Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Tese_Janaína_Amorim_de_Avila.pdf: 3116845 bytes, checksum: 79a50ae79fa8d1ad309cf1b4154c62ce (MD5) / Made available in DSpace on 2018-03-28T21:55:12Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Tese_Janaína_Amorim_de_Avila.pdf: 3116845 bytes, checksum: 79a50ae79fa8d1ad309cf1b4154c62ce (MD5) Previous issue date: 2017-10-26 / Sem bolsa / O presente estudo enfocou os profissionais que trabalham em rede pública de atendimento aos idosos negligenciados ou socialmente vulneráveis. O aumento expressivo de pessoas idosas, na sociedade brasileira, e a previsão de um contingente ainda maior nas décadas futuras remetem os profissionais e a sociedade, como um todo, a criar estratégias para diminuir ou acabar com a negligência e a vulnerabilidade social praticada contra a pessoa idosa. O estudo teve como objetivo geral: compreender o significado do atendimento aos idosos negligenciados ou socialmente vulneráveis para os profissionais da rede pública. E quanto aos específicos: Conhecer a organização da rede pública de serviços no atendimento prestado aos idosos negligenciados ou socialmente vulneráveis; Identificar as ações prestadas pelos profissionais que promovem assistência aos idosos negligenciados ou socialmente vulneráveis. Esta pesquisa foi fundamentada na linha do interacionismo simbólico, devido contemplar não só a complexa relação entre a sociedade, indivíduo e rede de serviços de atendimento, mas, também, o desenvolvimento de símbolos significantes e o processo de comportamento da mente, a partir de uma orientação filosófica e de fatos da existência real. A metodologia proposta nessa tese foi de cunho qualitativo, caráter exploratório e de análise de conteúdo somativa. A pesquisa foi aprovada pelo Comitê de ética da Faculdade de Medicina da Universidade Federal de Pelotas sob o parecer de número 2000.242, obedecendo aos preceitos éticos que direcionam a pesquisa com seres humanos no Brasil. A investigação transcorreu no município de Rio Grande/RS, cidade portuária, em que a população idosa apresenta uma estatística superior aos índices nacionais, sendo de 13,81%. A coleta de dados dessa averiguação transcursou por meio de entrevista semiestruturada, no período de abril a maio de 2017, com 21 participantes, sendo que 17 eram do sexo feminino, quatro masculino e na faixa etária entre 25 a 61anos. Quanto ao tempo de vinculação ao serviço variava entre 3 a 20 anos e com relação à formação profissional, 14 dos profissionais possuíam pós-graduação, nas áreas de Saúde Coletiva e Saúde da Família. A técnica de análise de conteúdo somativa ocorreu em três etapas: a pré-análise; a exploração do material que se repetia; a inferência e interpretação. Resultados: as entrevistas com os profissionais permitiram compreender que o profissional é o elo entre os dois mundos no atendimento ao idoso vulnerável e negligenciado, uma vez que ao atuar nesses universos, o profissional manifesta sentimentos diferenciados, ou seja, de satisfação com as resoluções dos casos e de frustração pela falta de apoio e sensibilidade dos gestores públicos em ofertar recursos suficientes para manutenção de um serviço proativo. Acredita-se que a vulnerabilidade e a negligência para o idoso só acabará ou minimizará se houver a mobilização dos profissionais e dos próprios idosos numa parceria de cidadania participativa. / The present study focused on professionals working in a public network of care for the neglected or socially vulnerable elderly. The significant increase in the number of elderly people in Brazilian society and the prediction of an even larger contingent in the coming decades remind professionals and society as a whole to create strategies to reduce or eliminate the neglect and social vulnerability practiced against elderly. The objective of the study was to understand the meaning of care for neglected or socially vulnerable elderly people in the public network. And as for the specific ones: To know the organization of the public network of services in the care provided to the neglected or socially vulnerable elderly; Identify the actions provided by professionals who provide care to the neglected or socially vulnerable elderly. This research was founded on the line of symbolic interactionism, due to not only the complex relationship between society, individual and the service network, but also the development of significant symbols and the process of behavior of the mind, from a philosophical orientation and facts of real existence. The methodology proposed in this thesis was qualitative, exploratory and analysis of summative content. The investigation was carried out in the city of Rio Grande / RS, a port city, where the elderly population has a statistic higher than the national indexes, being 13.81%. As far as the time of connection to the service varied between 3 to 20 years and in relation to the professional formation, 14 of the professionals had postgraduate, in the areas of Collective Health and Family Health. The technique of summative content analysis occurred in three stages: pre-analysis; the exploitation of the material that was repeated; the inference and interpretation. Results: interviews with professionals allowed us to understand that the professional is the link between the two worlds in the care of the vulnerable and neglected elderly, since when working in these universes, the professional expresses different feelings, that is, satisfaction with the resolutions of the cases and frustration due to the lack of support and sensitivity of the public managers in offering sufficient resources to maintain a proactive service. It is believed that vulnerability and neglect for the elderly will only end or be minimized if the professionals and the elderly themselves are mobilized in a participatory citizenship partnership.

This diploma thesis is theoretical and is dedicated to old age and ageing. The aim of this diploma thesis is to summarize existing knowledge of old age and to view this final stage of human life from different perspectives and in various context. It is based on periodization of human life. It deals with the process of ageing and its progress, it lists definitions and theories on ageing and also discusses possible premises of longevity. It attempts to define old age and lists myths and prejudices associated with old age. It describes old age from different perspectives of multiple science fields, such as philosophy, biology, medicine, psychiatry, psychology, demography, sociology and social work. It depicts science fields concerned with old age and points out selected aspects of life that can influence elderly person, such as financial situation, housing situation, education, leisure activies, interpersonal relations. It also mentions possible crisis situations during old age, violence against elderly people and system of care of elderly people in the Czech republic. It explains the importance of adaptation during old age and outlines possible image of end of life. At the end of the thesis a set of recommendations for happy old age is included.

1 Name of paper / Name of work The implementation of social services quality standards in residential facilities for elderly people - Ethical aspects Abstract The changes in the approach to the clients and adjustments of the run of the facility to their needs are one of the biggest long-term challenges for the service providers. The basis for the correct setting of all the parameters of service (process, personnel and operating) are standards in the quality of social services which involve certain principles and ethical values altogether. One of the essential tools in the changes in approach to clients is the principle of individualization of care, which can be achieved by setting the services to each client individually so that the service provided reflects their real need as much as possible. This dissertation focuses on the individualization of care as a significant indicator in the changes of approach to clients. We tried to figure how the individualization of care reflects in the attitudes of organizations to implement quality standards and how it affects the worker's personality and chosen organizational aspects. An interim goal of this paper was also to identify the ethical aspects which can accompany the introduction of quality standards into practice. We have chosen a method of quantitative...