The topic of my diploma thesis is the issue of nursing care in pediatric patients before consumption of organs at the resuscitation department. I consider this topic socially very topical because the number of transplant candidates on transplantation lists is constantly increasing. Since child transplant candidates are the most vulnerable group, I have focused on child organ donors. The theoretical part criticizes the concept of death and threat, including examination methods that lead to brain death. I present the activities of the Coordination Center of the Transplant and Coordi- nated Coordinator in a donor program that seeks to proliferate the transplant program. An important component is legal legislation and ethical aspects, which are an integral part of the donor system in the Czech Republic. Study materials I searched in the databases NLK, SVKKL, Medvik, Embase, PubMed, Wiley Online Library, Medscape. The research was conducted from the National Medical Library and from the Central Bohemian Library in Kladno. I got statistical data from web sources, especially from KST. Methodology: The choice of the case study best fulfills the requirements necessary to map the key moments of nursing care, which may play a role in the timely indication of a potential organ donor, as well as in considering...

The thesis deals with possible ways of coping with the consequences of miscarriage. The theoretical part first defines the topic of pregnancy from a medical and psychological point of view. It also includes the definition of miscarriage types. Furthermore, an overview of the experience of the child's loss in the early stages of pregnancy is elaborated, impacts on the psyche of the woman and manifestations in her behavior are considered. The process of grieving by individual authors is considered in the context of the early loss of the child. The issue of termination of pregnancy is also seen from the perspective of trauma theory. Possible protective and risk factors accompanying the loss-making process are discussed. Last but not least, the following professional psychological, medical and lay care for a woman after the loss of a child is mentioned. The empirical part of the thesis deals with the affection of the whole phenomenon of child loss during the early stages of pregnancy. Emphasis is placed on the mapping of protective and risk factors with which women had their own experience. The empirical part is based mainly on interviews with women with experience of loss of a child and with professionals who work in this field. Data evaluation was based on grounded theory principles. Keywords:...

Indiana University-Purdue University Indianapolis (IUPUI) / This essay explores a broad range of literary works that treat long-term grief as a natural response to the death of a child. Literary examples show gaps in the medical and social sciences’ considerations of grief, since these disciplines judge bereaved mothers’ grief as excessive or label it bereavement disorder. By contrast, authors who employ the ancient storyline of child death illuminate maternal grieving practices, which are commonly marked with a vigilance that expresses itself in wildness. Many of these authors treat grief as a forced pilgrimage, but question the possibility of returning to a previous state of psychological balance. Instead, the mothers in their stories and poems resist external pressure for closure and silence and favor lasting memory. Harriet Beecher Stowe, in Uncle Tom’s Cabin, and Emily Dickinson, in letters to bereaved mother Susan Gilbert Dickinson and in the poetry included in these letters, represent maternal child loss as compelling a movement into a new state and emphasize the lasting pain and disruption of this loss.

Bakgrund: Att förlora ett barn är en stor sorg som uttrycks på olika sätt hos olika individer. Sorgen drabbar inte bara familjen utan även vårdpersonal som upplever att det får svårigheter att identifiera föräldrars behov och stödja dem i deras sorgeprocess. Därför är det viktigt att få reda på hur föräldrar upplever vårdpersonalens stöd efter att deras barn dött. Syfte: Syftet med litteraturöversikten var att beskriva föräldrars upplevelser av vårdpersonals stöd efter att deras barn dött. Metod: Studierna berör föräldrars upplevelser av vårdpersonals stöd efter att deras barn dött och valdes från databasen CINAHL complete och genom två manuella sökningar. Litteraturöversikten har utgått från Fribergs metod och presenterar resultat från tio vetenskapliga engelskspråkiga artiklar. Resultat: Resultatet innefattar tre huvudteman: Behovet av samtal och information, Behovet av kontinuitet och en god relation och Behovet av uppföljning och engagemang. Diskussion: Metoddiskussionen beskriver litteraturöversiktens styrkor och svagheter och vad som kan ha påverkat både utformningen och tillvägagångssättet. I litteraturöversiktens resultat diskuteras hur föräldrar vars barn dött på sjukhus upplevde vårdpersonalens stöd efter beskedet om barnets diagnos, vad som är viktigt vid dödsögonblicket samt efter det att barnet dött och hur uppföljning påverkar föräldrar. I resultatet diskuteras även vad föräldrar önskar av vårdpersonalen i de olika faserna. Resultatet diskuteras även utifrån Travelbees omvårdnadsteori med fokus på begreppet människa. / Background: Losing a child is a great sadness that is expressed in different ways by different individuals. Grief affects not only the family but also health professionals who describe difficulties identifying parents' needs for support. Therefore, it is important to explore how parents perceive the health care professionals support after their child died. Aim: The aim of this literature review was to describe the parents' perceptions of support from health care professionals after the death of their child. Method: The studies concern parental perceptions of health professionals’ support after their child died and was selected from the database CINAHL complete and through two manual searches. The literature review was based on Friberg’s method and presents results from ten English scientific research articles. Results: The result includes three main themes: The need for conversation and information, The need of continuity and a good relationship and The need of follow up and commitment. Discussion: Method discussion describes the literature reviews strengths and weaknesses and what may have influenced both the design and approach. The literature reviews results discusses how parents whose children died in hospitals experienced health care professionals support after information about the child's diagnosis, what is important at the moment of death and after the child died and how follow-up affects parents. The result also discusses what parents want from health care professionals in the different phases. The results are also discussed based on Travelbees nursing theory with focus on the concept of man.