This degree work focus on senior´s free time, especially their free time in nativ social environment. The degree work describe determinated influencis (positiv or negativ) on an activ spending of senior´s free time (in their household in institutional property). The work describe inconvenciencis which limitated senior´s life in their household and at the same time give some reasons to solve this inconvenciencis. This work compere differencis between senior´s free time in the town and in the village. There are some programms focusing on seniors and help them to increase their mental power. This programms can help people to prepare for their old age and help them to find the sense of this life period. Degree work pay attention to factors which can influence on czech senior´s life. The aim of practical part of this work is to describe subjektive vriew on senior´s life in their own household enventually in institutional property household.

The dissertation themed "Costs of providing nursing and rehabilitation care in institutions of social services." maps out current issues in provision of health care in the residential facilities of social services. The dissertation focused on analysis of expenses for provision of nursing and rehabilitation care in residential facilities of social services. The theory part is divided into five chapters. In the first chapter, I deal with the social services in the European Union and in the Czech Republic. Further, I describe the system of long-term care. The second chapter focuses on residential facilities of the social services, their division by types and specification of their basic activities. In the third chapter, I describe funding of the residential facilities of the social services, where I focus on description of each funding source. The fourth chapter is focused on health care in the residential facilities of the social services. I describe author's expertise of general nurse in the social services, the list of tasks of health care for the expertise, conditions for indication of health care, the ways for payments of health care by health insurance companies, and audits of the reported health care conducted by the health insurance companies. The last chapter deals with the issues related to per os administration of drugs in the residential facilities of the social services. The practical part of the dissertation consists of my own quantitative research. Described is methodology for data collection; in addition, the research set is characterized, and the research implementation description is given. Results of obtained data were processed in two chapters where structure of users of facilities as well as health care provided to the user was described in a statistical way using tables and graphs. Thereafter, discussion on results obtained was made. The research survey was performed in Senior House in Roudnice nad Labem (hereinafter referred to as "the facility") in November 2013, where data was collected for period from 18 to 24 November 2013. The facility provides social service of senior house and social service of a house with a special regime to its users. At the moment of the research, there were 129 users, of which 95 received health care from health care employees of the facility. Two hypotheses were defined for the dissertation. The hypothesis No. 1 is: The number of health care professionals in the residential facilities of the social services corresponds to time demands for health care indicated by a general practitioner. The hypothesis No. 2: Administration of medical therapy per os as indicated by a general practitioner is the most frequent health care service provided to the users of the residential facilities of the social services. The research confirmed both hypotheses. I can see importance of results of the dissertation particularly in that they outlined how the medical care in the residential facilities of the social services is currently provided. The processed results of the provided health care could then serve as one of the grounds in making a draft for transition of funding of the health care in the residential facilities of the social services from performance-based to flat-based model. The dissertation could also be used as the grounds for training of health care professionals of the residential facilities of the social services in the field of indication, provision, and reporting of health care provided to users of the residential facilities of the social services.

Made available in DSpace on 2014-12-17T14:13:33Z (GMT). No. of bitstreams: 1 Luciana Araujo dos Reis_TESE.pdf: 848815 bytes, checksum: 04f63f3692dd763098a691a380845864 (MD5) Previous issue date: 2010-03-31 / (Objective) Assess the functional capacity and determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. (Methods) Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequi?, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. (Results) In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal- Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p= 0.011). (Conclusion) An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living / Objetivo: O prop?sito dessa investiga??o foi analisar a rela??o entre ambiente familiar e capacidade funcional de idosos residentes em domic?lio. M?todos: Trata-se de uma pesquisa do tipo anal?tica com delineamento transversal e abordagem quantitativa, tendo uma amostra representativa de 235 idosos, com m?dia de idade de 73,52 (?9,41) anos, cadastrados em quatro Unidades de Sa?de do bairro do Jequiezinho, no munic?pio de Jequi?, Bahia. A coleta de dados foi realizada com a aplica??o de quatro instrumentos: Caracteriza??o sociodemogr?ficos e de sa?de; ?ndice de Barthel (Atividades b?sicas de vida di?ria) e Escala de Lawton (Atividades instrumentais de vida di?ria) utilizados para avaliar a capacidade funcional e o Invent?rio de Percep??o do Suporte Familiar. Para an?lise estat?stica foram utilizados procedimentos da estat?stica descritiva (freq??ncia, m?dia, desvio padr?o e mediana) e o c?lculo da respectiva raz?o de chances mediante regress?o log?stica bin?ria, para an?lise de fatores hierarquicamente agrupados; p<0,05. Resultados: Encontrou-se uma maior distribui??o de 69,80% dos idosos classificados como dependentes nas atividades b?sicas de vida di?ria, sendo mais freq?entes os idosos com depend?ncia do tipo leve 41,70% (n=98). E nas atividades instrumentais de vida di?ria 61,30% (n=144) dos idosos foram denominados dependentes, verificando se uma maior distribui??o de depend?ncia do tipo parcial, 31,90% (n=75). Quanto ? percep??o do suporte familiar, no dom?nio Afetividade-Consist?ncia, a maioria dos idosos apresentou pontua??o alta 71,10% (n=167), no dom?nio Adapta??o-familiar, houve uma maior freq??ncia de idosos com pontua??o baixa 44,70% (n=105) e no dom?nio Autonomia houve uma maior distribui??o de idosos com pontua??o alta 48,90% (n=115). Na pontua??o total do Invent?rio de Percep??o do Suporte Familiar, houve uma maior xv freq??ncia de idosos com pontua??o alta 40,90% (n=96) pontos. Verificou-se diferen?a estat?stica significativa entre comprometimento da capacidade funcional em rela??o ?s atividades b?sicas de vida di?ria e as vari?veis, estado civil vi?vo (p=0,004) e casado (p=0,020), presen?a de problemas de sa?de (p= 0,010) e seq?elas (p<0,001), pontua??o alta do dom?nio Afetividade-Consist?ncia (p=0,030) e pontua??o M?dio-Alta do dom?nio Adapta??o-Familiar (p=0,010). Enquanto que em rela??o ao comprometimento da capacidade funcional referente ?s atividades instrumentais de vida di?ria n?o foi encontrada diferen?a estat?stica significativa com as vari?veis do estudo e com os dom?nios do Invent?rio de Percep??o do Suporte Familiar. Conclus?es: Diante dos resultados encontrados verificou-se que a maioria dos idosos estudados apresentou prec?rias condi??es socioecon?micas e de sa?de, comprometimento de pelo menos dois dom?nios do Invent?rio de percep??o do suporte familiar e elevado grau de limita??o funcional. Constatou-se ainda que o ambiente familiar estar relacionado com as limita??es funcionais de idosos residentes em domic?lio.

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The diploma thesis attends to socio-economic situation of the self-employed in the Czech Republic. It focuses on the diversity of their social security, which differs from employees, defines problems and offers possible solutions. Besides, it concentrates on income taxation of the self-employed and on the model examples it analyzes total tax burden of their income. Then it compares it to the two possible alternatives of this gainful activity - being employed or set up Limited Liability Company. On the base of analysis and comparing positives and negatives each possibility brings, decides which one is in the specific cases more convenient. It takes into account also non-economical factors like leisure time, working hours or possibility of vacation that can affect the decision of starting own business.

Thesis on the topic of Choice of legal forms of business for an individual entrepreneur from accounting and tax side deals with legal forms for small entrepreneurs. After the first analyze the main topic becomes an entrepreneur who does business on the basis of its legal personality and a partner who is the only owner of limited company. Single chapters analyze the issue from the point of accounting, tax and legal. The practical part of the thesis contains model examples. The first part of examples compares tax burden of the partner and entrepreneur and the second part of examples shows evidence of the most usually transaction which can arise on the beginning of business, at first in the tax record and then in accounting.

The Second Joint Research Conference of the Universities of Gloucestershire and Chemnitz took place at the Chemnitz University of Technology from 09th to 11th of September 2009. There were presenters from seven different nations in the lecture theatre. The very close partnership of the two institutions is characterised by a very active student exchange programme, joint teaching modules and some collaborative research which has been extended after the conference as well as several extracurricular guest lectures. In 2007 our friends from Gloucester invited us to our first joint conference and set the standard. The topics of the 2009 Conference were Public health and Sports with three main areas of interest: 1. Physiology and Biomechanics, 2. Philosophy and Social Science, 3. Prevention, Rehabilitation and Health Promotion. Many interesting and inspiring presentations were given by colleagues, PhD students and research students. One example of inspiration was the Clem Burke Drumming Project (S. Draper and M. Smith), which we were kindly invited to join. This is an example par excellence on how to conduct international research by simply using existing resources and talking to each other. It caused huge interest among colleagues across the whole university that Chemnitz did not only follow the example of our colleagues in Gloucester, but also widened the research interest into the application of different types of drumming as a means of therapy. This was the beginning of the DRUM BEAT Project (P. Wright of the Chair of Sports Medicine). Furthermore, both universities - Chemnitz and Gloucester - are trying to establish outreaching programmes with local communities which have practical implications of research in the context of public health and/or health promotion. One of the presentations for instance referred to a concept called the Healthy Town Project Tewkesbury, a similar project is planned for Chemnitz called Healthy Community. These two outreaching programmes and other research synergies could be part of an attempt of both universities to establish stronger international research links and in this context also submitting joint proposals to funding agencies, i.e. the EU. Since this conference a joint EU research proposal was submitted by colleagues in Gloucester. Also, talks were held on the topic of establishing a joint international degree. Understandably a project of this scale will take more than a couple of conferences and work on both sides is necessary and last but not least is also depending on the political and funding situation. However, first small step was taken after the conference by conducting a joint teaching module in the Ore Mountains /Saxony. Students from both institutions and colleagues conducted a research project comparing physiological and cognitive parameters of cross-country skiing and running. Social and intercultural processes were just as important during this winter camp. Some of the data is presented in this book. I trust that the colleagues of both universities do agree that this is an outstanding and very productive partnership with a lot of potential for future development and I am looking forward to many more joint schemes, projects and conferences to come - perhaps even an international degree. Prof. Dr. Henry Schulz

(in English): The work deals with issue of social worker's role in hospital from point of view of medical social workers working with senior citizens. In theoretical part is presented profession of medical social worker and its specifics in Czech Republic: history, legislation, education, competences and a role of medical social worker in multidisciplinary team. It is focused also on health care and social services provided to the target group of senior citizens in our country. Practical part is focused on presentation and interpretation of data gained from qualitative research which was realized by semi-structural interviews with medical social workers in chosen faculty hospitals in Prague. Keywords (in English): social work in health care, medical social worker, senior citizens, social services, health care services

This diploma thesis deals with an issue of treatment of alcohol dependence and the process of social inclusion of people who have undergone this process. The thesis provides an overview of services and other forms of assistance that are targeted at this group. Attention is paid mainly to the current set-up of the services and assistance system to identify strong and weak aspects of the system. The work is based on a qualitative research. The research was conducted throught expert interviews and interviews with users of these services. Theoretical basis of the work is the ethiology of addiction, which offers various explanations of the origin and persistence of the problem of alcohol dependence. The work also uses the findings of the life course perspective, which allows to map the life trajectories of the interviewees, including the recognition of key events in their lives affecting the emergence and development of addicton. The last theoretical starting point of the work is the concept of social inclusion.

HIV/AIDS is an illness that is more correlated than any other with high rates of stigmatization and discrimination. People diagnosed with this illness have to cope with a new potentially life threatning situation and stigmatized identity. Common social interactions or heath complications become a potential source of confrontation, which can endanger social relations, or damage and spoil the identity of people living with HIV/AIDS. This study jointly analyzes the concept of social and health risks, stigmatization and identity and focuses on the following: 1) The process of coping with the diagnosis and its impact on the identity and everyday life of people living with HIV/AIDS 2) The role of accessible social networks on the coping process with this illness and stigmatization; and 3) The strategies of health and social risk management used in connection with this illness. Awareness and acquisition of information on HIV/AIDS plays an important role in overcomming the initial shock of the diagnosis and coping with the disease. Thanks to the support of social networks, the diagnosed person can reach much easier and faster the so called "rational approach" to the illness and safely awknowledge and accept HIV/AIDS as a part of his or her life. People living with HIV/AIDS also face many risks. In this...