Diploma thesis deals with structural design of new building for retirement people in Rychnov nad Kněžnou. The building has three floors with partial basement. There are nursing spaces, dining room with kitchen, chemist´s shop, surgery, hairdresser´s, pedicure and massage on the first floor. The second floor is used for accomodation, nursing services and there is terrace. The third floor is used for accomodation and social activities. The technical facilities, storage spaces and bicycle rooms are in basement. The structural masonry system is with Ytong blocks. The building has warm flat roof.

The master thesis deals with structural design of new building for retirement people in Veselí nad Moravou. The building has three floors and basement. There are nursing spaces, dining area and rooms for people with reduced mobility on the first floor. The second and third floor is used for accomodation and social activities. The technical facilities and storage spaces for flat users are in basement. The construction system consists of masonry system with ceramic bricks porotherm. The roof design is gabled and there is also a flat roof up on the part of building with access for flat users.

The diploma thesis captures the genesis of foster care in our territory from the beginning to 1989. Emphasis is placed on important historical milestones that have influenced the development of foster care. The aim of the work is based on the comparison of analyzed historical documents with the findings contained in secondary sources focused on the procedures of the foster care subjects of the time to find out how this care was provided in that period, and thus expand the current state of research. Keywords: History, orphanage, foundling, foster care, home law, family law

Purpose: to understand the tasks that health care aides (HCAs) are responsible for in a nursing home setting, and to understand which of these tasks HCAs feel are more important. Methods: In Phase 1, focus groups were conducted to validate the list of tasks and ensure HCAs could differentiate between them, according to task urgency, quality of care, and quality of life. During Phase 2, HCAs participated in a Delphi process to reach consensus on the relative importance of these tasks. Results: Participants reached consensus that 12 of 31 tasks were highly important according to task urgency. Of these, 10 were from the medical domain (e.g., skin care). Similar results were reached for the other definitions of importance. Conclusions: This study provides a framework for classifying HCA tasks into three domains (medical, social and indirect). Irrespective of the definition of importance used, medical tasks are consistently deemed as more important. / October 2016

Denna kvalitativa studie med etnografisk metodansats syftar till att beskriva samt förstå vad vårdhundsinsatsen betyder för äldres välbefinnande ur ett interaktionistiskt perspektiv och vilka övriga effekter som insatsen bidrar till. Studiens resultat bygger på fyra observationer som utförts under pågående vårdhundsinsatser på ett äldreboende i en mellanstor svensk kommun, samt fem kompletterande intervjuer med relevant yrkespersonal. Resultatet visar att vårdhundar bidrar till äldre personers välbefinnande genom att skapa en meningsfullhet i vardagen. Hunden möjliggör för brukare att släppa sin oro om så bara för en liten stund samt ger hälsofrämjande effekter i form av bland annat en ökad fysisk aktivitet. Förutsatt att brukaren inte besitter en rädsla eller allergi kopplad till hundar. Utifrån resultatet har slutsatsen om att äldres psykiska hälsa behöver bejakas samt prioriteras lika högt som deras fysiska hälsa framkommit, genom att implementera vårdhundsinsatsen i större omfattning inom äldreomsorgen. / This qualitative study based on ethnographic methodology aims to describe and understand the meaning of the animal-assisted therapy for older persons´well-being from an interactionist perspective and what other effects this can contribute to. The result of the study is based on four observations that were conducted at a care home in a medium-sized municipality in Sweden, as well as five complementary interviews with some of the professional staff. The result shows that therapy dogs contribute to the well-being of the older adults by creating a meaningfulness in their everyday life. To make it possible for older persons to let go of their concerns if only for a little while as well as to give health-promoting effects in the form of, among other things, increased physical activity. Assuming that the older person do not have a fear or allergy associated with dogs. From the result, the conclusion is that the mental health of older persons needs to be treated as well as their physical health, by implementing therapy dogs to a greater extent within eldercare.

Denna kvalitativa studie med etnografisk metodansats syftar till att beskriva samt förstå vad vårdhundsinsatsen betyder för äldres välbefinnande ur ett interaktionistiskt perspektiv och vilka övriga effekter som insatsen bidrar till. Studiens resultat bygger på fyra observationer som utförts under pågående vårdhundsinsatser på ett äldreboende i en mellanstor svensk kommun, samt fem kompletterande intervjuer med relevant yrkespersonal. Resultatet visar att vårdhundar bidrar till äldre personers välbefinnande genom att skapa en meningsfullhet i vardagen. Hunden möjliggör för brukare att släppa sin oro om så bara för en liten stund samt ger hälsofrämjande effekter i form av bland annat en ökad fysisk aktivitet. Förutsatt att brukaren inte besitter en rädsla eller allergi kopplad till hundar. Utifrån resultatet har slutsatsen om att äldres psykiska hälsa behöver bejakas samt prioriteras lika högt som deras fysiska hälsa framkommit, genom att implementera vårdhundsinsatsen i större omfattning inom äldreomsorgen / This qualitative study based on ethnographic methodology aims to describe and understand the meaning of the animal-assisted therapy for older persons´well-being from an interactionist perspective and what other effects this can contribute to. The result of the study is based on four observations that were conducted at a care home in a medium-sized municipality in Sweden, as well as five complementary interviews with some of the professional staff. The result shows that therapy dogs contribute to the well-being of the older adults by creating a meaningfulness in their everyday life. To make it possible for older persons to let go of their concerns if only for a little while as well as to give health-promoting effects in the form of, among other things, increased physical activity. Assuming that the older person do not have a fear or allergy associated with dogs. From the result, the conclusion is that the mental health of older persons needs to be treated as well as their physical health, by implementing therapy dogs to a greater extent within eldercare

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2018-05-11T12:52:22Z No. of bitstreams: 1 Lenara Lamas Stelmake.pdf: 831321 bytes, checksum: bb2859ecee0bd2eb41a5a981b9c7b410 (MD5) / Made available in DSpace on 2018-05-11T12:52:22Z (GMT). No. of bitstreams: 1 Lenara Lamas Stelmake.pdf: 831321 bytes, checksum: bb2859ecee0bd2eb41a5a981b9c7b410 (MD5) Previous issue date: 2018-02-20 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES# / #2075167498588264571# / #600 / Care consists in an important subject of studies and discussions and it has been merged to the social politics field, especially on the health sphere, as fundamental in health practice restructuring geared for population's needs. It's an essential discussion that has as propellant factors the family transformations - which is traditionally assumed as responsible for the care - the demographic and epidemiological transition. To understand how care has been debated in Latin America and merged, particularly in health politics, the choice was to take Uruguay and Brazil's examples. Uruguay was chosen for its important institutional history regarding the citizenship and well-being consolidation, besides presenting the highest rate of Latin America's ageing (OECD, 2015) and a well-established debate on the care matter. Brazil, beyond the obvious, for including the care matter as structuring on health politics and for not having a dense discussion on the care matter of Brazilian society's sphere. Stem from this definition, a qualitative nature research is performed through documentary analysis, searching for the achievement of the following goals: systematize the production context of Brazil and Uruguay's health care, ranging on social politics; to analyze the politics development process and or programs related to the health care in Brazil and Uruguay, pointing out similarities and differences on their processes. The fact is that, although with many common grounds, the two systems present important differences: Uruguay is direct when placing the health system engaging public and private sectors, while Brazil presents its system as universalpublic, disguising the private sector as supplementary health, regarding care, Brazil still treats it as a private matter and it rebounds in the way family is merged to politics' health care, whereas in Uruguay, although this same setting has been expressed on health politic, a reversion of this logic happened, through the search of alternatives that go beyond family and community responsibility, resulting on the creation of the Sistema Nacional de Cuidados, that implies on an expanded form the State on the population's care offer, that is, in Uruguay, the care consists as a public matter of governmental agenda / O cuidado constitui-se em importante tema de estudos e debates e vem sendo incorporado ao campo da política social, especialmente da saúde, como fundamental na reestruturação das práticas em saúde voltadas para as necessidades da população. Trata-se de discussão necessária, que tem como elementos propulsores as transformações da família – que tradicionalmente é tida como responsável pelo cuidado – , a transição demográfica e a transição epidemiológica. Para entender como o cuidado vem sendo debatido na América Latina e incorporado, particularmente na política de saúde, escolheu-se tomar os casos do Uruguai e do Brasil. O Uruguai foi escolhido por sua importante história institucional em relação à consolidação de cidadania e bem-estar, além de apresentar o maior índice de envelhecimento da América Latina (OCDE, 2015) e um debate consolidado sobre a questão do cuidado. O Brasil, além do óbvio, por ter incluído a questão do cuidado como estruturante na política de saúde e por não se contar com um debate denso sobre a questão do cuidado no âmbito da sociedade brasileira. A partir dessa definição, realiza-se pesquisa de natureza qualitativa através da análise documental, buscando alcançar os seguintes objetivos: sistematizar o contexto da produção do cuidado em saúde no Brasil e no Uruguai, no escopo da política social; analisar o processo de desenvolvimento de políticas e ou programas voltados ao Cuidado em Saúde no Brasil e Uruguai, apontando semelhanças e diferenças em seus processos. Constata-se que, embora com muitos pontos em comum, os dois sistemas apresentam diferenças importantes: o Uruguai é claro ao colocar o sistema de saúde envolvendo os setores público e privado, enquanto o Brasil apresenta seu sistema como universalpúblico, mascarando o setor privado como saúde suplementar; em relação ao cuidado, o Brasil ainda o trata como questão privada e isso repercute na forma como a família é incorporada ao cuidado na política de saúde, ao passo que no Uruguai, embora essa mesma configuração tenha se expressado na política de saúde, houve reversão dessa lógica, através da busca de alternativas que vão além da responsabilidade da família e da comunidade, resultando na criação do Sistema Nacional de Cuidados, que implica de forma ampliada o Estado na oferta de cuidados à população, ou seja, no Uruguai, o cuidado consta como uma questão pública na agenda governamental.

<p><strong><p>Sammanfattning</p><p>I Sverige avlider ca 90 000 personer varje år och antalet som avlider någon annanstans än på sjukhus ökar. Detta ställer högre krav på den palliativa hemsjukvården. Genom utbildning och riktlinjer kan sjuksköterskor i den palliativa vården ge patienter och närstående ökad livskvalitet och möjliggör valet av platsen att få avsluta sitt liv.</p><strong>Syftet: med denna studie var att undersöka om samspelet mellan sjuksköterska, närstående och patient möjliggör en god omvårdnad och död i palliativ vård. <strong>Metod: Studien genomfördes som en litteraturstudie där sju kvantitativa och tio kvalitativa vetenskapliga artiklar granskades. <strong>Resultat: Fyra kategorier identifierades som hade betydelse för omvårdnaden och döden i den palliativa vården, Kommunikation, Relation mellan sjuksköterska, patient och närstående, Att dö hemma eller på hospice och Den goda döden. Kommunikationen visade sig ha en stor betydelse för samspelet i den palliativa vården. Resultatet visade att kommunikationen innefattar mycket mera än bara det verbala. Även humor som kan anses som banalt och oprofessionellt visade sig ha stor betydelse för samspelet i den palliativa vården och bidrog till att sjuksköterskan kom närmare patienten och närstående. Behovet av utbildning och kunskap inom den palliativa vården visades sig vara viktig för sjuksköterskor men även för patienter och närstående för att kunna ta beslut om var och hur patienten vill bli vårdad </strong></strong></strong></strong></p><p> </p> / <p>In Sweden the death of about 90 000 people each year and the number who die elsewhere than in hospital increases. This places greater demands on the palliative home care. Through education and guidelines can nurses in palliative care give patients and relatives increased quality of life and allow the choice of place to end his life.</p><p><strong>The aim: of this study was to investigate if the interaction between nurse, relatives and patient facilitates a good care and death in palliative care. <strong>Method: The study was conducted as a literature study in which seven quantitative and ten qualitative research articles were reviewed. <strong>Results: Four categories were identified that were relevant for nursing care and death in palliative care, Communication, Relationships between nurses, patients and relatives, To die at home or in hospice and The good death. The communication was found to have a large impact on the interaction in the palliative care. The results showed that the communication involved much more than just verbal. Although humor can be regarded as trivial and unprofessional proved to have a significant impact on the interaction and contributed to the nurse came closer to the patient and the relatives. The need for education and knowledge in palliative care were found to be important for nurses but also for patients and relatives to make decisions about where and how the patient wants to be nursed. </strong></strong></strong></p>

For older adults, functional independent mobility is essential to well-being. Many care home residents have physical and cognitive impairments and use wheelchairs. Residents with difficulty self-propelling manual wheelchairs may benefit from power mobility; however, those with cognitive impairments may be precluded because of the potential for injury. My research goals were to apply novel power wheelchair technology to enable safe, independent mobility. Technology was developed to examine the value and implications of power mobility for residents with restricted mobility and mild or moderate cognitive impairments. The first study tested a prototype anti-collision wheelchair with a contact sensor skirt. Six single subject studies were completed. Distances travelled in manual and anti-collision wheelchairs were compared. Observational and interview data were collected. Focus groups (37 staff) and interviews (18 staff, six other residents, one spouse) were performed. Three of six residents were able or had potential to operate the prototype. One resident chose to use it beyond the study, and his mobility and well-being improved. Case analyses showed factors limiting prototype acceptance. Residents were unsatisfied with the appearance and slow speed, and found the interface frustrating to operate because of inadequate feedback. Social isolation and reduced autonomy restricted independence achievable with technology. Socialization and affective benefits of mobility were demonstrated in one case where prototype use was continually assisted. Residents and staff supported the anti-collision concept. On observation, the prototype compensated for absent or delayed responses of residents to obstacles below sensors and decreased injury risk. However, full sensor coverage of the environment was needed. The second study addressed acceptance and interface usability issues. A simulated collision-avoidance wheelchair with a multimodal feedback interface was evaluated. The interface provided audio, visual and haptic feedback to guide navigation away from obstacles. Through observations, interviews and questionnaires, five residents evaluated the device. High device acceptance and usability were found. The device was easy to use and assisted with performance of indoor mobility goals. Further research is necessary before power wheelchairs with new features are available for users; however, these results could play a fundamental role in shaping technology development and mobility interventions for this neglected population.

For older adults, functional independent mobility is essential to well-being. Many care home residents have physical and cognitive impairments and use wheelchairs. Residents with difficulty self-propelling manual wheelchairs may benefit from power mobility; however, those with cognitive impairments may be precluded because of the potential for injury. My research goals were to apply novel power wheelchair technology to enable safe, independent mobility. Technology was developed to examine the value and implications of power mobility for residents with restricted mobility and mild or moderate cognitive impairments. The first study tested a prototype anti-collision wheelchair with a contact sensor skirt. Six single subject studies were completed. Distances travelled in manual and anti-collision wheelchairs were compared. Observational and interview data were collected. Focus groups (37 staff) and interviews (18 staff, six other residents, one spouse) were performed. Three of six residents were able or had potential to operate the prototype. One resident chose to use it beyond the study, and his mobility and well-being improved. Case analyses showed factors limiting prototype acceptance. Residents were unsatisfied with the appearance and slow speed, and found the interface frustrating to operate because of inadequate feedback. Social isolation and reduced autonomy restricted independence achievable with technology. Socialization and affective benefits of mobility were demonstrated in one case where prototype use was continually assisted. Residents and staff supported the anti-collision concept. On observation, the prototype compensated for absent or delayed responses of residents to obstacles below sensors and decreased injury risk. However, full sensor coverage of the environment was needed. The second study addressed acceptance and interface usability issues. A simulated collision-avoidance wheelchair with a multimodal feedback interface was evaluated. The interface provided audio, visual and haptic feedback to guide navigation away from obstacles. Through observations, interviews and questionnaires, five residents evaluated the device. High device acceptance and usability were found. The device was easy to use and assisted with performance of indoor mobility goals. Further research is necessary before power wheelchairs with new features are available for users; however, these results could play a fundamental role in shaping technology development and mobility interventions for this neglected population.