The thesis is dealing with ethical aspects of the end of human existence. The first part of this work is focused on the issues of dying and death, especially in the understanding and development of death at the time. The process of dying, along with changes in the history of death brings with it certain ethical and moral issues that are further specified. Subsequently the thesis covers palliative care and its ethical principles. The final section presents an ethical problem and dilemmatic situations that workers in hospice facility may confront. It focuses on ethical decisions and actions of workers.

The theoretical part has six chapters: End of life and dying, Palliate care, Home hospice multidisciplinary team, Specific of care about a terminally ill patient in home background, Family and caregivers, Specifics of care about dying people in the CR. The second, practical part is based on qualitative-quantitative research with three goals. The first goal was to define the needs of family members caring about a terminally ill person in domestic background. The second goal was to define the skills of nurses necessary for saturation of the needs of family members caring about a terminally ill person in domestic background, and the last goal was to specify the present drawbacks of the care upon the research results. The following research questions were set in the qualitative part of the research: 1. What factors lead to decision of a family to participate in the care about a terminally ill person in domestic background? 2. What factors prevent families from integration into the care about a terminally ill person in domestic background? 3. What skills are necessary for a nurse in the process of family integration into the care about a terminally ill client in home background? The research sample of the qualitative research consisted of six respondents having experience with care about a dying patient in domestic background. A semi structured interview consisting of six questions was the research method of this part of the thesis. The questions focused on the care about a dying family member in home background. The following hypotheses may be deduced from the research: 1. Giving information to lay caregivers before releasing a terminally ill client to domestic treatment within education contributes to their active involvement in the care. 2. Participation of a mobile hospice team in the care about a terminally ill client in home background contributes to saturation of the needs of certainty and safety of the caregivers. The following hypotheses were set at the beginning of the quantitative research: 1. Respondent?s feeling of inability to participate in the care is an obstacle to the decision to start caring about a terminally ill person in home background. 2. Fear of economic risk is an obstacle to the decision to start caring about a terminally ill person in home background. 3. Utilization of professional services in the care about a terminally ill person in home background depends on awareness of their existence and the extent of services being provided. The research sample consisted of 198 persons from the wide public. The data were collected by means of a questionnaire. The questionnaires examined the readiness of the respondents to decide to start caring about a terminally ill person in home background and their awareness of the existence of institutions providing palliative care in home background. The first two hypotheses were confirmed by the results of the questionnaire research, the third one was not confirmed. A manual for general nurses ?Care about a dying client in home background? and an ?Informational leaflet for laics? deciding on caring about someone close in home background, which form a part hereof, were elaborated upon the results of the research.

The diploma thesis addresses in detail the issue of a terminally ill individual and things closely associated with this topic including spiritual direction of the bereaved after the death of a close relative. Based on information from the literature it tries to reflect the basic conditions of approach to an oncology patient and his relatives (including the necessity of truthful communication and abidance by basic ethic rules). In order to provide a comprehensive view of the topic, the work includes research among the patient?s relatives realized in 4 out of the 14 hospice centers in the Czech Republic. On the basis of this research some positive aspects have been revealed on one hand, which are worthy acknowledgement and appreciation. On the other hand, there are areas and restraints motivating and challenging both types of healthcare centres to take steps that would lead to a better quality of care provided in the future.

The thesis describes the perception of dying and death among Werich family members, who were clients of Home hospice Tabita. The study is accompanied by an interview with Mr. Werich that took care of his dying wife. The observation has been performed by myself as an employee of Home Hospice Tabita. Facts obtained from the interview are supported by expert literature and my own participant observation. The study demonstrates what the dying families have in common, but also shows the specifics of individual cases. Although the hospice is based on Christian principles, it may profesionally and efectively work with non-Christian family members as well.

The thesis deals with palliative and hospice care. The thesis is divided into two parts - theoretical and practical. In the theoretical part there are provided with basic information about palliative care, it describes aspects of palliative care in terms of spiritual, social, psychological and physical. There are also recorded information on facilities that provide palliative care, their characteristic, mission and goals. The thesis is also reported on problems of dying, suffering and death. The work also records a pastoral and social care about dying seniors, a description of a multidisciplinary team of hospice care. The practikal part of the thesis is reported on a detection rate of awareness of palliative and hospice care at the clients of caritas Týn nad Vltavou. Next the research found out the respondents opinion of dignified dying in a domestic care

The diploma thesis is focused on the field of children's palliative care. The objective of the thesis is to find out the current state of children's palliative care and ways of social work with families with children in the terminal stage of life. Interviews with the professionals working in this field make AN important part of the thesis. The outputs of the thesis are presented as recommendations for social workers dealing with these families. The thesis should be seen also as a point of considering the current state of children's palliative care and the need for the development of the field by the professional community.

Title of the diploma thesis: Use of promotive therapy and stimulation in hospice care Aim of the thesis: Possible use of promotive therapy and stimulation in therapy of patients in hospice care is discussed in this diploma thesis. The aim of thesis is to compare use these therapies in hospice facilities that provide accommodation for clients or in home hospice care in the Czech Republic and the Slovak Republic and to analyze way of its use in praxis. For purpose of this thesis following promotive therapies and stimulation were selected: music therapy, art therapy, bibliotherapy, basal stimulation and concept Snoezelen. Methods of work: Quantitative and qualitative investigation was used for research. Quantitative investigation in form of questionnaires provided to hospice facilities with accommodation for clients was utilized as a method for data acquisition. Observation of practical promotive therapies processes in hospice facilities with accommodation for clients was included in methodology of qualitative investigation. Results: Research deals with death and dying which is still quite often taboo theme in our conditions. This fact is perceptible in results of research investigation. It was revealed that offer of promotive therapies, which are provided professionally and defined in advance, is not...

This diploma thesis deals with communication mix for the selected company. The theoretical part is devoted to the general basis in marketing that is used in the following chapters of the thesis. In the second part, analyses of the current situation of the company have been conducted and conclusions about improvements of the current communication mix have been drawn. These specific recommendations for implementation are presented in order to increase publicity and raise awareness of company’s services.

The aim of the diploma thesis is the processing of project documentation for the construction of children's hospice. The building is located in Opava, specifically in the Jaktař district. Acess to the building is from street Karafiátová on building 2121/1, 2119, 2118, 2117, 2122/1. The children's hospice is a health and social facility in which relief care and facilities for a child suffering from a serious illness will be provided. The ground plan of its object is reminiscent of a person with open arms, which leads to the hospice garden, where a memorial site will be created. The capacity of the hospice is 10 rooms for patients, which will be connected to the rooms of family members. There will also be 4 separate rooms for patients, where it will be possible to place an extra bed. The children's hospice has two above-ground and one basement. The building will be built next to the hospital in Opava and is intended to expand the services provided by palliative care not only in the Moravian-Silesian Region, but throughout the Czech Republic, in which none of these buildings is yet in operation. External walls of the basement are reinforced concrete monolithic, the rest of the external walls are made of ground brick blocks with mineral insulation. The ceiling structures of all floors are monolithic reinforced concrete slabs. The roofs of the building are flat, above the single-storey part a vegetated flat roof is designed and above the second above-ground floor there is a flat roof loaded with aggregate. There is wall structural system.

FAJSTAVROVÁ, Elena. Palliative care in the Czech Republic. Comparison between church based and non-church based care institutes. The diploma thesis focuses on the palliative care in the Czech Republic, on the comparison between the church based and non-church based institutes. The thesis carries out a research in six different institutes providing a palliative care. Based on interviews with doctors, spirituals and patient the institutes provide answers to main research topics of the thesis. By analysis of the interviews the care in different types of institutes and also in the particular institutes is examined and compared. The final part of the thesis summarizes the research with a study of ethical issues in dying. The diploma thesis provides examples in theory and practise of end of life care. The thesis can be used as a source of information for those looking for a palliative care.