The objective of this Thesis is to outline the role of social work and social worker when accompanying a man in dying. The Thesis focuses on defining the social work and, at the same time, it points to the enormous diversity of the social work. The Thesis thus deals with the unclear definition of the field of social work as a particular helping profession, with the competency of social workers and with the current discussion about the need for a law on social workers. The Thesis also treats the phenomena of death and dying and how these issues are viewed from the perspective of social work. In the Thesis, these questions are highlighted in the context of the impact of the postmodern society. A large part of the Thesis is dedicated to finding the role of social work and social worker in hospice environment. Interest in dying clients and their loved ones represents an integral part of the Thesis, which also points out their needs, wishes and troubles. The Thesis outlines the issue of advisory for bereaved persons as well. Furthermore, it analyzes the ethical dimension of death and dying, especially with regard to human dignity. Critique of professional literature is confronted with author's own practical experience and with the output from an interview with a social worker.

The hospital of the Holy Spirit in Krnov in 14th to 16th century in context of medieval hospice care in middle Europe
 The thesis is focused on the hospital of the Holy Spirit in Krnov in 14th to 16th century and his inclusion into the context of medieval hospice care in the middle Europe. It is based on proseminar and seminar works focused on medieval hospice care and in importance and theme is follow up of author's Bachelor thesis Špitál sv. Alžběty ve Wrocławi v širším kontextu středověkého špitálnictví ve střední Evropě (The hospital of st. Elisabeth in Wrocław in wider context of medieval hospitality in middle Europe). The hospital if Holy Spirit was erected in later period than hospital of St. Elisabeth. That is the reason why is the diploma thesis focused of hospitals which was erected in the peak of the Middle Ages these hospitals have got period of main development during the late Middle Ages. In the second chapter the thesis will be focused on analysis of the residential topography of this religious center in scope of medieval Krnov. In chapters 3rd to 6th will be exceptionally from the larger part based on the basic modern literature because the oldest literature is absent or unreliable. Medieval part of the hospital of Holy Spirit is these days existing only in rudiments and base of...

Bakgrund: Varje år behöver 70 000–75 000 människor palliativ vård, varav de flesta har en cancersjukdom. Närstående har en viktig och central del i palliativ vård och kan påverka den drabbades mående innebär att lindra symtom och lidande där fokus inte ligger på att bota sjukdomen. Sjuksköterskan har en viktig roll att stötta och involvera närstående i kommunikationen.  Syfte: Syftet var att beskriva närståendes upplevelser av att vårda en anhörig med cancer i livets slutskede i hemmet.   Metod: Metoden som valdes var en litteraturöversikt. Tio vetenskapliga artiklar inkluderades i resultatet. Artiklarna analyserades enligt Fribergs metod. Resultatartiklarna hade kvalitativ design och hämtades från CINAHL Complete och MEDLINE.   Resultat: Litteraturöversikten presenterades i tre teman och fem underteman. Det första temat innefattar att bli en vårdare, med undertemat ansvar att ständigt vara på vakt. Det andra temat innefattar känslor av vårdandet, med underteman stress och tiden nära döden. Det sista temat innefattar behov av stöd, med underteman stöd från familj och vänner, stöd från hälso-sjukvården.   Slutsats: Resultatet visade att närstående kände ett ansvar av att vårda sin anhörig, detta ansvar medförde bland annat att tunga beslut låg i deras händer angående anhörigas autonomi. Ansvaret bidrog även med negativa effekter både psykiskt och fysiskt i form av utmattning. Förberedelser inför döden visade sig vara en viktig del för närståendes mentala hälsa samt att stöd från familj, vänner och vårdpersonal framkom som betydelsefullt. / Background: Every year, 70 000–75 000 people need palliative care, most of them have cancer. Relatives have an important and central part in palliative care and can affect the victim's mood. Palliative care involves relieving symptoms and suffering where the focus is not on curing the disease. The nurse has an important role to support and involve relatives in the communication. Autonomy is seen as a difficult ethical dilemma in palliative care as the sufferer may have difficulty being self-determined in the final stages of life.   Aim: The purpose was to describe relatives' experiences of caring for a relative with cancer in the final stages of life at home.  Method: The chosen method was a literature review linked to Friberg. Ten scientific articles were included in the results. The articles were analyzed according to Friberg's method. The result articles had a qualitative design and were taken from CINAHL Complete and MEDLINE.   Results: The literature review was presented in three themes and five sub-themes. The first theme includes becoming a caregiver, with the sub-theme responsibility to be constantly on guard. The second theme includes emotions of care, with the sub-theme of stress, the time close to death. The last theme includes need for support, with the sub-theme support from family and friends, support from health care.   Conclusion: The results showed that close relatives felt a responsibility to care for their relatives, this responsibility meant, among other things, that heavy decisions were in their hands regarding the relatives' autonomy. The responsibility also contributed with negative effects both mentally and physically in the form of exhaustion. Preparations for death proved to be an important part of the mental health of close relatives and that support from family, friends and care staff emerged as meaningful.

Indiana University-Purdue University Indianapolis (IUPUI) / African Americans' tendency to choose life-prolonging treatments (LPT) over comfort focused care (CFC) at end-of-life is well documented but poorly understood. There is minimal knowledge about African American (AA) perceptions of decisions to continue or discontinue LPT. The purpose of this study was to examine AA family members' perceptions of factors that influenced end-of-life care decision-making for a relative who recently died from serious illness. A conceptual framework informed by the literature and the Ottawa Decision Support Framework was developed to guide this study. A retrospective, mixed methods design combined quantitative and qualitative descriptive approaches. Forty-nine bereaved AA family members of AA decedents with serious illness who died between 2 to 6 months prior to enrollment participated in a one-time telephone interview. Outcomes examined include end-of-life treatment decision, decision regret, and decisional conflict. Quantitative data were analyzed using descriptive statistics, independent-sample t-tests, Mann-Whitney U tests, chi-square tests, Spearman and Pearson correlations, and linear and logistic regressions. Qualitative data were analyzed using content analysis and qualitative descriptive methods. Family members' decisional conflict scores were negatively correlated with their quality of general communication (rs = -.503, p = .000) and end-of-life communication scores (rs = -.414, p = .003). There was a significant difference in decisional regret scores between family members of decedents who received CFC versus those who received LPT (p = .030). Family members' quality of general communication (p = .030) and end-of-life communication (p = .014) were significant predictors of family members' decisional conflict scores. Qualitative themes related to AA family members' experiences in end-of-life decision-making included understanding (e.g., feeling prepared or unprepared for death), relationships with healthcare providers (e.g., being shown care, distrust) and the quality of communication (e.g., being informed, openness, and inadequate information). Additional qualitative themes were related to perceptions of the decision to continue LPT (e.g., a lack of understanding, believe will benefit) or discontinue LPT (e.g., patient preferences, desire to prevent suffering). In conclusion, this study generated new knowledge of the factors that influenced AA bereaved family members' end-of-life decision-making for decedents with serious illnesses. Directions for future research were identified.

No description available.

Ce mémoire étudie l'évolution de la charité comme principe moteur du fonctionnement d'une institution hébergeant des personnes âgées entre 1885 et 1971 à Montmagny, soit l'Hospice Saint-Thomas/Foyer d'Youville. Cette évolution est analysée à travers le rôle joué par les principaux acteurs que sont les résidants, le personnel, la communauté magnymontoise, l'État et le Service social de l'Enfance et de la Famille. Il montre que des phénomènes tels que l'affaiblissement de l'influence de l'Église catholique allant de pair avec l'intensification des interventions de l'État dans le champ du social, l'accélération de la laïcisation du personnel, la syndicalisation des employés et la disparition des interactions entre des membres de la communauté locale et les résidants des institutions affaiblissent progressivement le caractère charitable de l'institution magnymontoise de telle sorte que, en 1971, son fonctionnement ne se définit plus par son caractère charitable et ce, bien que certaines traces en subsistent encore.

Ce mémoire a pour but l'analyse des caractéristiques socio-économiques des filles-mères (âge, métiers, origines sociale, géographique, religieuse...), et des comportements vécus (séjours, destins à la sortie) à l'Hospice Saint-Joseph de la Maternité de Québec dans les années 1852-1876. La prise en charge de la maternité hors-norme, les mentalités concernant la place de la femme et celle de l'enfant, les normes entourant la sexualité, subissent des changements qui reflètent le contexte de transition qui prend place au Québec à cette époque. Le traitement qualitatif et sériel, par support informatique, des registres des pensionnaires ainsi que des registres des enfants trouvés, de même que des divers documents émanant de l'Hospice Saint-joseph, a permis de mettre au jour le paradoxe vécu par les filles-mères dans une société où la définition de la féminité devient plus rigide et contredit en partie la réalité des femmes. / Québec Université Laval, Bibliothèque 2013

Ce mémoire porte sur la mise en oeuvre de la politique d'institutionnalisation de l'enfance délinquante et en danger en écoles de réforme et en écoles d'industrie à Québec. L'objet d'étude est l'Hospice Saint-Charles de Québec. Cet établissement fut dirigé par les S?urs du Bon-Pasteur et abrita une école de réforme pour filles (1870-1921), une école d'industrie pour filles (1884-1950) et une d'industrie pour garçons (1941-1944). Deux indicateurs sont mis à profit, soit les clientèles et les régimes de vie et de formation. Leur examen permet de discerner, au plan des clientèles, une réalité parfois différente du cadre légal, réalité née de l'adaptation des acteurs en présence à un système comportant des lacunes. Quant aux régimes de vie et de formation, ils sont semblables aux régimes en vigueur dans les autres types d'institutions pour jeunes filles, comme les pensionnats, et efficaces en dépit de difficultés constantes.

La présente recherche se penche sur les aspects sociétaux de l'institutionnalisation de l'enfance déviante dans une société rurale en voie d'industrialisation. En Occident, la construction de l'enfance, modelée selon les contextes politiques et sociaux, influence et s'incarne dans l'évolution des lois sur la prise en charge de l'enfance au Québec. Dans la province, les lois de 1869, instaurant le réseau des écoles de réforme et d'industrie, marquent les premiers pas étatiques dans le champ de l'institutionnalisation de l'enfance déviante, c'est-à-dire l'enfance délinquante et l'enfance en danger. Cependant, plusieurs auteurs remarquent un écart entre ces lois et la vie à l'intérieur des institutions qu'elles créent. Le cas de l'Hospice St-Charles de Québec permettra d'illustrer ce décalage en démontrant comment les Soeurs du Bon-Pasteur remplissent leur mission. De plus, l'étude des jeunes ayant fréquenté l'Hospice permettra de dresser un portrait global et familial des enfants touchés par les lois de 1869.