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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
81

Chování k umírajícímu / Behaviour towards the dying

Puková, Hana January 2012 (has links)
Dead is a part of our human life. Even in the old days human was asking questions about himself: "Who am I? Where do I come from? Where do I go?" And last but not least understood his mortality. Dying is a part of life. It is a period for a human, when everything finishes. When is he really dead though? Is it really the moment when his heart beat and blood circulation stops and he stops breathing? Or is he dead for the others in the moment of his hard illness.The aim of the thesis is to point out an adequate behaviour to a dying human being.
82

Chování k umírajícímu / Behaviour towards the dying

Puková, Hana January 2013 (has links)
Dead is a part of our human life. Even in the old days human was asking questions about himself: "Who am I? Where do I come from? Where do I go?" And last but not least understood his mortality. Dying is a part of life. It is a period for a human, when everything finishes. When is he really dead though? Is it really the moment when his heart beat and blood circulation stops and he stops breathing? Or is he dead for the others in the moment of his hard illness? A view of a patient trying to add Christian view, ie the possibility of seeking hope in a desperate situation that exceeds our life and dead. The aim of the thesis is to point out an adequate behaviour to a dying human being.
83

The education of the health care professional in terminal care in the light of the emotional impact of the nature of the work /

Munro, Susan, 1938- January 1986 (has links)
No description available.
84

I no longer feel alone': meeting the needs of bereaved grandparents through a children's hospice support group

Tatterton, Michael J., Lyon, J.A. 02 December 2020 (has links)
Yes / Children’s hospices provide a range of family-centred care services, including bereavement support. Not all hospices provide specific services for grandparents. To explore how a hospice-based bereavement support group supported grandparents in their grief following the death of a grandchild. Methods: Grandparents attending a group were invited to complete an anonymous questionnaire. Questionnaires from eight groups, run between 2015 and 2019 were collated and interpreted to identify themes. Findings: 121 grandparents attended the groups; 113 returned the questionnaires (93% response). Three central themes were identified: environment and space, being with people who understand, and the opportunity to hear the stories of others. Grandparents valued hearing the stories of others, providing an opportunity to reflect on the experience of others. Conclusion: Grandparents felt supported and validated by the group. The facilitated sessions increased coping and resilience of participants, enabling grandparents to support their partner, adult children and surviving grandchildren more effectively.
85

Sociálně pedagogické aspekty profese pracovníka hospice v ČR / Socio-educational aspects of profession hospice worker in the Czech Republic

Mudrová, Anna January 2015 (has links)
In my diploma thesis I would like to discuss palliative (hospice care) in the Czech Republic, development of services and legislation associated with it. Further forms of hospice care services for families and clients. In the next chapter I would like to mention the risks and problems that the employees of hospice care in their work meet. Of this chapter, I followed a question of psychic health workers by employers and other options to avoid the risk factors associated with the exercise of this profession. In the research part, I would like to do qualitative research on the selected device, focusing on problems that are often faced by employees and that the support of the leadership sufficient.
86

Zkušenosti pečujících s domácí hospicovou péčí / Experiences of caregivers with home hospice care

Schiebelová, Eva January 2012 (has links)
The subject of this diploma thesis is to analyze and describe the specific experiences of three caregivers with a home hospice care using chosen qualitative research method. It try to find answers to questions about why these people chose home hospice care, in what they see its positives and negatives and what obstacles and problems need to be overcome during care. The first part focuses on the characteristics of home hospice care, the introduction of various concepts of bereaved and mapping support for caregivers. In the second part is done phenomenological investigation of experiences of these three participants of research.
87

Validação do teste de trilhas - B (trail making test - B) para uso em pacientes brasileiros com câncer em cuidados paliativos / Validation of Trail Making Test B for Brazilian patients with cancer in palliative care

Santos, Juliano dos 12 July 2011 (has links)
Introdução: Prejuízos na atenção, concentração e execução de tarefas, entre outras funções cognitivas, parecem ser frequentes em doentes com câncer e em cuidados paliativos e podem comprometer o cotidiano desses pacientes. No entanto, há poucos estudos sobre o tema e desconhecem-se testes validados para essa população no Brasil. Objetivo: Validar o Teste de Trilhas B (TT-B) para uso em pacientes com câncer em cuidados paliativos. Método: Trata-se de estudo metodológico, de validação de instrumento, que envolveu pacientes (n=94) em tratamento paliativo no Ambulatório de Quimioterapia do Instituto do Câncer do Estado de São Paulo e seus acompanhantes (n=39). Os avaliados realizaram o TT-B e responderam dados sócio-demográficos, sobre a presença e intensidade de dor, de fadiga, sobre a qualidade do sono, ansiedade e depressão, em dois momentos, com intervalo máximo de sete dias. Os doentes também foram caracterizados quanto à doença e tratamento. As validades convergente e divergente foram testadas pela correlação entre o desempenho no TT-B, mensurado pelo tempo para a realização do teste e o número de erros cometidos, com a intensidade da dor, da fadiga, da ansiedade, da depressão e do repouso atribuído ao sono da noite anterior às avaliações. A validade discriminante foi testada pela comparação do TT-B entre doentes e sadios. A estabilidade do TT-B, em doentes e sadios, foi avaliada por meio de teste e reteste. Resultados: Os doentes tinham câncer colo-retal (47,8%), câncer de mama (15,9%), a totalidade apresentava metástase, foram homens (52,1%), com idade média de 53 anos. Para os doentes, o tempo médio de realização do TT-B foi de 147,5 segundos na primeira e 132 segundos na segunda avaliação e o número de erros médio foi de 1 na primeira e 0,8 na segunda avaliação. Para os acompanhantes o tempo de realização do TT-B foi de 127,3 e 110,7 segundos na primeira e segunda avaliação respectivamente e o número de erros foi 0,9 na primeira e 0,6 na segunda avaliação. O instrumento discriminou doentes de sadios em relação ao tempo utilizado para a realização do teste na primeira (p=0,014) e na segunda (p=0,035) avaliação, indicando melhor desempenho para os sadios, mas não em relação ao número de erros. O teste foi estável entre os sadios nas duas avaliações, tanto em relação ao tempo (p=0,071) quanto em relação ao número de erros (p=0,352) e entre os doentes o instrumento foi estável apenas em relação ao número de erros (p=0,913). O TT-B não demonstrou correlações significativas com dor, fadiga, depressão, ansiedade e descanso, o que causou estranheza. Conclusão: O TT-B está em processo de validação. Mostrou-se capaz de discriminar doentes de sadios e foi estável entre os saudáveis. Recomenda-se a continuidade de estudos com amostras maiores e a utilização do TT-B em paralelo a outro instrumento que avalie a função executiva. / Introduction: Impairments in attention, concentration and execution of tasks, among other cognitive functions, seem to be frequent in patients with cancer in palliative care and they can affect patients daily life. However, there are few studies about the theme and to our knowledge there are no validated tests for this population in Brazil. Objective: To validate Trial Making TestB (TMT-B) for assessment of patients with cancer in palliative care. Methods: Methodological study to validate an instrument that involved patients (n=94) in palliative treatment at the Clinic of Chemotherapy of the Instituto do Câncer do Estado de São Paulo and their healthy accompanying person (n=39). Patients were tested on TMT-B and answered demographic data, questions about the presence of pain and intensity, fatigue, quality of sleep, anxiety and depression, in two moments, with maximum interval of seven days. The patients were also characterized according to disease and treatment. The convergent and divergent validities were tested by the correlation between the performance on TMT-B, measured by the amount of time required to complete the task and the number of mistakes, and pain intensity, fatigue, anxiety, depression and the rest attributed to sleep in the previous night before assessments. The discriminate validity was tested by the comparison of TMT-B between patients and healthy accompany persons. The stability of TMT-B, in patients and healthy companions was evaluated through test and re-test. Results: The patients had colorectal cancer (47.8%), followed by breast cancer (15.9%), the totality presented metastasis, most patients were men (52.1%), mean age was 53 years. For patients, mean time required to complete TMT-B was 147.5 seconds in the first and 132 seconds in the second assessments and the mean number of mistakes was 1 in the first and 0.8 in the second assessments. For the healthy accompany person, the time required to complete TMT-B was respectively 127.3 and 110.7 seconds in the first and second assessments and the number of mistakes was 0.9 in the first and 0.6 in the second assessments. The instrument discriminated patients from healthy accompany persons regarding time required to complete the test in the first (p=0.014) and second (p=0.035) assessments, indicating better performance for the healthy ones, but not in relation to the number of mistakes. The test was stable among healthy people in the two assessments regarding time (p=0.071) and number of mistakes (p=0.352); for patients, the instrument was stable only in relation to the number of mistakes (p=0.913). TMT-B did not demonstrate significant correlations with pain, fatigue, depression, anxiety and rest. Conclusion: TMT-B is in validation process. It was able to discriminate between patients and healthy accompany persons and was stable for the healthy ones. Further studies are recommended with larger samples as well as the use of TMT-B in parallel to other instrument that evaluates the executive function.
88

Quando não há cura, há religião? pessoas em cuidados paliativos em hospital do município de São Paulo

Palumbo, Isabel Cristina Bueno 29 May 2018 (has links)
Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-07-30T12:24:03Z No. of bitstreams: 1 Isabel Cristina Bueno Palumbo.pdf: 2591502 bytes, checksum: b3e0518b87654e1f3ee7324ff00b14d4 (MD5) / Made available in DSpace on 2018-07-30T12:24:03Z (GMT). No. of bitstreams: 1 Isabel Cristina Bueno Palumbo.pdf: 2591502 bytes, checksum: b3e0518b87654e1f3ee7324ff00b14d4 (MD5) Previous issue date: 2018-05-29 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Fundação São Paulo - FUNDASP / This thesis aimed to analyze the meaning of religion for patients in palliative care and for their relatives. We start from the hypothesis that the approximation of religion and the development of religiosity and spirituality are fundamental to reduce the anguish provoked by the proximity of death among patients in palliative care and among their loved ones. It is an exploratory research of qualitative approach and historical method. To obtain the data, we conducted 11 interviews, 8 with patients and 3 with relatives of patients. The interviews were based on a semi-structured script with questions about the life history, religious experience and religion’s approach after the diagnosis of inability to cure. The interviews were realized at the Premier Hospital, on January 04th, 06th, 09th, 2017, and January 08th, 10th, 11th, 12th, 15th, 17th, 2018. During the month of December 2016, we visited the hospital every day to know the local routine and the hospitalized patients. For the construction of the script of questions and for the analysis of the data obtained from the interviews and the fieldwork, we adopted the historical method elaborated by Franz Boas (2004) and the hermeneutic analysis developed by Gadamer (1997). We also searched the history of the main concepts that guided our study. After analyzing and discussing the data of this research, we confirmed our hypothesis: we found that the majority of respondents came closer to religion after they were known to have incurable diseases / Esta tese teve como objetivo analisar o significado da religião para os pacientes em cuidados paliativos e para seus familiares. Parti da hipótese de que a aproximação da religião e o desenvolvimento da religiosidade e da espiritualidade são fundamentais para diminuir a angústia suscitada pela proximidade da morte entre os pacientes em cuidados paliativos e seus entes queridos. Trata-se de uma pesquisa exploratória de abordagem qualitativa e método histórico. Para a obtenção dos dados, realizei 11 entrevistas, 8 com pacientes e 3 com familiares de pacientes. As entrevistas tiveram como base um roteiro semiestruturado com questões que versavam sobre a história de vida, vivência religiosa e aproximação da religião depois do diagnóstico de impossibilidade de cura, e foram realizadas no Hospital Premier, nos dias 04, 06 e 09 de janeiro de 2017, e 08, 10, 11, 12, 15 e 17 de janeiro de 2018. Durante o mês de dezembro de 2016, visitei diariamente o hospital para conhecer a rotina local e os pacientes internados. Para a construção do roteiro de questões e para a análise dos dados obtidos com as entrevistas e o trabalho de campo, adotei o método histórico elaborado por Franz Boas (2004) e a análise hermenêutica desenvolvida por Gadamer (1997). Pesquisei também a história dos principais conceitos que orientavam nosso estudo. Depois de realizar a análise e a discussão dos dados desta pesquisa, confirmei minha hipótese, ao constatar que a maior parte dos entrevistados aproximou-se mais da religião depois de saber ser portador de doença incurável
89

A espiritualidade frente ao processo de final de vida de um ente querido: reflexões sobre os significados atribuídos pelo familiar / Spirituality while facing the end of life of a loved one: a discussion on relatives’ support and its meanings

Guedes, Izabela Aparecida de Almeida 28 September 2018 (has links)
Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-12-04T11:47:55Z No. of bitstreams: 1 Izabela Aparecida de Almeida Guedes.pdf: 1333237 bytes, checksum: 23525ae5a48b6aafb51d22b3df9a8ac5 (MD5) / Made available in DSpace on 2018-12-04T11:47:55Z (GMT). No. of bitstreams: 1 Izabela Aparecida de Almeida Guedes.pdf: 1333237 bytes, checksum: 23525ae5a48b6aafb51d22b3df9a8ac5 (MD5) Previous issue date: 2018-09-28 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / Receiving the diagnosis of a potentially fatal disease represents a crisis for patients and their families, affecting different life domains and promoting a re-signification of belief systems that are shaken by the threat to the continuity of life. Palliative care emerged as an alternative to the traditional curative model of health, aiming at relieving physical pain and giving comfort to emotional, social and spiritual suffering. This new approach ratified the inclusion of spirituality in the concept of health established by the World Health Organization, indicating the need to consider the spiritual dimension in view of the proximity of death. As a new paradigm of caring, palliative care also aims at encompassing anticipatory mourning experienced by the care unit during patient’s illness, as well as monitoring the mourning family after its relative’s death. The present study utilized a qualitative methodology in order to apprehend the meaning of spirituality assigned by the family member whose a loved one was in a end-of-life process. A collective case study was carried, with the participation of six family members attending a hospice in palliative care, and the investigation was done through field diary and semi-structured interviews. Data were analyzed through content analysis according to Bardin (2011) and the following thematic categories were found: expressions of anticipatory mourning, perceptions on/meanings of spirituality, meanings of mourning, protective factors, risk factors. The results suggest that spirituality is a support for those who are on the verge of losing a loved one and should not be neglected by health professionals. It has proved to be an important protection factor for the experience of mourning processes / O recebimento do diagnóstico de uma doença potencialmente fatal representa uma crise para pacientes e familiares, afetando diferentes áreas que compõem o viver e impulsionando a uma ressignificação dos sistemas de crenças, abalados frente à ameaça da continuidade da vida. Os cuidados paliativos surgiram como uma alternativa ao modelo curativo de saúde, propondo o alívio das dores físicas, emocional, social e espiritual. Essa visão ratificou a inclusão da espiritualidade no conceito de saúde estabelecido pela Organização Mundial de Saúde, demonstrando a necessidade da abordagem da dimensão espiritual frente à proximidade da morte. Apresentando-se como um novo paradigma para o cuidar, visa também o acolhimento do luto antecipatório, vivenciado pela unidade de cuidados durante um processo de adoecimento, bem como o acompanhamento do enlutado após a ocorrência da morte. No desenvolvimento do presente estudo foi utilizado o método qualitativo, a fim de conhecer o significado atribuído pelo familiar à espiritualidade frente ao processo de final de vida de um ente querido. Foi realizado um estudo de caso coletivo, com a participação de seis familiares atendidos em uma hospedaria, tendo sido a investigação feita por meio de diário de campo e entrevista semiestruturada. O instrumento utilizado para analisar os dados colhidos foi a análise de conteúdo segundo Bardin (2011), tendo sido encontradas as categorias temáticas: expressões do luto antecipatório, percepções/significados sobre a espiritualidade, significados sobre o luto, fatores de proteção, fatores de risco. Os resultados evidenciam que a espiritualidade é um suporte para aqueles que estão na iminência de perder uma pessoa amada, não devendo ser negligenciada pelos profissionais de saúde. Ela se mostrou como um importante fator de proteção para a vivência dos processos de luto
90

Os significados do trabalho em equipe de cuidados paliativos oncológicos domiciliar: um estudo etnográfico / The meanings of the team approach to oncological palliative home care: an ethnographic study.

Rodrigues, Inês Gimenes 14 December 2009 (has links)
Este estudo teve como objetivo interpretar os significados do trabalho em equipe de cuidados paliativos oncológicos domiciliar atribuídos pelos profissionais, por meio do estudo de caso e da análise etnográfica. O referencial teórico que embasou tal interpretação foi a antropologia interpretativa. Participaram da pesquisa oito informantes, profissionais de uma Equipe de Cuidados Paliativos Oncológicos Domiciliar, lotados em um serviço de Internação Domiciliar, em uma cidade do sul do Brasil. A coleta de dados ocorreu no período de junho a dezembro de 2008 nos espaços de atuação do serviço de Internação Domiciliar. Os dados foram coletados por meio de observação participante, diário de campo e entrevistas semiestruturadas. A análise dos dados baseou-se nos pressupostos analíticos da análise hermenêutica dialética e temática. Foram identificados os códigos que mostraram o sentido do trabalho em cuidados paliativos para os participantes e que depois serviram de guia para as unidades de sentidos e a construção dos significados. Da análise emergiram três núcleos de significados: \"Desafios iniciais do trabalho em cuidados paliativos oncológico\"; \"O maior dos desafios: lidar com a morte\" e; \"O trabalho em equipe de cuidados paliativos oncológicos domiciliar: uma trajetória em construção\". O primeiro núcleo aborda os cuidados paliativos oncológicos domiciliar como uma nova prática em saúde, tendo como desafio sua criação no serviço de Internação Domiciliar, os profissionais \"despreparados para atuar na \"nova\" prática, e as emoções permeando a prática dos cuidados paliativos oncológicos. O segundo núcleo trata das concepções e reflexões dos profissionais da equipe sobre a morte; como elaboram as abordagens desse processo com o paciente e família, e a morte como situação de aprendizado para a vida pessoal e profissional. O terceiro núcleo versa sobre o processo de trabalho da Equipe de Cuidados Paliativos Oncológicos Domiciliar; suas relações interpessoais com o paciente, o familiar; e entre si e o contínuo enfrentamento dessa equipe diante do sofrimento e morte do outro. Finalizando, o estudo possibilitou apreender que o trabalho em equipe de cuidados paliativos oncológicos singulariza a atenção domiciliar no sistema público, revelando uma nova modalidade de cuidado, que abrange a multidimensionalidade do ser doente e sua família, por meio de profissionais de diferentes categorias e que em equipe interdisciplinar incorporam uma identidade, a de paliativista. / The objective of this study was to interpret the meanings of the team approach to oncological palliative home care as reported by professionals through a case study and ethnographic analysis. The referential theory in which the interpretation was rooted was that of the interpretive anthropologist. Eight professionals from an Oncological Palliative Home Care Team in southern Brazil participated in the research. The data collection occurred between June and December 2008 in the caregiver workplace by means of participant observation, annotated in a field diary, and semi-structured interviews. Codes that demonstrated the significance of the work of palliative care to the participants were identified, which later served as guides for the significance units and the meaning constructs. Three nuclei of significance emerged from the analysis: \"Initial challenges to the work of oncological palliative care\"; \"The greatest of challenge - dealing with death\"; and \"the work of the team in oncological palliative home care - a trajectory in construction\". The first nucleus deals with oncological palliative home care as a new health practice and the challenge of its development within the larger sphere of Home Care, as well as professionals \"unprepared\" to act in the \"new\" practice and the emotions permeating oncological palliative home care. The second nucleus deals with the conceptions and reflections of the team members about death; how they developed strategies for addressing this process with the patient and family, and death as a vehicle for learning in their personal and professional lives. The third nucleus delineates the work process of the oncological palliative home care team; its interpersonal relations with the patient and family, and the internal effects on the team of continuously confronting the suffering and death of others. In conclusion, this study allowed insight into how the oncological palliative home care team characterizes home care in the public health system, revealing a new modality of care that includes the multidimensionality of the sick being and its family, attended by professionals of different categories who, in an interdisciplinary team, incorporate an identity, that of palliative caregivers.

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