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Celostna oskrba umirajočega človeka in vloga socialnega dela : magistrsko delo
ID Potočnik, Samanta (Author), ID Filipovič Hrast, Maša (Mentor) More about this mentor... This link opens in a new window

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Abstract
Skozi raziskavo sem želela pridobiti vpogled v organiziranost obravnave in oskrbe umirajočih in njihovih svojcev oziroma bližnjih na Celjskem, ugotoviti prisotnost in organiziranost paliativnih timov, raziskati razumevanje potrebe po sodelovanju pri obravnavi umirajočih, primerjati zdravstveno in socialno-delavno obravnavo ter preveriti vidik socialnega dela na celostni model obravnave umirajočih, mesto socialnih delavk in delavcev pri delu z umirajočimi, sam potek njihovega dela ter potrebe po podpori v njihovem delovanju. Raziskava je bila kombinirana, kvantitativna in kvalitativna. Preko spletne ankete sem zbirala kvantitativne podatke o organiziranosti obravnave in oskrbe umirajočih in njihovih svojcev oziroma bližnjih na Celjskem, ugotavljala prisotnost in organiziranost paliativnih timov ter raziskovala razumevanje potrebe po sodelovanju pri obravnavi umirajočih. Anketa je bila namenjena zaposlenim v zdravstvu, in sicer medicinskim sestram in zdravnikom ter socialnim delavkam in delavcem na območju celjske regije. Kvalitativno raziskovanje je zajemalo samo socialne delavke, skozi intervjuje pa sem zbirala podatke za primerjavo zdravstvene in socialno-delavne obravnave ter preverjala vidik socialnega dela na celostni model obravnave umirajočih, mesto socialnih delavk in delavcev pri delu z umirajočimi, sam potek njihovega dela ter potrebe po podpori v njihovem delovanju. Raziskava, ki sem jo opravila, je jasno pokazala, da igrajo medicinske sestre osrednjo vlogo pri oskrbi umirajočih. Prav tako je bilo razvidno, da je razvitost paliativne oskrbe v mnogih primerih odraz zavzetosti določenih posameznikov ali ustanov. Skozi paliativno oskrbo želijo v tistem trenutku doseči najboljšo možno kakovost življenja obravnavane osebe. Zavedajo se, da se kakovostno izvajanje paliativne oskrbe lahko zagotovi le s timom strokovnjakov, ki so dostopni in se v obravnavo lahko vključijo, ko se pojavijo specifične potrebe. Njihova strokovna obravnava izboljša kakovost uporabnikovega življenja in prepreči bolečine ter trpljenje. Priznavajo pa, da jim primanjkuje izobraževanj na temo paliativne oskrbe. Paliativna oskrba se iz bolnišnic vedno bolj premika v domsko oskrbo. Zaradi tega tudi socialno delo dobiva vedno večjo veljavo na področju oskrbe umirajočih. Socialne delavke nastopajo kot svetovalke, načrtovalke, ocenjevalke, zagovornice, vendar pa je neposredna svetovalna pomoč in neposredno delo socialnih delavk z umirajočimi prisotno le redkokje. Socialne delavke pogosteje sodelujejo samo s svojci. Tudi one si želijo več možnosti za sodelovanja v različnih izobraževanjih na temo paliativne oskrbe, prav tako pa se strinjajo, da bi oblikovanje posebnih usmeritev oziroma priporočil za socialno delo na področju dela z umirajočimi predstavljajo oporo pri delu in jasneje začrtalo vlogo socialnega delavca.

Language:Slovenian
Keywords:umiranje, paliativna oskrba, celostna oskrba, socialno delo, zdravstvo, interdisciplinarno delo
Work type:Master's thesis/paper (mb22)
Typology:2.09 - Master's Thesis
Organization:FSD - Faculty of Social Work
Year:2020
Publisher:[S. Potočnik]
PID:20.500.12556/RUL-120041 This link opens in a new window
COBISS.SI-ID:37896451 This link opens in a new window
Publication date in RUL:15.09.2020
Views:543
Downloads:138
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Secondary language

Language:English
Title:Integrated care of the dying and the role of social work
Abstract:
Through the research I wanted to gain insight into the organization of treatment and care of the dying and their relatives in Celje region, determine the presence and organization of palliative teams, explore the understanding of the need to participate interdisciplinary in the treatment of the dying, compare medical and social work practice and check the aspect of social work on holistic model of treatment of the dying, the place of social workers in palliative care, the course of their work in this field and the need for support in their work. The research took a mixed method approach, combining quantitative and qualitative research. Through an online questionnaire I collected quantitative data about the organization of treatment and care of the dying and their relatives in Celje region, determined the presence and organization of palliative teams and researched the understanding of the need to participate interdisciplinary in the treatment of the dying. The questionnaire was intended for healthcare employees, namely nurses and doctors, as well as social workers in the this region. Qualitative research covered only social workers, and through interviews I collected data to compare medical and social work treatment and checked the aspect of social work on an integrated or holistic model of treatment of dying, the place of social workers in working with the dying, the course of their work in this field and the need for support in their operation. Results of the research clearly showed that nurses play a central role in caring for the dying. It has also been shown that the development of palliative care is in many cases a reflection of the commitment of certain individuals or institutions. Through palliative care, they want to achieve the best possible quality of life at that time and are aware that quality palliative care can only be provided by a team of professionals who are available and can be involved in treatment when specific needs arise. Their professional treatment improves the quality of life of the user and prevents pain and suffering. However, they acknowledge that they lack training on palliative care. Palliative care is increasingly shifting from hospitals to retirement homes. As a result, social work is gaining more and more importance in the field of care for the dying. Social workers act as counsellors, planners, assessors, advocates, but direct counselling and direct work of social workers with the dying is rarely present. Collaborations with relatives are more common. Social workers also want more opportunities to participate in various trainings on palliative care topics. They agree that the formulation of special guidelines or recommendations for social work in the field of palliative care may be a great resource of support and help at their work and it could also more clearly outline the role of social worker.

Keywords:dying, palliative care, integrated care, social work, medical service, interdisciplinary work

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