The dying elderly person in the institutional care: the nursing staff perspective

Uvod: Delež starostnikov se na svetovni ravni hitro povečuje in s tem se podaljšuje življenjska doba ljudi. Velik delež starostnikov terminalno fazo življenja preživi v domovih za ostarele, kjer ima paliativna oskrba pomembno vlogo. V diplomskem delu smo opisali paliativno oskrbo starostnika v procesu umiranja v institucionalnem varstvu ter raziskali vidik negovalnega osebja na paliativno oskrbo starostnika v procesu umiranja. Metode: Izhodišča za izdelavo zaključnega dela so bila povzeta iz strokovnih in znanstvenih literatur, člankov in internetnih virov (znanstveni članki). Uporabili smo kvantitativno metodologijo raziskovanja z deduktivnim pristopom. Podatke smo pridobili s pomočjo anketnega vprašalnika. Glede na predpripravljene kode smo ugotavljali njihovo pojavnost pri negovalnem osebju. Rezultati: Rezultati ankete so pokazali, da je tim zdravstvene nege in oskrbe v izbranih institucijah zelo naklonjen terminalno bolnim starostnikom, počutijo se usposobljene izvajati paliativno oskrbo, kar je ključnega pomena pri zagotavljanju udobja umirajočega. Iz rezultatov ankete lahko sklepamo, da se trudijo zagotoviti dobro oskrbo, čeprav menijo, da za to nimajo na voljo dovolj kadra. Razprava in zaključek: Primerjalne ankete so pokazale podobne rezultate zato sklepamo, da je paliativna oskrba v institucionalnem varstvu še vedno premalo organizacijsko vodena in podprta z izobraževanji, saj je lastno mnenje o poznavanju nečesa, za kar se nismo priučili, lahko tudi precenjeno.Introduction: On a global scale the share of the elderlies is rapidly increasing, and with it also the life expectancy of people. A great share of the elderlies spends their terminal phase of life in a nursing home, where palliative care is of great importance. In the diploma thesis we have described palliative care of an elderly in the process of dying in an instititional care, and found what are the aspects and views of the healthcare team about palliative care of en elderly in the process of dying. Methods: The basis for writing the diploma thesis was summarized from technical and scientific literature, articles and internet sources (scientific articles). We used quantitative research method with deductive approach. We have acquired the data with the help of the survey questionnaire. According to the prepared codes, we analysed their occurrence with the healthcare team. Results: The results of the survey showed that the healthcare team from the chosen institutions is very fond of the dying elderlies, they feel qualified to perform palliative care, which is crucial for ensuring comfort of the dying person. From the results of the survey, we can conclude that they are trying to ensure good healthcare, although they believe there is not enough available staff. Discussion and conclusion: The comparative surveys showed similar results, that is why we have concluded that the palliative care in institutional care is still not organized enough and supported with courses, because our opinion on knowing something we were not trained for can also be overrated