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The issue of mobilization of seniors in communication in nursing care Homes for the elderly
KLOUDOVÁ, Martina
Basic theoretical standpoints: This Dissertation has been focused on problems on functional changes and illnesses in old age and seniors' activation. An aging of the population is constantly growing in developed countries of which could be deducted naturally increasing interest in this issue. Health care staff is confronted with greater number of elderly people thus as very important aspects are the ability of nurses to recognize their needs and to look at the old age as a natural part of human life. The support of seniors' self-care and their activation should be the main objective of health care staff. Aims of the Dissertation: Three aims were identified to find out specific problems of nursing care with communications between the nurse and the elderly, to examine options of their activation such as a prevention of communications barriers and lastly to discover nurses' knowledgeable regarding the seniors' activation in the context of effective leadership communication. Following research questions for these targets were established: What are the most common problems that nurses deal with regarding the activation in communication in nursing care homes for elderly? What are the possibilities of seniors' activation as prevention of complications in communications in nursing care homes for elderly? What the nurses' skills are regarding seniors' activation in communications in nursing care homes for elderly? Methodology: This Dissertation "Problems of seniors' activation in the context of nursing care communication in nursing care homes for elderly" is composed according to qualitative research method laid out in two parts. The first one, data collection was implemented by depth semi-structured interviews with nurses from nursing care homes for elderly. The exact transcription of the interviews were analysed by open-coding technique, codes were sorted into categories a arise subcategories, arranged into clear diagrams. Covert surveillance method was used as a second part of this research. Those records were entered into the observation chart and then subsequently described. The research took place from 12th February to 20th April 2015. Results: This research shows that all nurses know specific problems of communication with seniors in the context of their care in nursing care homes for elderly, who are also psychologically stressful for them. It also shows that greater number of nurses deemed seniors' activation as activation programs only provided by nursing care homes for elderly. The elderly, according to some senior nurses, are due to deterioration of their mental or physical condition without any activation. Almost all nurses are educated in the seniors' activation and communication by seminars and lectures organized by nursing care homes for elderly which are paid by the employer. All nurses considered their education in activation and communication area as a contribution to increase knowledge and improve nursing care. During this second phase was found that four out of ten nurses performed almost the entire care of the morning hygiene for seniors without their help. Some of the nurses neglected to ask whether seniors would wish to perform their own hygiene without their help. Therefore four nurses do not activate seniors during the morning hygiene and some nurses communicate with seniors inappropriately. Conclusion:We think that nurses should have more education in activation and communication area. Their education will mainly bring theoretical knowledge that helps them to deal with problematic situation in nursing care for elderly. The outcome of this Dissertation was meeting with head nurses from nursing care homes for elderly where we presented our results gained by this research. They promised to consult it with rest of the nurses and to implement other seminar on seniors activation with communication.
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The aesthetic value of the results of art activities related to the process of teaching
KLOUDOVÁ, Martina
The thesis focuses on issues of aesthetic values in art education at the first grade of primary school. The theoretical parts sketch issues of art and kitsch, origins of kitsch and characteristic features of kitsch and the question of kitsch aesthetic defektivity. In the second part I focus on the problem of determining the aesthetic criteria in art education, the issue of transfer of aesthetic values and artistic-expressive qualities of children's products all of it taking into account the ontogenetic development of children's creative expression. The empirical part focuses on exploring the aesthetic value of art activities related to the teaching process in the context of ontogenetic development of the child to the first grade of primary school.
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Problems of nursing care for klient with senile dementia
KLOUDOVÁ, Martina
Dementia, also called old age disease is no more the problem of developed countries only, it has become a global problem. The population in the Czech Republic is growing old, which is caused by decreasing birth rate and decreasing mortality in all age groups. Dementia belongs to more frequent diseases than brain stroke and diabetes mellitus among seniors. In 65 year-old people the risk of dementia development is 5 %, at 75 it grows to 10 %. More than 30-50 % of seniors over 85 suffer from the disease (Jirák, Holmerová et al., 2009). Most nurses meet clients with dementia at their wards, which is why they should be educated in the field of specific needs in caring about these clients.The goals of the thesis were: 1. To indicate the specific problems of nursing care about a client with old age dementia. 2. To map the possibilities of educating hospital nurses in the problems of clients with old age dementia. 3. To find the negative factors affecting the psyche of nurses caring about clients with old age dementia. Four research questions were set to reach these goals. 1. What are the most frequent problems dealt with by healthcare staff caring about clients with old age dementia? 2. In what way a nurse communicates with a client with old age dementia? 3. What are the possibilities to educate nurses in the issues of old age dementia? 4. What are the negative impacts on the psyche of healthcare staff members working with clients suffering from old age dementia?The method of quantitative research by means of interviews was applied to elaboration of the thesis on the topic Problems of Nursing Care of a Client with Old Age Dementia. The interviews were semi-structured and were prepared for nurses from various standard departments of Strakonice Hospital. The interviews consisted of seventeen questions and were recorded with the consent of the nurses and consequently literally transcribed. The research was performed from 22 February to 1 March 2013.The research results have shown that all nurses often meet clients with dementia and they know the specific problems related to nursing care of these clients. The results also show that although they are aware of various forms of education in the issues of old age dementia they do not educate themselves and they consider other nurses uninformed. We found during the research that no forms of education are provided in this field at the departments. Despite the lack of information nurses try to solve problem situations with clients upon their experience or collecting information from other healthcare staff, which is usually insufficient. Because of these relations communication between a nurse and a client with dementia worsens, which leads to poor cooperation with both, a client and his/her family, and negative impacts in nurses? psyche like fatigue, stress and tiredness often occur, which is also reflected in their family lives.We think that nurses should be more strongly motivated to education in the issues of old age dementia. Education would bring nurses theoretical knowledge of dementia, it would help them create better cooperation with a client suffering from dementia and they would be able to prevent and duly solve possible problematic situations in the treatment and they would also learn how to communicate with a client with old age dementia efficiently. My bachelor thesis results in a draft of a seminar intended not only for nurses from consequent care departments, which contains the basic information on the issues of nursing care of a client with old age dementia (Annex 5).
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