National Repository of Grey Literature 11 records found  1 - 10next  jump to record: Search took 0.00 seconds. 
Reasons to refuse or to withold chronic dialysis treatment
Beranová, Petra ; Maffei Svobodová, Ludmila (advisor) ; Dynáková, Šárka (referee)
(v AJ) Introduction: The literature indicates that progressive aging of the population leads to increasing number of elderly patients with chronic kidney failure, initiating long-term dialysis treatment. ERA - EDTA (European Renal Association - European Dialysis and Transplant Association was issued in 2016 for treatment of elderly patients with advanced kidney disease. For easier orientation in the issue to withold or withdraw from dialysis therapy recommendations have been made in 2010 Renal Physicians Association (RPA). The issue of chronic kidney disease is also dealt with nurses organization The European Dialysis and Transplant Nurses Association/European Renal Care Association (EDTNA/ERCA). Aim: The aim of this research was to point out the reasons, for which patients with chronic kidney failure decide to withold or withdraw from dialysis therapy. Methodology: The thesis was performed through a qualitative research. Data were collected by individual guided interviews. The research sample included five participants. Four individuals decided to withold or withdraw from dialysis therapy and were further followed in the pre-dialysis nephrology outpatient clinic. One participant, who initially had started dialysis therapy acutely, later repeatedly stopped it and started it again with the...
Nursing process of the tracheostomized patient
Körblerová, Jana ; Kordulová, Pavla (advisor) ; Maffei Svobodová, Ludmila (referee)
Tracheostomy is a mutilating procedure and It may be a source of physical, psychological and social trauma for the patient. An average of 170 permanent tracheostomies per year are performed in the Czech Republic. In the theoretical part I focused on species, indications and complications of tracheostomy and tracheostomy cannulas. I also described a complex care of a patient with the permanent tracheostomy including education. I drew on information from the available materials of the Czech Society of Otorhinolaryngology and Head and Neck Surgery of the ČLS JEP, from guidelines of the Australian Agency for Clinical Innovation Chatswood and The Royal Children's Hospital Melbourne. My other resources of information were BMC, EBSCO, ProQuest, Medline databases. In the case study, I described the nursing and educational process in the patient who underwent total laryngectomy surgery, from admission to dismiss. The case study includes an assessment of the patient's health status according to Majory Gordon's functional health model. I got all the information from an interview with a patient, from medical records, and from the provision of nursing care. Methods: The case study of the patient after the total laryngectomy surgery including the model of functional health, according to Majory Gordon. Aim of the...
Nursing process hemodialysed patient
Šmajda, Dávid ; Kordulová, Pavla (advisor) ; Maffei Svobodová, Ludmila (referee)
Chronic renal failure is often asymptomatic and painless. Many sick people realize too late that something is happening with their body or kidney function. In renal failure, a complex metabolic disorder arises and water and electrolyte imbalances occur. Unfortunately, this phenomenon is irreversible and a large number of patients must subsequently undergo hemodialysis treatment, which only substitutes kidney work, but does not heal the kidneys themselves. Hemodialysis is currently one of the most widespread methods of renal replacement. Thanks to continuous technological development, it extends the life of patients by several decades and thus improves their lives with chronic kidney disease. The bachelor thesis describes the issue of nursing care of patients included in the hemodialysis program. In the theoretical part of the thesis I describe the issue of chronic renal insufficiency. Furthermore, I focus on the elimination methods of this disease and the necessary vascular approaches for hemodialysis for these patients. In my work I also describe the specifics of nursing care for patients in the hemodialysis program. I have elaborated the thesis on the basis of searching for relevant sources for the given issue. I drew on resources from the National Medical Library, where literature searches were...
Nursing care of the petient with bipolar disrorder
Holečková, Barbora ; Kulířová, Veronika (advisor) ; Maffei Svobodová, Ludmila (referee)
Bipolar disorder is a very serious mental disorder defined by mood swing of pathological nature. It is a chronic disorder, which strongly affects daily life of the patient. Its negative effects can impinge personal relationships and ones performance at work. According to WHO the bipolar disorder is the sixth in the list of main causes leading to lifelong disability. Altering between manic and depressive periods is very difficult, not only for the patient, but for the attending staff as well. In my thesis I will give a thorough characterization of the disorder. Theoretical findings on the topic were acquired via carefully done research in National Library of Medicine and via databases PubMed, Medline, Embase and Medvik. Theoretical part of the thesis is also enhanced with testimonies of actual patients with bipolar disorder. Their stories were acquired via books, research papers and internet discussion forums. I will proceed to refer about specific features of nursing practice based on particular case study of 65 years old patient with bipolar disorder. Medical staff has to aid the patient both during the manic and depressive periods while being greatly attentive. It is necessary to carefully observe behavior of the patient, their verbal and nonverbal communication in order to prevent unsolicited...
The Awareness of South Bohemian Public about Cardiopulmonary Resuscitation
Mikšíčková, Věra ; Vrábelová, Petra (advisor) ; Maffei Svobodová, Ludmila (referee)
INTRODUCTION: One of the most frequent causes of sudden death in Europe is a sudden cardiac arrest. First above all providing urgent cardio-pulmonary resuscitation (CPR) is necessary for rescue of life. One of preconditions of successful resuscitation is its early start and knowledge of basic techniques. The level of knowledge of urgent resuscitation techniques, its proper performance, skillfulness and willingness of non-professional rescuers can decide about next life of people affected by sudden cardiac arrest. Every minute that the resuscitation is not performed a chance of survival of people affected with sudden cardiac arrest decreases by 10 - 12%. GOALS AND METHODOLOGY: The main research problem was an evaluation of the level of knowledge of techniques of cardio-pulmonary resuscitation with public in South Bohemia. The next goal was to map the interest of the public in South Bohemia in education in CPR. For working out of the empirical part the method of quantitative research was chosen in the form of a questionnaire which I made. The questionnaire contained 35 questions. The research sample was made of nonselected public in South Bohemia and the choice of informants was random. The collection of data was performed by direct questioning of passers-by in streets, shopping centres, in towns and...
Complex nursing care for patient after lung transplant at Anesthesiology resuscitation department.
Ivánková, Vendula ; Hocková, Jana (advisor) ; Maffei Svobodová, Ludmila (referee)
Lungs transplantation is a solution for the end stage of pulmonary disease after other therapeutic possibilities that the modern medicine has to offer have been exhausted. The main objective of this thesis is to show postoperative patient care after lung transplantation in the department anesthesiology and resuscitation. A highly specialized complex care and cooperation of various fields is needed. Nurses who take care of these patients must be experienced and skillful. They also need to manage well the nursing care for patients in sedation as well as fully conscious patents. It is also needed that the nurses are acquainted with specialized methods of hemodynamics measurements, administration of nitrous oxide and operation of extracorporeal membrane oxygenation machine. They need to know well the drugs that are being administered. The thesis summarizes anatomy and physiology of respiratory system, it deals with lung disease and their symptoms which most often lead to lung transplantation. Finally, the thesis describes the development of lung transplantation from its beginning to the present including the number of cases of lung transplantation per year. The last chapter of the theoretical part also shows indication, contraindication and the main principles of patient care that is given prior to and...
Paliative Nursing Care of the Patient with Creutzfeldt-Jakob disease
Kubíčková, Tereza ; Lukášová Jeřábková, Lenka (advisor) ; Maffei Svobodová, Ludmila (referee)
Creutzfeldt-Jakob disease (CJD) is very rare disease (estimated incidence is one case for one million people per year), which nature is uncontrollable reproduction of infectious prion protein in brain tissue. In some cases, the disease might have long incubation time but then very fast progression and in all cases, it ends with death. Nowadays we do not know curative treatment and the patient depends only on palliative treatment. The main goal of my Thesis is to describe a nursing care of a patient with this disease and to emphasize the importance of the palliative care. Partial goal is to describe disease progression (clinical condition of the patient) from the admission to the hospice until the end of her life (total of 27 days) and to increase knowledge about this disease among the medical staff. I also set a goal to find out specifics of care of patients with this disease. The Thesis is written as case report of a specific patient with Creutzfeldt-Jakob disease. The methodology for case report is detailed study of patient's medical documentation in the hospice and cooperation with nursing staff and doctors. Based on the case report I can state that palliative care does not differ a lot for varied diseases of patients, however for patients with CJD the specific is the preventive use of...
Knowledge of nurses working in intensive and resuscitation care units for comprehensive monitoring of the cardiovascular system
Petruš, Michal ; Hladká, Petra (advisor) ; Maffei Svobodová, Ludmila (referee)
The diploma thesis deals with non-invasive and invasive monitoring of the cardiovascular system, focusing on non-medical health workers. The aim of the work was to analyze the knowledge of non-medical health workers in selected areas of cardiovascular monitoring. The data was obtained in the form of a non- standardized questionnaire created by myself. For the research were selected non-medical health workers working in Prague hospitals in coronary units and postoperative cardiac surgery units. The total number of respondents who participated in the research was 108. The results of the survey revealed that non-medical staff are relatively well versed in the issue of cardiovascular monitoring. A rather surprising finding was that most respondents did not use foreign literature to study cardiovascular monitoring. As part of the comparison of the respondents, the better knowledge of cardiovascular monitoring was presented in non-medical staff of the Department of Postoperative Cardiac Surgery. Compared in relation to the highest educational attainment, university graduates have demonstrated a higher level of knowledge than others. Based on achieved data, it was created a study text for newcomers, which contains basic information for better orientation in the given issue. keywords: cardiovascular...
Intensive care unit delirium from nurses perspective
Křížová, Jana ; Hocková, Jana (advisor) ; Maffei Svobodová, Ludmila (referee)
Intensive care unit delirium from nurse's perspective Introduction: Delirium is a disturbance of consciousness, one of the most frequent organ dysfunctions in the ICU. Delirium occurs in 60 - 80% patients who receive mechanical ventilation and is independently associated with increased mortality and development of post-ICU neurocognitive deficit in adult ICU patients. It is recommended to monitor delirium routinely with validated screening tools (CAM-ICU or ICDSC). Experienced and well educated nurse, armed with appropriate diagnostic tools, can actively participate in prevention, diagnosis and therapy od delirium. Objective: This Master diploma thesis objective was to get to know current knowledge of nursing staff working in Czech ICUs about delirium and their clinical praxis. Method: Quantitative research was conducted with a questionnaire filled by nursing staff of ICUs for adult patients in two university and one regional hospital in Czech Republic from August to September 2017. Results: Altogether, 110 questionnaires from 130 have returned (84% return). The outcomes showed that 63% of nurses are sufficiently informed on ICU delirium, 66% would appreciate more education on the subject. All in all, 51% of nurses don't prevent delirium in their patients and 35% don't even know what are the...
Business plan for private home care agency
Maffei Svobodová, Ludmila ; Trpišovský, Milan (advisor) ; Lejsal, Matěj (referee)
This diploma thesis presents a segment of home health care, its current situation and future role in providing health and social care. The aim of the thesis is to develop a business plan for establishing a home care private agency without the contribution of State health insurance. A completely private home care agency will provide primarily nursing health care in the home environment of clients, with additional services complementing the initial offering in the future. The first part of the thesis captures the theoretical aspects of business management and strategy. This section introduces a strategic concept of management including strategic analysis and business plan structure, describing the aspects influencing the start of entrepreneurial activity in the area of provision of home care. The theoretical part also includes a historical overview of the establishment of home care services and its development. The practical part of the diploma thesis includes the research part and then the analytical part. Quantitative research was conducted using a questionnaire survey, where the information obtained from general practitioners and patients was subsequently processed and embedded in a complete strategic analysis, important for the future operations of the Agency. On the basis of the results...

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