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The role of nurse in the care of child patient with hemangiom.
ŠESTÁKOVÁ, Růžena
One of the most important areas of society-wide tasks influencing the health of the whole population is child care. It includes care of children with a hemangioma. Hemangiomas are the most common benign (not malignant) vascular tumours of a child age. This benign tumour may be present as early as at birth or appear in the first weeks of life. It is usually located on or under the skin surface but may also affect internal organs. Although a hemangioma may affect any body part, it is mostly located on the head and neck. A hemangioma is diagnosed in a tenth of new-born children. Hemangiomas typically appear at neonatal age or infancy. The objectives of the diploma thesis "Nurse's Roles in Care of a Child Patient with a Hemangioma" are to examine the roles of nurses in care of a child patient with a hemangioma, as seen by parents (mothers) of the children, and to identify which of the roles is the most important for the parents (mothers). It has also been ascertained whether nurses deal with any problems while providing this care and whether occurrence of a hemangioma in a child has any influence on the child's family. It has also been ascertained whether any complications are encountered in the treatment of children with a hemangioma. A qualitative research was used for data processing. Several methods of data collection were used. The researcher used a case history according to the model of Virginia Henderson, semi-structured interview with mothers of patients, data content analysis and secret participant observation during outpatient checks. The last method used was a survey aimed at nurses who took care of children with a hemangioma, asking them whether they dealt with any problems and complications in such children. The first research set consisted of ten child patients who were selected on purpose on the basis of pre-set criteria. The first criterion was presence of a hemangioma; five patients were hospitalised with a hemangioma and underwent a treatment with propranolol, while the other five patients with a hemangioma underwent only a conservative treatment. Last but the most important criterion was that mothers of patients with a hemangioma granted their consent to the research. These mothers formed the second research set and underwent a semi-structured interview focused on their personal experience with a hemangioma and on the work of nurses as seen by mothers. The last research set consisted of ten nurses who were also selected on purpose on the basis of a very important criterion, which was care of child patients with a hemangioma. This thesis may be of a benefit not only for professionals who are in contact with children with a hemangioma but may also serve to deepen general knowledge of other healthcare professionals who may encounter this disease either in their professional or private life. Based on the information acquired for the diploma thesis, was prepared for nurses and will be presented at professional workshops.
Nursing care by children with arthroscopy of the knee joint.
ŠESTÁKOVÁ, Růžena
With the increasing sports and physical activity pursued by young people, the spectrum of the knee joint injuries is extending. At the present time, arthroscopy represents one of the basic diagnostic and therapeutic methods in the case of the knee joint injuries. Owing to this method, the attending physician can examine the joint directly using the endoscopic instrument and they can possibly execute surgical treatment thereof as well. Thanks to development, this method can be applied in children's patients with ever increasing frequency. The joint subject to most frequent arthroscopy treatment is definitely the knee joint. The treatment is executed in the operating theatre, most often under anaesthesia and it is careful, quick and accurate. Nevertheless, the children's patient must be hospitalized, which means, in addition to the planned treatment, considerable mental stress not only for the child but for the whole family as well. The way how the child and the parents will cope with the situation depends to a great extent on the nursing personnel. Therefore it is necessary to pay increased attention to the nursing care. The theoretical part of the bachelor's thesis describes the anatomy of the knee joint, possible damage thereto and this theory is followed by the nursing care prior to and after arthroscopy, rehabilitation nursing care, satisfaction of needs, information provided to the children prior to leaving hospital. The application part of the thesis focuses on the children's patients who were hospitalized in the Dětská klinika Nemocnice České Budějovice a.s. (Children's Clinic of the Hospital of České Budějovice) and underwent arthroscopy of knee joint. The following part deals with the nurses working with these children. The thesis is based on a qualitative research and the acquired information was summarized in case reports and interviews. Three research questions were determined for the research part. The purpose of the bachelor's thesis is to discover the specifics concerning nursing care for children undergoing the knee joint arthroscopy. The discovered specifics, such as care for Redon drain, use of French crutches or motor splint, education of the children and their parents can help the nurse become aware of these specifics, not perform them automatically and achieve a higher quality of the nursing care provision. Identification thereof may help perform the right determination of nursing diagnoses, goals and interventions in the nursing process in the patient prior to and after arthroscopy of knee joint. Another goal of the thesis was to determine what negative factors are perceived by the children most frequently. The fact that we have discovered the specifics of the care and that we accentuate them may mitigate the negative factors perceived by the children as well. Among them there are fear, redressing relating to the Redon drain removal, pain. The acquired results of the bachelor's thesis were processed to have the form of a standard nursing plan, which should contribute to achieving a higher quality of the nursing care for children undergoing arthroscopy of knee joint.

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1 ŠESTÁKOVÁ, Radka
4 Šestáková, Romana
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