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Urinary incontinence in the elderly over 75 years of age and core stability system
ŠERHÁKOVÁ, Petra
The topic of my bachelor thesis focuses on influencing the urinary incontinence mainly of the immobile individuals over the age of 75. The main objective of this thesis is to map the influence of physiotherapy on seniors with incontinence problems through individual exercises aimed at strengthening the core stability system and the pelvic floor. Partial objective of this work is education of the patients about the preventive measures concerning this problem. To improve the quality of physical condition of the selected individuals, regular physical exercise sessions to practice specifically selected exercises were implemented. These exercises were focused on activation of the core stability system, particularly of the pelvic floor muscles. The theoretical part of this work focuses on the problems related to ageing and old age, this part includes description of the changes that occur in this particular phase of life. In addition, the theoretical part of the thesis includes a basic summary of the knowledge concerning the urinary incontinence and basic description of the anatomy and physiology of the lower urinary tract and the pelvic floor. The last chapter of the theoretical part contains introduction of the core stability system, a short description of its anatomy, function and diagnostics. The practical part of this work was made based upon a qualitative research. Three probands between the ages of 75 and 91, of a rather immobile condition, living in an old people's home and suffering from various levels of urinary incontinence were examined. The patients' medical history was examined, the patients filled out a questionnaire evaluating their quality of life. Kinesiological analysis was carried out before and after the physiotherapy. The data gathered and the research results were processed in the form of casuistries. Based on the patients´ examination, an individual remedial plan composed of specifically selected exercises was created for each patient . The therapy consisted of two or three approximately 30 minutes long exercises per week and lasted for 12 weeks, every proband underwent 30 therapies in total. This study can be considered as beneficial because positive effects of the therapy on all the probands were observable. Not only was there an improvement of the problems related with urinary incontinence, but there was also observable decrease in the pain of the musculoskeletal system and increase of the overall physical condition. This bachelor thesis can be used for physiotherapeutical purposes not only for patients over the age of 75, but for all patients suffering from incontinence. This work can be also used as a complex study material in this area for students of physiotherapy, practical physiotherapists, patients suffering from incontinence as well as their family members.
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Nursing care for long-term bedridden patients with urinary incontinence.
KUBÍKOVÁ, Nikola
Bachelor thesis titled ,,Nursing care for long-term bedridden patients with urinary incontinence" deals with the nursing care of clients with urinary incontinence has long restrained on a bed on the aftercare department. Urinary incontinence is a condition of involuntary leakage of urine, which is a major health and social problem (Kalvach and team, 2004). According to the International Continence Society (ICS) urinary incontinence is classified into extraurethal and urethral. Extraurethal incontinence can be divided into innate and fistulas. The congenital disorder contains atrophy and ectopic urethra. We can divide fistulas into uretral, vesicular and ureteral fistulas. Urethral incontinence are further divided into stress, reflex, urgent and paradoxical ischurii (Locksmith and Macek, 2012). From a nursing perspective is urinary inkontinence divided into nursing diagnoses : Functional incontinence 00020, then Urinary incontinence with overflow 00176, Reflex incontinence 00018, Stress urinary inkontinence 00017, Urge urinary incontinence 00019, Impaired excretion of urine 00016, Urinary retention 00023, Risk of urge urinary incontinence 00022, Efforts to improve the excretion of urine 00166 (Herdman, 2013). The theoretical part of the thesis is talking about the definition of the concept of urinary incontinence and its further division. Also is solving the role of nurses in the diagnosis of myocardial infarction, therapy, nursing process for clients with urinary inkontinence and classification of urinary incontinence by nursing diagnoses with nursing interventions. The practical part of my thesis contains the results of qualitative research, which were obtained by interviews, in-depth interview technique, then content analysis of nursing documentation and comparison of two standards of nursing care of selected hospitals of the Sought Bohemia. The practical outcome of the thesis will be finished client's care plan which is dealing patient long-term bedridden with urinary incontinence.
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Inform women about treatment options incontinence
VAVRICOVÁ, Martina
Women in particular suffer from urinary incontinence. This disease affects very often their bio-psycho-social needs which are not met adequately. At the same time, it is reflected in all spheres of women's life and women have to limit their needs relating to the personal, social and work life and that because of incontinence. This thesis was focused on the awareness of women about possibilities of treatment for urinary incontinence. In the theoretical part, there is described anatomy of urinary system, possibilities of treatment for urinal incontinence and nursing care provided by a midwife and that of a woman suffering from urinal incontinence. The research data for processing of the practical part of the thesis were obtained through quantitative research. The data were collected by means of questionnaires. The questionnaires was intended for women of every age in the disrict of Český Krumlov. Three aims were chosen for the research in the practical part. The first aim was to find out the awareness of women about possibilities of a surgery of incontinence. The second aim was focused on the awareness of women about possibilities of a conservative treatment for incontinence. The third aim was to find out whitch treatment women should prefer in the case of stress incontinence. Three hypotheses were determined on the basis of these aims. Hypothesis 1 ?Women have information about the surgical treatmet for stress incontinence? was not confirmed. Hypothesis 2 ?Women do not have information about the conservative treatment for incontinence?. This hypothesis was confirmed. The aim 2 was fulfilled. Hypothesis 3 ?Women prefer the surgical treatment in the case of stress incontinence? was not confirmed. The results show that the awareness of women should be increased and that about qualification and competens of the midwife who could help them with their problem. An information booklet could serve for these purposes and women could find there this kind if information and also the information relating to the treatment for incontinence.
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