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The Specifics of Nursing Care for Patients after Resection of the Tongue on Oral Suregery Department
Havlínová, Petra ; Sojková, Monika (advisor) ; Hocková, Jana (referee)
This thesis deal swith the specifics of nursing care for patiens with a resected tongue in the oral surgery department. The objectives of this work include focusing on the basics of care for patiens after a tongue resection and the most common problems nurses may encounter hen caring for these patients. The work consists of two parts: the theoretical and empirici parts. The theoretical part describes the field of dentistry and oral surgery, anatomy and physiology of the oral cavity. It also deals with orofacial surgery and the actual tongue resection procedure with a focus on nursing care for patiens after wards. In other chapters of the theoretical part we can read about the most common nursing problems in patiens after a tongue resection. In addition, the twelve patterns of health in Marjory Gordon's nursing model will be described for the empirical section. The empirical part is devoted to the research investigation. The thesis describes the metodology and organization of the research investigation. This was a qualitative research, the method of data collection was to create three case reports or case studies with follow discussion. Key words Carcinoma of the tongue, Tongue resection, Oral surgery, Dental care, Nursing care
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Motivating patients to change their lifestyle after hospitalization at intensive care unit for pancreatitis attack
Sukovičová, Markéta ; Srpová, Daniela (advisor) ; Hocková, Jana (referee)
MOTIVATING PATIENTS TO CHANGE THEIR LIFESTYLE AFTER HOSPITALIZATION AT INTENSIVE CARE UNIT FOR PANCREATITIS ATTACK Introduction: This diploma thesis focuses on the motivation of patiens to change their lifestyle choices and habits after they suffered an acute pancreatitis. The aim: The aim of this thesis was to analyse the barriers and motivators to change their lifestyle patiens after they suffer an acute pancreatitis. Methods: The research group of this qualitative study consisted of twenty probands (seven male and thirteen female) aged 45,15 - 12,41. The analysis of aspects motivating them to change their lifestyle after an acute pancreatitis was conducted right before they were released from intensive care in a faculty hospital in Prague into aftercare at their homes. The analysis was conducted trough semi-structured interviews. The interviews were recorded with the patient's permission in order to be transcribed and analyzed later on. Results: The main barriers to lifestyle change after pancreatitis attack are fear of the future, feeling guilty, seducing guilt on others, feeling sick, loneliness and separation, emotional interia towards love dones; feel overworked, constant rush, lack of time for yourself and for other family members, fear of reintegration into society; bad eating habits lack...
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Peripherally Inserted Central Catheter - a role of nurse
Rosypalová, Marta ; Michálek, Pavel (advisor) ; Hocková, Jana (referee)
This diploma thesis is related to peripherally inserted central venous catheters (PICC), the role of nursing staff in inserting and care of these systems. The aim of the work, which is partly based on PICC project organized by the Department of Anaesthesiology and Intensive Care Medicine, 1st Faculty of Medicine of the Charles University and General University Hospital in Prague, was to investigate the quality of life in patients with PICC after their insertion, to evaluate the incidence of complications (venous thrombosis, bacteraemia, sepsis, local infections, decubitus, disconnection of the system, mechanical complications, etc.) and compare the economic efficiency of PICC systems with other available methods. The aim of the second part of the thesis, which is unrelated to the previously mentioned project, was to reveal the awareness of nurses/paramedics on PICC catheter. This thesis has two traditional parts - theoretical and empirical. The theoretical part deals initially with the central venous catheter in general and then it describes main features of the PICC systems. The following part reviews indications, insertion techniques and potential complications associated with the PICC systems. The role of nursing staff in the insertion and maintenance of these systems is also highlighted. The...
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Nursing care of a patient with multiple trauma after receiving to the trauma center
Holanová, Tereza ; Hocková, Jana (advisor) ; Klokočková, Šárka (referee)
Multiple trauma is characterized by a simultaneous injury to multiple body systems, at least one from them directly affects by weakening injured patient or faillure of basic life functions - ventilation, bloodstream and consciousness. Accidents are, despite all prevention measures, one of the important cause of death. Multiple traumas are leading cause of death in the age group up to 45 years in the developed countries. The multiple trauma therapy is continues long and complete process which needs individual approach. The therapy starts at the place of accident and then during the transport and continue in the trauma center. The trauma center is able to provide complete therapy including treatment conditions, which require multidisciplinary coordinated cooperation. The diploma thesis deals with the issue of admission of patient with polytraumate into the traumatic center. The aim of the thesis is to approach the readers the multiple trauma, the possible causes of multiple trauma, which are the treatments of algorithms, how is the role and specification of trauma team during incoming of patient. Practical part of the thesis is about cause study of patient with the multiple trauma which complicated fat embolism. This part describes all processes from incoming patient with multiple trauma, including...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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Nurses and Administrative Workers Quality of Life
Cvachoučková, Barbora ; Mellanová, Alena (advisor) ; Hocková, Jana (referee)
The goal of this thesis is in picturing the problems of a life quality of nurses and administrative workers. The comparison is based on their education and work experience. The thesis shall reveal fundamental facts of hospitals suffering from shortage of nurses in connection with life quality and satisfaction in life achievements. The theoretical part is devoted to the term of life quality, research methods and life quality analysis. There is also necessary characterization for both of the professions. The research part is heading towards the goal of this thesis a survey based verification of the lied out hypothesis. It is covering public health sector and financial sector of the Czech Republic. The study revealed nurses suffering from higher levels of frustration in every single area of research when compared to the administrative workers.
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Nursing care of the patient with pulmonary embolism after the hormonal therapy
Tučková, Kateřina ; Hakenová, Renata (advisor) ; Hocková, Jana (referee)
This bachelor thesis is focused on nursing care of a patient with pulmonary embolism after a hormonal therapy. The theoretical part deals with the issue of pulmonary embolism from the point of view of etiopathogenesis, diagnosis, treatment, risk factors including hormonal therapy, where it the procoagulant effect of hormonal preparations and the increased risk of thromboembolic disease for young women is pointed out. The bachelor thesis was sourced from the National Medical Library through the PubMed database, Embase (Ovid), Medvik, CINHAL and the keyword search engine. For the practical part a qualitative research method in form of a case study was selected. The case for the study was a patient with pulmonary embolism after the hormonal preparation within the first cycle of assisted reproduction of the IVF. For the purpose of the case study the documentation, method of an interview, observation and cooperation with the care staff was used. Ethical aspects of research were respected during writing of this thesis. The objective of this bachelor thesis is to elaborate a case report including the creation of a nursing care plan for the patient in question and to increase the availability of information on possible risks of hormonal treatment to the general public. The contribution of this bachelor...
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Enteral nutrition in terms of intensive care - Experiences of nurses
Nejdlová, Tereza ; Hocková, Jana (advisor) ; Novák, František (referee)
My thesis is about enteral nutrition in intensive care with a focus on nurses. Enteral nutrition is a very hot topic not only in the field of intensive care, therefore my goal was to map the knowledge and experience of nurses in this important area of nursing. The final work consists of two parts. In the first part deals with the latest available knowledge in the field of enteral nutrition in intensive care in the country. This chapter contains individual subchapters consisting of definitions, indications, contraindications, distribution, technology and complications of enteral nutrition. In the second part I use research methods and statistical processing of data related to the enteral nutrition, and knowledge of nurses in this area. Prior research, I identified five hypotheses, which I after statistical processing of the questionnaires filled by the above- mentioned nurse intensive care or resuscitation, confirmed. The practical part is a discussion of the work and overall appreciation in the form of conclusions. I included the some topical pictures and diagrams to the appendix. Key words Enteral nutrition, nutrition, sipping, tube, intensive care, nurse, patient
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Application Basal Stimulation in Intensive Care Unit
Hornychová, Petra ; Hocková, Jana (advisor) ; Hošťálková, Monika (referee)
Precis This graduation theses discusses about application of the concept of Basal stimulation in the work of nurses in intensive care. A theoretical part explains the concept of basal stimulation, briefly outlining the history of this concept and describes the different elements. Elements' name are include somatic, vestibular, visual, olfactory, auditory, oral and tactile - haptic stimulation. The work also highlights the importace of biographical history of the client. Research part determines the level of knowledges about basal stimulation between nurses in the ICU (intensit care units) and its use in the ICU at University Hospital in Hradec Králové. Research method is a survey. The questionnaire established author. Keywords: basal stimulation, nest location, location mummy, biographical history, communication.
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Competency of nurses working in intensive care in The Czech republic and Gerat Britain
Baletková, Lenka ; Hocková, Jana (advisor) ; Jurásková, Dana (referee)
Summary: The diploma thesis compares competency of nurses working in intensive care in The Czech Republic and Great Britain. Theoretical part of the thesis gives compact look to regulation of nursing profession, education of nurses and nursing registration in both countries. In this part are highlighted main differences of the legislation which nursing competency is based on in each country. There is also mentioned the public opinion of the nursing as a profession and its prestige related to both countries. Practical part of the thesis focuses on the interpretation of analysis of the research regarding the above mentioned topic. For the research have been used the method of collecting data by structured questionnaires. There was a questionnaire for each country in its own language. The aim of the practical part is to compare divergence of knowledge, skills and competency of nurses working in intensive care in both countries. Alternatively to assess any reason for exceeding nursing competency and to find out the explanation for that Key Words: Competency, Nurse, Critical Care, Education, Qualification, Great Britain
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