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Care for chronic wounds from the perspective of nurses in home care agencies in the Czech republic
NACHTNEBLOVÁ, Tereza
This bachelors? thesis is investigating problems with treatment of chronic wounds from perspective of nurses in home care agencies. First half of this theory is dedicated to wounds. Here you can find categories of wounds. This work is mainly dedicated to the investigation of chronic wounds, the exact division of most common chronic wounds and their stage placement in accordance with classification. Very important is also prevention of development of these chronic wounds. Here the most important intervention is the observation of high-risk factors. Furthermore, we described the different stages of the healing of the wound, their differentiation and progression. During treatment it is necessary to document the progress of the wound. A whole chapter is dedicated to this, so we can clearly understand what knowledge about the wound is important and which way to correctly document the wound. Continuity of healing of the wound determines the course of treatment in accordance with the colour of the base of the wound. The course of healing should go from black colour to pink, indicating a positive course of treatment. The factors influencing the treatment are separated into two categories ? internal and external. The main component of this chapter is about the treatment of chronic wounds and contemporary dressing techniques. The second part of this theory is dedicated to the characteristics of home care agencies. It is interesting to note the history of home care and the circumstance in which the idea of caring for the patient in their home environment begun. At present, a multidisciplinary team plays major role in the home care of a client. The home care provides all aspects of the care for the client and also meets all the requirements of the attending physician. This bachelor?s thesis has two goals: goal no. 1 ? to map the education of the nurses in home care in the area of healing of the wounds. Goal no.2 ? to find the most common methods of treatment of chronic wounds for home care agencies. To reach the goal, quality research was chosen with the help of informative interviews. The first subjects of research were nurses working in regional charity Ceske Budejovice and APD Alice in Ceske Budejovice. The second research subjects were nurses in Regional charity in Znojmo. There were 8 interviews in total conducted with the nurses in home care agencies. Research question one investigates which courses home care agency nurses attend. Based on the research that was carried out I found that nurses attend courses of their choice on average three times a year. Every year they attend a course dedicated to chronic wounds treatment and they know where to seek those courses from. I also discovered the important fact that all employers found those programmes. The research question two investigates which methods of treatment are most commonly used in chronic wound treatment. On the bases of the investigation I found that the nurses prefer the use of contemporary materials, which brings great deal of benefits not only for the client but also for the nursing staff. The most commonly mentioned advantages are ? less frequent change of dressings, faster healing of the wounds, gentler change of the dressing and most importantly satisfied patient. Furthermore, I discovered a problem in using contemporary moist dressing materials. The nurses often found that the attending physician does not agree with this course of treatment and refuses to prescribe these materials. That is why most patients have to fund these themselves. Overall the nurses agreed that the treatment of chronic wounds with contemporary dressings brings the client benefits. The given goals of this bachelor?s thesis were accomplished. The nurses in home care agencies are regularly educating in the area of treatment of the wounds. The most common method in treating chronic wounds in home care agencies is moist bandage method.
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