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Dealing of palliative care in home environment from perspective of patients and family members
BRODCOVÁ, Petra
Bachelor thesis is dealing with topic of home palliative care. The aim of the thesis is to find out how the patients and their accompanying family members are coping with providing care in the home environment. Because majority of incurable ill persons are willing to die at home with their close family members then the topic of palliative care is becoming a hot discussed topic. In general, there is being settled new centres where the patients in terminal stage of life can receive palliative care. In contrary to Czech Republic in foreign countries are the hospice services and palliative care more spread and anchored in the medical system. Nevertheless, there is aim of our Czech doctors, palliative care associations and many other organizations to contribute and set up the conditions for palliative care development. The care which should be available for all sick persons and which should offer the good quality and dignified dying to all patients. In the Bachelor thesis were set up three research questions with the focus to answer the aim of the thesis. The first research question is dealing to describe the scope of barriers which are common in the home palliative care. The second research question consists of the analysis of the needs of ill person and their accompanying family members. The third research question is targeting to describe the process of home palliative care. The research was done by method of qualified survey with the help of semi-structured interview and method of observation. The research itself was performed among eleven persons. There were five nurses employed in the home palliative care. Further on there were three patients in terminal stage of life and their three accompanying family members. The answers from interviewees were processed with the method of "pencil-paper. "The method of observation was used at the sick interviewees in the terminal stage of life where was detected what are the relations in the family, what is the patient's status and which household conditions can allow the home palliative care. Those results were continuously recorded into the Observation sheet. Based on the obtained results it is possible to mention that home palliative care can be provided in the stable and cooperating family who lives in the flat or house suitable for providing all necessary supporting equipment to the ill person and which lives in the accessible distance for the employees of home palliative care. During the interviews with the ill persons in the terminal stage of life and their accompanying person were not detected any barriers which would not allow to provide palliative care in the home environment. From the point of view of nurses are the major barriers not cooperating families, difficult communication with families and the lack of physical strength on the side of accompanying persons. Holistic view on the ill and the accompanying person allow to nurses satisfy respondent needs in all aspects, that means they care about biological-psychological-social and spiritual areas. By the listed respondents' nurses provide mainly psychological support, in the biological area they cure about the pain of ill persons. Considering the results from research survey the home palliative care has enormous success and the increasing palliative care is becoming a standard in the treatment about the patient. The results from Bachelor thesis can serve in the future in the education of next nurses.
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Functional parameters of biocorridors built in fragmented cultural landscapes due to facilitation of the organism's mobility
Vaškovský, Adam ; Kovář, Pavel (advisor) ; Vojta, Jaroslav (referee)
Human caused landscape fragmentation, accompanied by loss of habitat connectivity, is currently a significant global threat to biodiversity conservation. One possible way to address this problem is to identify, establish and maintain wildlife corridors that connect isolated habitat patches to allow the movement and spread of organisms through the environment. This study based on literature review addresses the identification of relevant factors supporting functionality of wildlife corridors in various scale levels for different species or groups of organisms. Key words: biocorridor, ecoduct, barrier, landscape fragmentation, connectivity, dispersal of organisms, mobility, corridor functionality, landscape ecology
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Bird mortality at transparent barriers
Houdová, Monika ; Reif, Jiří (advisor) ; Koleček, Jaroslav (referee)
Bird mortality at transparent barriers (noise barriers or common house windows) is undoubtedly very important environmental issue, because of the rapid development of human society and even more rapid growth of very dangerous places for birds. At this time there is no review article yet, that would synthesize each sub-study on the extent to which individuals can die on those obstacles, which factors are critical for the ability of obstacle avoiding, how much collision threaten the vitality of bird populations and if we can prevent such unintended damage. This bachelor thesis handle with these questions as a literary review. From the available information we can suggests that the most important factor is migration behavior of birds, individuals migrating through the night are much more at risk than those migrating during the day, mostly because of light pollution, which can confuse them. The most dangerous time of year in this direction is clearly autumn, and that also relates with migration. Population losses caused by collision to the transparent barriers can be up to 20 % of the total population per year. Thesis in addition to a summary of available information on the issue proposes and evaluates possible preventive aplications, which may further serve to effective conservation for birds among...
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Development of methods for analysys road safety barriers in terms of dynamic effects
Koudelka, Ivan ; Krejsa,, Martin (referee) ; prof. Ing. Alois Materna, CSc., MBA (referee) ; Salajka, Vlastislav (advisor)
The presented work analyses the methodology and approach of the legislation. It presents in the press presented results of numerical modelling of the impact of vehicles crashed into barriers that are being solved in the Czech Republic and worldwide. It presents a recommendation of a methodology for assessing crash barriers. The methodology follows the basic principles used in the TP 101 and EN 1991-1-1. The kinetic energy of the vehicle at the moment of impact is replaced with substitute static force, whose effects are comparable with those of a vehicle collision. The supporting structure of crash barriers is implemented in compliance with means of statics. The calculation includes the vehicle deformation, which represents the real distribution of the energy absorbed by the deformation of the vehicle and the energy that crash barriers need to absorb. The proposed methods allow to take into account non-linear behaviour of the structure both in terms of geometry and in terms of material nonlinearity. The work also deals with the interpretation of various types of support structures in the computational model. A specific case is used for a demonstration of a way of modelling the elastic supporting column of crash barriers in the soil, or modelling the friction of a loose concrete block over the surface. To ensure the proper position of interconnected loose blocks corresponding to the reality, a method of modelling the place of a possible contact of the breakthrough is drafted. A significant contribution to the more accurate calculation is achieved by sequential increase of the load on the construction by using load increment and measurement of energy increases absorbed by the deformation in each step. The presented methodology is an effective tool to assess crash barriers. For the application of this tool, using common resources and facilities available to almost every designer dealing with statics of structures is sufficient. In conclusion, the knowledge obtained fr
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High Security Turnstile
Láznička, Petr ; Jonák, Martin (referee) ; Pokorný, Přemysl (advisor)
The aim of this bachelor thesis is to propose design solutions both ways-through the turnstile with a high degree of security, in collaboration with the company named Cominfo a.s. Bachelor thesis will be focused on design solution of the turnstile. It should also perform strength check of pin-brake and check the electric motor if is powerful enough. The examination of the pin-brake will be supported by engineering calculations..
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Access to Railway Platform for Wheelchair User
Šafář, Zdeněk ; Tomandl, Vladimír (referee) ; Svoboda, Richard (advisor)
The bachelor’s thesis focuses on wheelchair accessible survey at railway stations. It has been chosen a few different kind of stations which are marked as physically disabled accessible. Railway stations have been thoroughly visited, gauged and explored. The main intention was to solve these problems as an activity chain performed by people at railway stations. It means everything from passengers arrival, do all steps in a station building, to passengers access to platforms and after that getting on the train. Due to large extent of wheelchair accessible, this thesis has only focused on wheelchair users.
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