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Satisfying needs of people living in the House with community care Service
KLACEK, Petr
The prime object of this work is to find out the level of satisfying seniors´needs in the House with community care service Vyšehrad in Český Krumlov. The work is engaged in supply of community care service and supply of services with a view to the interests of inhibitants of this institution. The theoretical part consists of common informatik regarding the old age and aging of a person. Other aspects on which this work is engaged in are needs of seniors in the period of senility, care about seniors and community care service itself. In link-up futher to the theoretical part the practical on eis engaged in exclusively to community care service in concrete institutionand to the ralationship between age and needines of help within the framethe human needs. On the base of the research it is possible to say, that if needs of a person are completing on high level as i tis in the case of the House with community care service Vyšehrad in Český Krumlov, retired people can spend joyful time in the House with community care service, too.
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Cooperation between a nurse working at a children{\crq}s ward and an anaesthetic nurse in care of a child patient in pre-operation, per-operation and post-operation periods
ŽÁKOVÁ, Lucie
I selected the topic of the diploma thesis ``Cooperation between a nurse working at a children{\crq}s ward and an anaesthetic nurse in care of a child patient in pre-operation, per-operation and post-operation periods{\crqq} because I am very interested in the work of nurses and in preparation of children and their parents in these periods. These entire periods and the associated activities are very demanding and burdening for all the involved parties. The cooperation and communication between the anaesthetic nurse and the children{\crq}s nurse is crucial for the child to cope with the period. The objective of the diploma thesis was to ascertain the opinions of anaesthetic and children{\crq}s nurses on their cooperation, and to find out whether the cooperation between anaesthetic and children{\crq}s nurses influences satisfaction of a child{\crq}s needs in the concerned periods. The theoretical part of the diploma thesis addresses paediatrics and segmentation of childhood, anaesthesiology and the specifics of childhood, children surgery and nursing care of children in three operation periods in general terms. The practical part is divided into a quantitative and a qualitative subpart. The quantitative subpart is focused on cooperation between anaesthetic nurses and nurses working at the children{\crq}s ward, and uses the data collected by means of a questionnaire, while the qualitative subpart ascertains whether the cooperation between nurses has an influence on the needs of children in the concerned periods, and uses the data obtained from observation of children and interviews of nurses. The summary of the results revealed that hypothesis 1 ``Anaesthetic nurses and nurses working at a children{\crq}s ward cooperate in the pre-operation period{\crqq} was confirmed. Hypothesis 2 ``Anaesthetic nurses and nurses working at a children{\crq}s ward cooperate in the post-operation period{\crqq} was confirmed. Hypothesis 3 ``Anaesthetic nurses are interested in improvement of cooperation with nurses working at a children{\crq}s ward{\crqq} was confirmed. Hypothesis 4 ``Nurses working at a children{\crq}s ward are interested in improvement of cooperation with anaesthetic nurses{\crqq} was confirmed. The qualitative subpart revealed that cooperation between nurses influenced satisfaction of a child{\crq}s needs in the concerned periods. The findings of this diploma thesis may be used by children{\crq}s and anaesthetic nurses or by other persons interested in this issue for the sake of better preparation of a child for the operation period, better satisfaction of a child{\crq}s needs in the concerned period, and provision of more comprehensive care in the period in general.
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The issue of providing nursing care to patients in a net bed
PRCHALOVÁ, Jitka
While providing nursing care, in exceptional cases it is necessary to use restrictive measures to calm down a patient by applying physical restraints. However, since these are methods that seriously interfere with the patient´s personal liberty, it is necessary to observe certain principles in such a way that the methods minimize the risk of various complications, which may be both mental and physical, but also legal. Therefore, the indication for the use of these measures is especially the patient´s behavior that involves significant imminent danger or harm to the patient and others. The aim of our study was to determine what is the most frequent indication for putting the patient to a net bed enclosure in traumatological and psychiatric wards, to find out whether nurses have at their disposal the standards developed in relation to restraints, to find out what nurses regard as advantages and disadvantages in placing patients into net bed enclosures, to identify how nurses see the public´s attitude to the issue of the use of bed net enclosures and to determine the public opinion on the use of net bed enclosures. It can be seen from the results that over several years the approach to this issue of both the public and the medical management has changed and there is a readiness to use physical restraints or net bed enclosures properly and in accordance with human rights and human dignity. This thesis may be used as a theoretical basis for training students of non-medical disciplines or in training nurses on the issue related to the restraints. Furthermore, it could be used as a guide for the public to get the notion how the restraints and net bed enclosures are being used, how much attention is being paid to human dignity and personal liberty. This thesis also provides an overview of how the issue has evolved over time and what level it has reached at present. The issue of net bed enclosures and restraints in general is very "sensitive". Over the past ten years this issue has undergone many changes, has aroused indignation, but also understanding. Forms of restraints will certainly be the subject of a lot of negative or positive discussions in the future. It is important that nurses consider the patients, in which restraints have been applied, as their partners, that they meet all their needs and do their best to provide comfort taking into consideration their individualities.
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Deficit of nurse - educator in nursing profession or patients after amputation of lower limb.
BLAFKOVÁ, Šárka
My thesis deals with the deficit of educating nurses who serve post-amputation patients in nursing practice. Five goals were defined in the thesis. Some of them deal with post-amputation care of the patient and others with post-amputation education of the patient in nursing practice. Goal 1: To map nursing care of the amputation stump from a nurse's perspective. Goal 2: To find out whether nurses educate the patient after leg amputation according to the education plan. Goal 3: To find out whether obstacles exist preventing nurses from educating the patient after leg amputation. Goal 4: To find out the most common post-amputation problems according to patients. Goal 5: To find out how patients view the post-amputation education. All goals were met. Hypotheses and research questions were also defined. Three hypotheses were defined. Hypothesis 1: When caring for the patient after leg amputation, nurses adhere to the rules for amputation stump nursing - Confirmed. Hypothesis 2: When educating the patient after leg amputation, nurses utilize the education plan {--} Confirmed. Hypothesis 3: When educating the patient after leg amputation, the most common obstacle stated by nurses is a time deficit {--} Not confirmed. Three research questions were defined as well. Research question 1: What are the common post-amputation problems according to patients? Answer 1: The most common problems according to patients are movement and learning to walk. Research question 2: When do post-amputation patients require the assistance of nurses? Answer 2: Post-amputation patients require nurse assistance during physical activities, mainly during movement. Research question 3: Do patients view the post-amputation education as a benefit? Answer 3: Patients view the post-amputation education as a benefit. The benefit consists in being taught certain activities or having them explained. The result of this thesis is an education plan specifically tailored for patients after a leg amputation. It describes the individual educational steps for post-amputation patients.
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Holistic approach in nephrology out-patient care
NOVOTNÁ, Anna
This Bachelor´s work deals with the holistic approach to clients of nefrological departments.It would confront the approach of nurses with patients´ expectations. Nefrological patients are people of any age with acute or chronic renal dysfunction which needs special care of medical staff. A nefrological care is a process of planning, evaluating and special care and treatment of nefrological patients. People are cultural and spiritual beings who acquire a mind-body-spirit healing care. A holistic approach helps us get more information of clients and with it meet their mind-bodyspirit needs. The aim of this survey has been to gain information about the care and medical staff approach to patients in nefrological departments, if nurses can see mind-bodyspirit aspects in their patients. The hypotheses and research questions were set like this: Clients are not given a holistic care. The attention is not paid to mind-body-spirit needs of clients. Can nurses see clients of nefrological departments holisticly? The hypotheses assumed at the beginning were not proved. The patients of the nefrological department where I did the survey are treated holisticly and a special attention is paid to meeting mind-body-spirit requirements of the clients. The nurses of these departments can see their patients holisticly. The results of this work are really valuable and beneficial because nefrological departments are basic and important parts in the complex preparation of patients to further therapeutic methods.
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Basal stimulation of children
TLAMSOVÁ, Alena
ABSTRACT Basal stimulation of children Basal stimulation concept is an inherent part of life of people with physical or mental disability. It is a contribution for patients who experience any perception problems but also within a care for premature infants. The basal stimulation concept has currently been in the period of implementation and putting into practice. Various medical and social facilities have currently been operating with this concept in the Czech Republic. Through a qualitative investigation using a non-standard interview we tried to find out, whether the basal stimulation has any contribution for child{\crq}s development. There were chosen two objectives: O1: To find out the contribution of basal stimulation for child{\crq}s development from the view of general and children{\crq}s nurses. O2: To find out the contribution of basal stimulation for child{\crq}s development in the view of a family. The objectives were fulfilled. During the investigation we addressed eight general and children{\crq}s nurses. Three nurses have been working at the neonatal and children{\crq}s department of Nemocnice Písek, Joint Stock Company. Other two nurses have been working at the neonatal department of Nemocnice České Budějovice, Joint Stock Company. The remaining three nurses have been working in Světluška, the public beneficial organisation and the children{\crq}s social welfare institution in České Budějovice. Other research sample were parents of four children experiencing basal stimulation. It ensued from the result analysis that general and children{\crq}s nurses think that basal stimulation has a contribution for child{\crq}s development and can see changes of perception and behaviour after involving basal stimulation in care. It further ensued from the results that also parents think that basal stimulation has a contribution for child{\crq}s development and can also see changes of perception and behaviour after basal stimulation has been involved within care.
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Basal stimulation and kinaesthetics and their integration into the the care of seniors with specific problems
POLICHRONOVOVÁ, Lenka
Summary In my bachelor's thesis I focus on an integration of a stimulatory care into daily activities of seniors with heavy motoric, cognitive or perceptional changes by the means of the concept Basal stimulation and by the means of the concept Kinaesthetic mobilisation. In a theoretical part I describe an old age with manifestations of involution, I marginally mention a neurorehabilitation, nursing in order to point out a penetration of rehabilitation into the care which is directed to therapeutic aim in a nursing way. Subsequently I deal with both concepts, with individual stimulations and with kinaesthetic principles of mobilization. In a practical part there was a qualitative research applied. A data sampling was implemented by the way of a secondary analysis of documents and by a method of observation. An observation was implemented both as involved and neutral one. There was an instrumental method of casuistics applied to describe an integration of concepts into the care. The diversity of sample was the main criterion at choice. There were 4 males and 2 females in the age range 53{--}95 years old in a set. The objective of work no. 1 was to create an integrated image of the possibilities of integration and of utilization of elements from a concept of basal stimulation and kinaesthetic mobilisation in the care of seniors with specific problems. The objective no. 2 was to support a theory that an interconnection of a concept of basal stimulation and kinaesthetics leads to the development of perceptiveness and to improvement of skills and capabilities. The objective no. 3 presupposes that concepts of basal stimulation and kinaesthetics contribute to a support of overall perception and to improvement of the quality of life of seniors with a somatic, sensoric and mental affection. The objective no. 4 was to find out whether the concepts are a suitable communicational and educational form in a fundamental nursing care in order to achieve a higher level of self-service and mobility. All the objectives were achieved in my opinion. An importance of rehabilitation and psychosocial educational care even in old age ensued from an elaboration of a theoretical part. By the way of evaluation of a practical part I came to my personal opinion that a stimulation care has a positive effect even in a developmental stage of an old age. The thesis could become a source of information at introduction of concepts into practice; it could be conducive for family members when taking care of their close relatives or eventually as a basis for the purposes of study of these problems.
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Comprehensive care of person with Alzheimer's disease
ŘEHOŘOVÁ, Andrea
The thesis deals with the comprehensive care for a person with Alzheimer`s disease. As the population gets old, also the number of people with Alzheimer{\crq}s disease has been growing. Pursuant the survey, approx. 5 % population in the age of 65 years suffers from the middle up to high degree of dementia; thereof the Alzheimer{\crq}s disease represents 50{--}60 %. Its frequency roughly doubles every five years. Alzheimer{\crq}s disease is approximately the fourth most frequent cause of all the death cases. The main goals is to find out the extent of knowledge of lay public about Alzheimer{\crq}s disease in the South Bohemian region. Hereby we mean the information about the care, possibilities of healing, symptoms and prevention of Alzheimer{\crq}s disease. In connection with these goals the H1 hypothesis was postulated: The lay public was informed of Alzheimer{\crq}s disease. For achieving the given goal, the method of questioning, the technology of the questionnaire was used. 280 questionnaires were distributed among the persons older than 18 years and they were returned in 86 %. In total, 241 questionnaires were filled in, thereof 230 were filled in correctly and also evaluated. As the most important questions for confirming or not confirming the hypothesis the author determined questions concerning the knowledge of the AD treatment, AD symptoms, knowledge of facilities, consulting centre as well as other activities for the people with AD, occurrence of AD and forms of treatment. It followed from the results that H1 hypothesis was not confirmed. Two partial targets were postulated for the given issue for the completeness sake. The first partial target was to describe the medically social issue of Alzheimer{\crq}s disease including its impact on all the spheres of the life of man: i.e. biological, psychological as well as social spheres. The second partial goal concerned the survey of services for persons with Alzheimer{\crq}s disease and their families in the South Bohemian Region. This thesis may be utilized in future as source of information about Alzheimer{\crq}s disease for the students of Faculty of Health and Social Studies in České Budějovice and for persons from the lay public who would like to learn more of Alzheimer{\crq}s disease.
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