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Evaluation of Quality of Life in Patients with Aquired Brain Injury from the Perspective of Occupational Therapy
Macková, Lenka ; Marková, Olga (advisor) ; Angerová, Yvona (referee)
OF DIPLOMA THESIS Author: Bc. Lenka Macková Supervisor: Mgr. Olga Marková Title: Evaluation of quality of life in patients with brain acquaired brain injury from the perspective of occupational therapy Abstract: Acquired brain injury is one of the most common causes of a reducing quality of life. The concept of quality of life is defined differently in different areas and there is no uniform definition. The theoretical part introduces the operationalization and conceptualization of concept of the quality of life and the use of evaluation of quality of life in occupational therapy in the Czech Republic and abroad. The aim of diploma thesis is to describe how acquired brain injury affects the quality of life, how to evaluate the quality of life in occupational therapy, and what quality of life areas are influenced after acquired brain injury and to evaluate subjectively the impact of occupational interventions on quality of life in these patients. The practical part contains 6 case studies of patients after acquired brain injury. Patients were assessed for quality of life through a WHODAS 2 subjective quality of life questionnaire and semi-structured interviews.This assessment was carried out before and after occupational intervention in patients after 2 months. The interviews and the results of the...
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Koordinovaná rehabilitace z pohledu pacienta po poškození mozku a členů multidisciplinárního týmu
MATĚJKOVÁ, Andrea
Abstract This diploma thesis aims to describe coordinated health rehabilitation of people after severe brain injury provided by multidisciplinary team within home environment. It comprises both theoretical and practical part. The theoretical part presents the history and development of coordinated rehabilitation services and the function of multidisciplinary team. Furthermore, it characterizes a brain injury in more details. The practical part was carried out by means of qualitative research strategy semi structured interview. The first part of the research was aimed at the interviews with clients after brain injury and cerebrovascular accident. The interviews started after three months from entering the project and were realized by social workers. Its main propose was to evaluate the care of multidisciplinary team. Clients were questioned about work, time, communication and co-operation of individual experts involved in the process of recovering. The second part of the research used a method called focus group, where 12 members of the team were involved. The goal of the research was to describe how the multidisciplinary team works from both the point of view of a patient after the brain injury and the members of the multidisciplinary team within the project GAJU. The GAJU project is entitled "Coordinated rehabilitation of patients with brain injury (reg. number GAJU 138/2016/S)". The selection of patients was based on the communicative skills criteria e.g. skills to participate in the directed conversation based on the FIM and WHODAS and the follow-up questions concerning social issues, physiotherapeutic and ergo therapeutic methods and techniques. To achieve the aim of the diploma thesis two research questions were defined: "How is the function of multidisciplinary team perceived by clients involved in GAJU project?" and "How is the function perceived by the members of multidisciplinary team involved in GAJU project who put the coordinated rehabilitation into practice?" It was found out that after the discharge from a hospital being with family members was the most important. Besides, multidisciplinary team who regularly commuted to clients helped them. The members of the team were physiotherapists, ergo therapists, social workers and doctors. In view of the fact that physiotherapist attended the client the most frequently, the function of this expert is perceived as crucial during recovery. No less important is ergo therapist who is useful concerning motor activity and presenting various tools and aids leading to improvement. Social worker is apprehended rather as a psychological or informative support. Positively valued is attending clients at home, interconnection of the team members and the progress of the client from all points of view. On the other hand the lack of working experience of some team members is pointed out. Additionally, some clients were not satisfied that the data were collected by means of questionnaires.
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Profile of Occupational Therapy of Clients with Acquired Brain Injuries in the non Profit Sector of Rehabilitation. Subtitle: Analysis of Factors Influencing the Results of Therapy
Hlavatá, Barbora ; Kotková, Karla (advisor) ; Krulová, Anna (referee)
BACHELOR THESIS ABSTRACT Name and surname: Barbora Hlavatá Supervisor: MUDr. Karla Kotková Opponent: Thesis title: Profile of Occupational Therapy of Clients with Acquired Brain Injuries in the non Profit Sector of Rehabilitation: Analysis of Factors Influencing the Results of Therapy Abstract: This bachelor thesis is divided into theoretical and practical parts. The theoretical part summarizes the knowledge regarding diseases belonging to the concept of acquired brain injuries and their clinical consequences. In addition, the system of rehabilitation of this target group and the status of non-governmental non-profit organizations in this system are described. The thesis provides an overview of the possibilities of occupational therapy intervention in the fourth and fifth phases of rehabilitation. The practical part of the thesis is a pilot study focusing on the following research question: "Which factors affect the success of occupational therapy in clients after brain injury?". The aim is to find factors that could influence the success of rehabilitation interventions in a particular organization. The examination of documents is the used method. Another aim of the practical part is to map out the situation of providing rehabilitation in non- profit organization in the Czech Republic. The female gender,...
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Coordinated rehabilitation and its implementation in organizations helping people after brain injury in České Budějovice
PRÁŠKOVÁ, Anna
This thesis concerns with the functioning of coordinated team co-operation in organizations which provide social services to persons after acquired brain injury. Due to the frequency of occurrence and its deadful impact, these injuries become one of the most serious diseases not only in the Czech Republic but in the world. A person who has suffered brain injury is struggling with a number of socio-economic changes. A precondition for achieving full social integration of this individual is to ensure timely care and cooperation of individual experts on the given case. Such cooperation among experts is often missing in interconnected organizations. This can cause slowdown of the process of integration of an individual back to their everyday life. Equally important is the cooperation with family members who have an irreplaceable influence on the rehabilitation. The thesis is divided into two parts - theoretical and research. The theoretical part focuses on the consequences of acquired brain injury as well as on the the possibilities of social security provided by the state. Also, much of the text concerns with the coordinated rehabilitation and multidisciplinary collaboration which has a significant impact on improving the quality of life of people after brain injury. The data collection was carried out with the help of the method of qualitative research strategy, the technique of semi-structured interview with social workers in organizations of the city of Ceske Budejovice who provide social services according to Act 108/2006 Coll., on social services, as amended. The research is aimed at finding out how the coordinated rehabilitation is implemented in social services working with persons after acquired brain injury and then to create a proposal to streamline the implementation of coordinated rehabilitation in these organizations. Following the objectives, two research questions were examined: Which experts are involved in coordinated rehabilitation in social services providing services to people after brain injury? How is the cooperation of the team working with people after brain injury implemented? The data was processed in Atlas.ti 7. The research was carried out within the successfully accepted project at the Faculty of Health and Social Sciences, called Coordinated rehabilitation of patients with brain injury (reg. No. GAJU 138/2016/S), funded by the Grant Agency of the University of South Bohemia. The research results show insufficient cooperation of experts in social services providing care to persons with acquired brain injury. In spite of an acute need of coordinated and multidisciplinary support to such persons, the organizations miss specific professionals or employ workers who carry out works of other professions without the necessary qualification. The time, organizational and financial demands of teamwork make it impossible to provide high-quality multidisciplinary care, which is an important precondition for reintegration of people with brain injury back into work and social life. Team multidisciplinary cooperation brings a lot of positives, on the other hand, it also encounters barriers, which need to be further discussed in order to come to suitable solutions that are not only in the interest of the client and his family, but also great for the whole multidisciplinary team.
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Occupational therapy for patients after the application botulinum toxin. Subtitle: Influencing of functional independence in adult patients after acquired brain injury
Sobelová, Veronika ; Rodová, Zuzana (advisor) ; Dědková, Miriama (referee)
This Master's thesis focuses on Occupational therapy for patients after application of botulinum toxin to upper limb. The aim of the thesis was to evaluate and compare a progress of functional independence in patients after acquired brain injury. There were twenty patients involved in the research, who were further divided into two groups and separated by ten people in each group. Both groups underwent the application of botulinum toxin whereas the experimental group A went through the occupational therapy. The control group had ordinary rehabilitation at home and without any occupational intervention for the duration of twelve week under guided self-rehabilitation contract of spastic paresis, so-called GSC. A programme of the group A included over the counter rehabilitation outpatient occupational therapy. The patients attended the course twice a week for the duration of four weeks. Afterwards, they received a home programme for the duration of eight weeks, during which they had two examinations at occupational therapy. All the participants were evaluated by Global Subjective Self-Assessment which is focused on spasticity. There were further evaluated according to Functional Independece Measure and modified Frenchay Arm Test. The experimental group with outpatient occupational therapy was...
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Speech therapy for people with acquired brain injury
Ondrejková, Monika ; Klenková, Jiřina (advisor) ; Kopečný, Petr (referee)
This thesis deals with speech therapy for people with acquired brain injury. The theoretical part consists of three chapters that acquaint readers with the theoretical framework necessary to understand the range of problems examined. It approximates the issue of origin and effects of this disease and refers to attitude in therapy that can be realized to people with this impairment. The research part of the work puts a goal to analyze the possibilities of speech therapy of selected persons with aphasia. The resulting data agree on the fact that for effective speech therapy is necessary on the one hand an individual approach but also motivation of patient is very important. The thesis also includes creating a custom set of exercises which has confirmed the effectivness of the development of cognitive functions in persons with aphasia. The empirical part is based on the qualitative research which was realized by techniques of participant observing, interviewing, questionnaire survey, analysing progress and outcomes of activities, documentation and literature.
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Verification of psychometric characteristics of the Multiple Errands Test method in patients with brain damage
Jarošová, Kateřina ; Krámská, Lenka (advisor) ; Höschlová, Eva (referee)
The thesis deals with the issue of executive functions in patients with acquired brain injury and possibilies of executive deficit detection in real life circumstances. The thesis is divided into theoretical and empirical part.The theoretical part consists of three chapters. In the first chapterthe definition, localization and different disorders of executive functions are mentioned. The second chapter presents some neuropsychological methods suitable for executive functions assessment and their limits. In the final chapter the Multiple Errands Test method and its various modifications are introduced. The main purpose of the empirical part was to evaluate the ability of the Multiple Errands Test method - hospital version (MET - HV) to detect deficits in executive functions related to daily life functioning. The research group consisted of patients with acquired brain injury (N = 20) and neurologically healthy adults (N = 20) hospitalized in the Rehabilitation Center Kladruby. The results proved the ability of the method MET - HV to distinguish well between patients with acquired brain damage and healthy adults. The second hypothesis concerning the ability of the method to distinguish between patients with frontal and nonfrontal injury wasn't confirmed. Another purpose of the empirical part was to...
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The therapy of emotional and behavioral problems after acquired brain injury
Piťhová, Zuzana ; Kulišťák, Petr (advisor) ; Hrachovinová, Tamara (referee)
The changes in emotivity and behavior are common after acquired brain injury, which complicates the readaptation of an individual to his environment. Compared to cognitive problems, these changes are not so greatly regarded because their complexity requires care in the context of its special neuropsychological treatment. The objective of the theoretical part of this thesis was to elucidate the issue of acquired brain injury and summarize current knowledge and experience in the field of therapeutic work with this specific group of people. The aim of the empirical part of this thesis was to design an appropriate educationally based preventive program that would focus on the experience of personality change after ABI. The goal of this program was to provide patients with information about the usual consequences of ABI and to provide a place to share the problems they experience. The effectiveness of this program was measured via the European Brain Injury Questionnaire (EBIQ) and the Zung Self-rating Depression Scale (ZSDS). The results were compared in the experimental group (N=30) before and after the completion of the program and in the control group (N=30). In the group that undertook the intervention, the EBIQ-P showed significant improvement in the subscale Physical. The ZSDS results showed...
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Stroke in childhood - the selected possibilities of physiotherapy as a part of a comprehensive treatment
Vitvarová, Anna ; Dvořáková, Marcela (advisor) ; Tetřevová, Lenka (referee)
Stroke and cerebrovascular disease are already amongst the top ten causes of death in childhood and are probably increasing in prevalence. This work summarizes available knowledge about development, etiology and prevalence of strokes in childhood, it deals with risk factors, describes disorders associated with ischaemic or haemorrhagic stroke, and focuses on clinical presentation and the differences in the presentation of stroke in adults. The work shortly describes the most common approaches of management in acute strokes. More than a half of the children have residual motor, cognitive or senzitive deficit, so this work is concerned with possibilities of therapeutic rehabilitation, especially with various methods of physiotherapy usable to treat this disease. The thesis is supplemented by three case reports, which show the variability of stroke causes and describe individual course of physiotherapy. The case reports include simple questionnaires about the quality of life.
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Quality of Life, Satisfaction with Life, Social Self-efficacy and People after Acquired Brain Injury.
Lišková, Kateřina ; Šivicová, Gabriela (advisor) ; Kebza, Vladimír (referee)
This thesis is focused on quality of life theme, satisfaction with life topic and social self- efficacy subject, with emphasizing of the acquired brain injury context and specific and unique brain injury consequences. Thesis is based on theoretical fundament of all mentioned concepts, but mainly there are actual quantitative data and results of quality of life, satisfaction with life and social self-efficacy and other-efficacy in the framework of acquired brain injury research sample in Czech Republic. Not only description of quality of different life parts subjective perception, but also search of possible relationships strength between quality of life and social efficacy has been probed. All of these has been used in application of lots of standardized and also new questionnaire and methods. Keywords: acquired brain injury, quality of life, satisfaction with life, social self-efficacy, social other- efficacy
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