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Etiology of traumas of the locomotive apparatus sufferd by seniors and requiring acute rescue solution
HAVLOVÁ, Marie
ETIOLOGY OF TRAUMAS OF THE LOCOMOTIVE APPARATUS SUFFERED BY SENIORS AND REQUIRING ACUTE RESCUE SOLUTION The paper is focused on the research pertaining to injuries of bones, joints and muscles suffered by the senior population. The subject of the research was the injuries occurred in the past five years that were attended to by the medical rescue service. The theoretical part is focused on description of pathophysiological changes of the skeletal and the muscle system that take place at old age, and defines the basic health risk factors and further effects that may lead to injuries. The objective of the empiric part was collection of the information on whose basis the occurrence and the origin of injuries of the locomotive apparatus suffered by seniors will be defined in relation to the actions of the medical rescue service with respect to sex, and description of the household environment conditions or some other effects (such as alcohol and medicines) on occurrence of injuries of the skeleton system, based on which it will be possible to define the measures and the procedures that may be used to reduce occurrence of these types of injuries. The research was performed in the district of České Budějovice on the surveyed set of 214 informants older than 60 years. The selected set was made out on the basis of quota random selection with respect to sex. The reason for selection of this topic was the increasing proportion of actions of the medical rescue service necessitated by injuries suffered at a higher age, and the growing number of hospitalized seniors.
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The falls and the injuries under supervision so prevention contra quality
MÁŠKOVÁ, Jana
The problem of in-patients{\crq} falls and injuries, with the view to prevention and care quality at hospitalization units of Nemocnice Písek, a.s., is the theme of my bachelor thesis. The theoretical part of the thesis is focused on the problem of falls in its entirety. It describes causes of falls, effects of falls as well as prevention possibilities against falls. Three targets of the thesis were set down. Firstly, to find out the frequency of falls in hospitalization units of Nemocnice Písek, a.s. Secondly, to find out risk factors connected with falls of in-patients at hospitalization units of Nemocnice Písek, a.s. Thirdly, to find out if nurses know the fall prevention precautionary mechanisms. Six hypotheses were set down in the practical part of the thesis. The first hypothesis is: ``There are more falls in the internal unit of Písek Hospital than in the surgical unit of Písek Hospital.{\crq}q The second hypothesis is: ``The most frequent risk factor causing falls and injuries in Písek Hospital is the quick patients{\crq} getting up.{\crq}q The third hypothesis stems from the following premise: ``Nurses know the clients related fall prevention precautionary mechanisms{\crq}q. The fourth hypothesis predicates: ``The risk of fall and injury of senior patients is higher than the risk of fall and injury of junior patients{\crq}q. The fifth hypothesis says: ``Nurses in Písek Hospital follow rules which are related to falls and injuries.{\crq}q The last hypothesis predicates: ``The care quality audit which is focused on falls and injuries is carried out in Písek Hospital{\crq}q. A quantitative method, in the form of a general nurses{\crq} anonymous questionnaire, was used within the first part of my research work. For monitoring the falls of patients, which is a quality indicator of Nemocnice Písek, a.s., the qualitative method of data analysis was used within the second part of my research work. The documentation belonging to Nemocnice Písek, a.s. was the basic data source. The research results were processed into 29 graphs and two charts. Technical literature is confronted in the Discussion section of the thesis and author{\crq}s opinions are pronounced there. Confirmed and unconfirmed hypothesises, thesis summary and author{\crq}s suggestions regarding the client{\crq}s fall risk and care quality improvement are pointed out in the Conclusion of the thesis.
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