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Prevention of immobilization syndrome in patients with extension.
POSPÍŠILOVÁ, Eva
Abstract More and more up-to date equipment in the health-care sector makes the treatment of fractures possible, especially by means of surgery. However, not every patient is indicated for surgery. Even today, we can see a patient with the extension at the standard and intensit care units. Therefore, nurses must know how to take care of this patient and how to prevent the risk of immobilization syndrome in patient with extension that may cause many serious complications. The aims of this study were to identify the negative factors affecting a development of the immobilization syndrome in a patient with the extension, to compare the differences in the use of immobilization devices to prevent the immobilization syndrome in a patient with the extension at the standard and intensive care unit and to determine whether patients with extension are familiar with possibility of the immobilization syndrome. Four hypotheses have been defined. In the first hypothesis we assumed that inconveniently selected positioning affected the emergence of the immobilization syndrome. This hypothesis was confirmed. Inconveniently selected positioning is most often involved in the immobilization syndrome. In the second hypothesis we assumed that inconvenient hygienic care affected the emergence of the immobilization syndrome. This hypothesis was also confirmed. The insufficient hygienic care affects a development of the immobilization syndrome. In the third hypothesis we assumed that the intensive care unit used more up-to-date equipment to take care of a patinet with the extension compared to the standard unit. This hypothesis was also confirmed. The intensive care units used more up-to-date equipment to take care of a patinet with the extension compared to the standard unit. In the fourth hypothesis we assumed that patients with extension had no information about the possibility of the imobilization syndrome. This hypothesis was disproved. The patients with the extension are informed about the possibility of the immobilization syndrome. The nurses at the standard and intensive care units in Hospital České Budějovice, a.s. (PLC) and Military Hospital Olomouc were asked to be a research sample. Data were collected by the quantitative exploration method using anonymous questionnaires. In total 110 questionnaires were distributed of which 68 were used for the final evalution. The remainig questionnaires had to be withdrawn from the investigation because they were completed insufficiently by the nurses. This study could help to supplement the educational material for patients with the extension and to increase the knowledge of the nurses in the area of care of such patient.
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The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
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Social and Psychological Situation in a Family with a Combined Disability Child
MAŠKOVÁ, Hana
The thesis focuses on social and psychological situation in a family with a child with combined disabilities, starting with the birth of the child and following reactions of the parents, family and society to this new situation. The thesis deals with different problems in the area of decision making in further possible steps concerning the child care and also with the way how to deal with given problems. The aim is to point to the parents who have a child with combined disability and to illustrate their situation from the beginning, showing how they cope with the situation. The practical part contains a research which is based on the questionnaire filled in by parents who have a child with combined disability. The questionnaire focuses above all on the parents, their situation and the change of their lives after the birth of their child, partnership, environment, help and other organizations that frequent the parents and their children.
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Handicapped Clients in Domestic Environments
PRŮCHOVÁ, Alice
This thesis deals with relationships with the physically disabled. In the context of national and international documentation. Lists of social care contributions and the social services offered to clients in the domestic environment are presented. Terms are explained regarding handicaps and systems of complete rehabilitation. The focus is on domestic care and its development towards a unification of offered services in the home. The quality of care in the home is praised. The conclusion summarizes all the presented remarks and theme of the thesis. The aim of the work is to present and clarify the concept of the disabled client in the home and present practical examples of carrying out this care.
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Health education in relation to prevention cancer breast.
VÍTKOVÁ, Adéla
Health Education in relation to Breast Cancer Prevention was not a topic chosen coincidentally. The fact that I encountered this illness in my own family contributed to my decision. I read over and collect a lot of information. There is an inexhaustible amount of publications, references, associations, commercial and medial projects, though the breast cancer diagnosis is on the top position of mortality causes not only in the Czech Republic but worldwide. In the course of collecting all data I found out that there exists the only prevention - early diagnostics and screening, on which I focused in the second part of my thesis. Health Education is the ideal instrument for preventive education programme and its further promotion. That is why I hope that comprehensive elaboration of this topic will be used as a methodological source.
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Ergoterapie u osob po cévní mozkové příhodě ve VRÚ Slapy nad Vltavou
ŠTĚPÁNKOVÁ, Jitka
The topic of my bachelor thesis is the application of ergotherapy among persons with a handicap due to cerebrovascular accident in the Military Rehabilitation Institute (VRÚ) in Slapy nad Vltavou. The aim of my thesis is to describe the benefits of ergotherapy in clients after a cerebrovascular accident. My thesis therefore deals with the following problems: A) Characterization of ergotherapy applied to persons after a cerebrovascular accident, B) Description of ergotherapeutical methods used in VRÚ Slapy nad Vltavou, C) Evaluation of ergotherapy effects on persons after a cerebrovascular accident, considering especially their self-sufficiency, motor disorders, sensitivity and symbolic functions.
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Work rehabilitation and its security provided by labour offices in the Ústecký region
JEŽKOVÁ, Jana
Working rehabilitation is the topic of my diploma thesis. Finding out the ways of securing working rehabilitation by the employment offices in the region of Ústí nad Labem on the basis of secondary sources and qualitative talks is the aim of this diploma thesis. So far in the Czech Republic hasn´t been the system providing comprehensive solution of the health handicapped employment. The Act Employment n.435/2004, Code introduces the institute of working rehabilitation in order to provide the access and comeback to the labour market for the health handicapped. Supporting the policy which enable to employ these handicapped people is the the next objective of this institute. The employment offices as the state administration bodies provide the employment facilities in a given region, they are independent subjects, territorially organized in districts and their legislative duties contain working rehabilitation securing. Research respondents were the particular employment offices in the region of Ústí nad Labem personnel who are interested in working rehabilitation and really practise it. The region of ústí nad Labem belongs to the Czech Republic area maintaining the primacy in the field of the unemployment. The unemployment as a result of labour market functioning is one of the contemporary world problems. Labour market is very dynamic phenomenon which reacts to technological development and economic situation. Nowadayas with the essential decrease in working positions there is a decrease in free working positions reserved for the handicapped and thus the participation of the handiccaped in the total number of job applicants has been steadily increased. The integration of these handiccaped to the labour market is affected by lots of factors among others by insuficcient awareness of their needs and weak points of the contemporary functioning from the legistation and practise view point. Creating procedures which enable to make provision for needs and skills of working rehabilitation participants and thereby increasing their participation at labour market was the intention of this diploma thesis. The targets were fulfilled so there were suggested three variants which show various possibilities of the initiation of working rehabilitation process and enable the effective usage of their particular forms. The diploma thesis results can be used either by the employment offices personnel throughout the Czech Republic or by the specialized experts who are interested in the problem of working rehabilitation.
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Position of occupational therapy in System of Rehabilitation
PULKERTOVÁ, Jindřiška
Rehabilitation is generally understood as a discipline solving mainly problems connected with motor system. However, the concept of rehabilitation is much larger. In fact, rehabilitation is the all-society system where restoration of moving functions is only one of goals on the way to one{\crq}s reintegration into society. There are a lot of professions within this system participating in the process. Occupational therapy is one of them. The main goal of the dissertation is to introduce occupational therapy as a profession, and highlight its range and position in the system of rehabilitation. The dissertation answers the question on what occupational therapy can offer to the people in need of rehabilitation and investigates wether and how occupational therapy intervention can contribute to the rehabilitation proccess. Further more, the dissertation compares the roles of the profession in Czech Republic and Europe and uses the findings to formulate new hypothesis which can be used for a future research. The main approach of our dissertation is qualitative investigation. We chose the type of case study and participant observation. All that was completed with technique of secondary data analysis. In case studies and according to the experience from the London hospital has been discovered that occupational therapy deals with all components participating in execution of human activities. Occupational therapy assesses and provides interventions to improve sensomotoric, cognitive and psychosocial functions. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. The information obtained from trainee-ship on the Department of Occupational Therapy in London and data has charted and clarified position of occupational therapy. Main difference is in competency of the professionals. In Czech Republic competency are lower and more limited compared to the rest of Europe. Additionally, the number of occupational therapists is lower in our country than is an average in Europe. On the base of obtained information the new hypothesis has been made thereby both goals have been met.
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Comlex rehabilitative care for pre-school children passing curative stays
KREJČÍ, Andrea
Complex rehabilitative care for pre-school children undergoing c urative stays is the care of which the main task is to promote the health of a child as a whole or, if impaired, to bring it back to normal. A child sanatorium is a health care facility providing long-term preventive care for child patients through its complex therapeutic and rehabilitative methods during the child{\crq}s entire curative stay. It strives for reaching the optimum health condition of a child and for the elimination of possible fallouts. Curative stays are recommended by pediatricians. Generally, curative stays are designed for children between 3 and 15 years of age. They are covered by all health insurance companies. The aim of the thesis was to find out the current possibilities of the use of curative stay offers in the Czech Republic and how the offer of such stays is used, specifically in the mountainous climatic conditions. Also, the work aimed at the factors leading to the fact that some children use the curative stays repeatedly. In order to gather the necessary data to define the aim of the thesis, the method of questionnaire was used and the technique of written questionnaire was used to collect the data. The research used parents and other relatives of the pre-school children who at least once participated in the curative stay together with their child or children. The research was conducted at the Child Sanatorium of Javorník in Šumava during the months of January and February 2007. The hypothesis based on the presumption that the opportunity to use the offer of curative stays for pre-school children is influenced mostly by socio-economic factors was not confirmed. It has been detected that the physicians play an important role in this field. The second hypothesis concerning the repetitive use of the curative stays offer as not being directly linked to the curative effect of the previous stays was also not confirmed because the reasons leading the guardian escort to the decision to send the child or children for a repetitive curative stay are directly linked to the fact that the recently undergone stay has helped the health condition of their child or children.
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Spokojenost zákazníka s rehabilitačními službami
Saiverová, Denisa ; Kořánová, Helena (advisor) ; Turzík, Vladislav (referee)
The graduation theses deals with the customer satisfaction -- in this case patients - with the rehabilitations services in the Rehabilitation Institute Kladruby. The theoretical part defines the general conditions of the service quality by ISO standards 9000 and the relevant literature, outlines the improving of service quality, explain the conception of the customer satisfaction, outlines the possibilities of it's measuring and improving. The theses finds satisfaction or dissatisfaction of the patients with the certain areas by the questionnaire investigation. Areas of investigation are for example the care of doctors and nurses, providing information on the nature of health, the physiotherapists work, quality of food and equipment on order on the bed wards. The obtained results are compared with the investigation of the bachelor thesis.
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