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Solution cutting operation of cover part.
Loukota, David ; Dvořák, Jaromír (referee) ; Kalivoda, Milan (advisor)
Analysis of the typical flanged parts, constructional and functional appreciation of the single part, design of the semi-finished product and fastening of the semi-finished product, choice of machines, tools, gauges for individual operations and technological process design and time calculation of of individual operations. Economical appreciation deal with assesment of the number of machines and deal with their usage at the production, calculation of sizes process area and quantity of the workers. Final costs of tools are also solved.
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Nursing care for patient after lung surgery
PECHOVÁ, Lenka
The operation of the lungs is being performed on the base of a variety causes, among which the most common causes are cancer, inflammatory diseases, accidents and a variety of complications of diagnostic and therapeutic procedures. After the surgery, patients are taken to the intensive care unit (ICU). The nurse must meet the patient´s biological, psychological, but also laboratory and medication needs. The attainment on this thesis which is titled as "Nursing care for patients after lung surgery" was to determine the method of nursing care for patients after lung surgery. Three research questions were also asked to achieve this. The necessary information were obtained through qualitative research, semi-structured interviews with nurses from the Department of Surgical Intensive Care Unit, Hospital Czech Budejovice a.s. The research was conducted during March 2015. Three categories were generated from an analysis of data: Specific care for patients after lung surgery, Education, Rehabilitation. This research suggests that nurses meet frequently with this specific care for patients after lung surgery that means several times a month. Further information from this research is that the patient after surgery gets parenteral nutrition first, on the second day starts with a liquid diet and the nurses are following the care with most commond diets as diet no 0, 1, 3, and diet no 9 if the patient is a diabetic. After the surgery, the oxygen is being provided to a patient. The results showed that the nurses must always check to see if the airways are clean, that the patient does not have any mucus in the lungs and that he's able to cough without problems. Nurses are checking the blood gas values by using a Pulse Oximeter. Emphasis is placed on the post-surgery rehabilitation to allow patient to be fully ventilated. For a different lenght of times the indwelling urinary catheter (hereinafter PAK) is fed to patients with respect to the operating performance. It depends on the patient's health condition. The nurses must check the functions of the thoracic drains which are often inserted after surgery. First, the patient has an active suction or active mobile suction, then Bülauov drainage. Frequency of change of the surgical wound dressings is mainly set by the doctor. Postoperative pain is monitored in a verbal way. Prescribed medication is administered also by using the epidural line. Subsequently, the patient receives painkillers IM inj. According to the nurses the post-surgery complications are breathing problems, bleeding from wounds, pain, risk of infection, high waste of chest tubes, the inability of the lungs to maintain a vacuum and subsequent collapse of the lung. The education of the nurses is very multidirectional and each one applies different methods to enrich their knowledge. Physical Therapists are responsible for the rehabilitation of patients after lung surgery. Nurses have a very good knowledge in a nursing care which is applied in their practice. However in some ways the information obtained from the nurses disagree with the procedures set forth in the literature. The conclusion of this work should be aimed to the improvement of nursing care for patients after lung surgery and to correct the shortcomings in the providing of nursing care. This work can be used as educational material for nurses starting job at the Department of Surgical Intensive Care Unit, Hospital Czech Budejovice a.s.
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Nursing care of Pacients after spine surgery
TAKÁCSOVÁ, Alena
The title of my thesis is Nursing care after spinal surgery. The number of patients with problems of different parts of the spine is growing as well as indications to operational solutions. This is due to society trends and a greater load on the body. Therefore operational procedures requiring specific nursing procedures for treatment in the early post-operative period increase. The thesis highlights the issue of specific nursing care for patients with various diseases and parts of spine. It points out that there is no universal measurement of nursing care for different types of operations on the same section of the spine and it is necessary to choose the right procedure in specific nursing care along with subsequent rehabilitation care. The number of people with diseases of the spine indicated for surgery continues to increase. Research mentions modern days numbers compared with the time 20 years ago and I dare say the numbers are disastrous. There is nothing to wonder about. Disproportionate load does not decrease, a sedentary way of life either at work or at home also adds to the risk of developing these diseases. These have resulted in discomfort mainly in personal life of a human, but also threaten their working and social role and disrupt the economic security, which we cannot do without nowadays. In our thesis we deal with already incurred pathological manifestations indicated for a surgery. In other words, what happens to the patient, if they are recommended by our outpatient physician - neurosurgeon for a surgery. The lack of nursing literature on this specific issue was the reason for us to choose this theme. In the theoretical part we will discuss the general structure - spine anatomy and physiology, basic terms related to the basic movements, and curvature of the spine. Since our thesis is focused on nursing care after a surgical treatment of diseases of various sections of the spine at the department of Neurosurgery, Traumatology and the Infectious department in České Budějovice, the theoretical part includes basic theoretical outlines of the most important surgical procedures performed at these departments in the hospital of České Budějovice a.s.. Furthermore, we will get to the specifics of nursing care after these surgeries related to early rehabilitation care and close cooperation with physiotherapists. It should be emphasized that teamwork is the cornerstone in the care of patients after spinal surgery, whose subsequent rehabilitation and education in self-care after being discharged from the hospital care is one of the basic prerequisites for a successful recovery and return to their working and social role. The research part focuses on the following objectives: Aim 1: To determine whether nurses know the correct procedures for early rehabilitation of patients after spinal surgery Aim 2: Find out what is the level of collaboration between nurses and physiotherapists in the specifics of patients after spinal surgery Aim 3: To determine whether the nurse´s education and length of practice has an impact on the provision of specific nursing care for patients after spinal surgery Furthermore, using the research questions related to this issue: Research 1: How do nurses and physiotherapists cooperate in a patient´s care after spinal surgery? Research 2: Is a nurse´s length of practise connected with higher expertise in providing specific nursing care to the patient after a spinal surgery? Research 3: Does the education of nurses affect the knowledge of the specifics of the nursing care to the pacients after a spinal surgery? Research 4: How do nurses extend their knowledge in specifics nursing care for pacients after spinal surgery?
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Women's pains after gynecological operations.
HUFEISLOVÁ, Jolana
The first aim of this bachelor?s thesis was to determine whether clients are informed about possibilities of painkilling after hysterectomy. The results show that clients are informed about possibilities of pharmacological, non-pharmacological and alternative treatment of post-operation pain. This bachelor?s thesis also aimed to study the level of clients? contentment with attitude of the nurses to problems with post-operation pain. The survey showed that clients are content with midwives? procedures when soothing post-operation pain. The survey part of the thesis was carried out in form of questionnaires. The collection of data was performed from January to March 2012. The author of the thesis approached clients indicated for a hysterectomy type of gynaecological operation. The clients were hospitalized at the Gynaecological post-operation ward and the Ward of conservative gynaecology at the University Hospital in Pilsen. The survey group was formed by 110 respondents. The results of the survey will be compiled into an information leaflet that will be available to clients not only at the gynaecological post-operation ward but also at the consulting rooms, so the clients are informed well ahead of the planned surgery. The results of the thesis can also be used in order to improve the quality of post-operation pain soothing process within the framework of the nursing process.
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Proximal Femoral Fractures - Nurse Problem with Aging of Population
ŠTECÁKOVÁ, Martina
This bachelor thesis deals with the nursing issue of proximal femoral fracture in the context of aging of population. Recently there has been an increase in the number of cases of proximal femoral fracture in the elderly people above all. Age and general state of health influence significantly the entire postoperative period and self- sufficiency of the patient. The objective of the thesis was to research factors related to proximal femoral fracture, to find out about mobility and at the same time about self-sufficiency of the respondents before and after the trauma. Then, to point out the areas of self-care in which the client has the largest deficit, how the client manages the individual areas and whether his own efforts and efforts of the nursing staff can help him to return to the normal life. These objectives were achieved in the thesis. Four hypotheses were set. Hypothesis 1: Proximal femoral fracture in clients above 65 occurs more with women than with men, was verified. Hypothesis 2: Proximal femoral fracture occurs most frequently with clients living alone after the fall at home, was also verified. Hypothesis 3: Clients who are fully mobile and self-sufficient before the trauma, usually return directly to their original environment immediately after the discharge from the trauma department, was not verified. Hypothesis 4: Self-care in hygiene in the postoperative period is the most difficult task for the respondents, was not verified. The theoretical part deals with anatomic structure, vascular and neurological supply of proximal femur. The other part describes particular types of fractures together with clinical picture and treatment possibilities. Then old age with all its aspects is described. An important area is the nursing part, focused on preoperative preparation and postoperative care. To verify the hypotheses, quantitative research was chosen. A standardized interview was designed for patients. An anonymous questionnaire was designed for nursing staff. Further on, content data analysis was applied. The results of the work point to the deficit in the area of self-care, which influence ability of the elderly to return to the normal life. If nursing staff and physiotherapist were familiarized with these results by means of a workshop initiated by the management of the Clinic of Orthopaedics and Traumatology, it might lead to the improvement of the nursing care and it also might become a stimulus for more intensive rehabilitation. Mapped self-care deficits will be then used to create educational material to facilitate the provision of particular services by home care agencies that will compensate for these deficits when the patient returns to his home.
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Optimlization technologies in meat production
MATĚJČKOVÁ, Klára
This thesis focuses on the issues of technology of meat products. In Chapter 3.1 is summarised meat production, characteristics of various meat products, assortment of meat products, meat products, and also packaging of meat products. Chapter 3.2 deals with raw materials and additives, which are used in meat production, by their nature and use. Custom general technological process of production of meat products is described in Chapter 3.3. The last chapter, i.e. 3.4 us introduces the issue of the storage of meat products.
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Need of Instructing Patients after Operation of Varicose Veins.
HROMÁDKOVÁ, Alena
The paper is entitled the Need of Instructing Patients after Operation of Varicose Veins. It deals with the general issue of the disease, the role of a nurse in the treatment of patients after the operation of varicose veins and the instructions given as an inseparable part of the nursing care.The paper follows 4 essential objectives. Objective 1: Finding out what information patients have after the operation of varicose veins. Objective 2: Finding out what information the patients need. Objective 3: Finding out, in which way nurses in a surgery department instruct patients after the operation of varicose veins. Objective 4: Creating an instructional brochure for patients after the operation of varicose veins, based on the information obtained.There were 4 research questions asked. 1. What information do patients have after the operation of varicose veins? 2. What information do patients need after the operation of varicose veins? 3. In which way do nurses instruct patients after the operation of varicose veins? 4. Do nurses perceive instructions as an inseparable part of the nursing care?The research was carried out at Pelhřimov hospital, subsidized organization, with the consent of the head nurse. The research group consisted of 10 patients after the operation of varicose veins who were interviewed before leaving the hospital for home care, and 8 nurses from the aseptic section of the surgery department. All the respondents were asked using the technique of a non-standardized interview with questions prepared in advance. Based on the analysis of the respondents' answers, an informative brochure was drafted which was then tested by a questionnaire. It was found out that the brochure would be advantageous for the surgery department.The objectives of the paper were met. Improvement in the process of instructing patients after the operation of varicose veins could be reached by introducing an informative brochure. Not only patients, but also nurses working at a surgery department could benefit from the brochure.
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Strategy Draft for the 42nd Mechanized Battalion Integration in Foreign Missions
Hochman, Jindřich ; Musil, Martin (advisor) ; Rypáček, Martin (referee)
After official signature of Dayton contract on December 1995 preface Czech Republic era priority transmission troops to the campaign multinational units headed by NATO, fated to exaction peace, resulting freeze and renewal critical region. Character contemporary campaign, way their lead, neighbourhood, in which they are led, asymmetrical enemy and considerable distance to the site of action and resources laying diverse demand on unit`s abilities. In Diploma thesis they are most often used logical methods, especially analysis, synthesis, inductance and deduction. Further is improved observational method, in analytical part is usued document analysis and SWOT analysis. Like information gathering is utilized structured talk. Strategy Draft for the 42nd Mechanized Battalion Integration in Foreign Missions purpose is warn thereon, that should document contain and wherewith the strategy should have deal with. The proposal is not introduce entire policy, but only her major principles and outline inevitable element. Strategy Draft for the 42nd Mechanized Battalion Integration in Foreign Missions should have be found upon this see: Build-up slip-over and interoperable units, reservation efficient organization, steerage and handling of units, education, preparation and training. Global aim formation get past formulate this way: Sharing on build-up functional system defence of the state. Battalion mission should have be performance netted public houses and lands -- outer national security, in contemporary security neighbourhood by means of active incidence in campaign outside the area member country NATO and EU. Himself processing and realization strategy should have be above all object activities unit staff.
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Effectiveness of early Physiotherapy After the Operation Total Acetabulofemoral Articulation
MALECHOVÁ, Kateřina
In the bachelor thesis called Effectiveness of an early physiotherapy after an operation of the total hip joint replacement, there are theoretical bases related to the given issue in the first part. In the research part there are worked up case studies of two clients who had the same disease, were operated in the orthopaedic ward at the Hospital of České Budějovice and a total hip joint endoprosthesis was made to them. The aim of the thesis is a complex evaluation of physiotherapy methodologies at the patients after an operation of the total hip joint endoprosthesis and an evaluation what could be improved in this issue, so that the postoperative rehabilitation could be a little more efficient. At each patient during the hospitalization were differences in the success of the therapy. In conclusion it is possible to say, that an important role in the effectiveness of the postoperative treatment is a completing of a preoperative rehabilitation. The patient, who completed the preoperative rehabilitation, better managed a verticalization, walking and self-sufficiency after the operation in contrary to the patient who did not complete the preoperative rehabilitation. The significant problem was that she would have had to commute for the preoperative rehabilitation and it was a problem for the patient. Patients waiting for the operation of the hip joint replacement are often constrained by a pain while walking and they are discouraged by a thought to commute to the preoperative rehabilitation. I propose to carry out the preoperative rehabilitation already during the hospitalization, several days before the operation. The thesis can serve as a theoretical study background for students from Medical universities or it can become, in terms of physiotherapy, an inspiration in a clinical practice at physiotherapists engaged in those issues.
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