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Nursing Care of Klients with Fractured Distal Femur
VOPÁLKOVÁ, Milena
The name of this Bachelors thesis is "Nursery Care of Patients with Fractured Distal Femur". With view to the lengthening of the populations age, increasing popularity of adrenalin sports and development of traffic we can expect an increasing number of this serious type of injury, and therefore it is time to address the issues of nursery care of the clients with this type of fracture. Fracture of the distal part of femur often happens suddenly and unexpectedly and the client has to deal with a health problem, which brings about a lot of changes as regards his/her health, psychic and social situation. The purpose of this thesis is to map the nursing specifics and nursing problems experienced by clients with a fractured distal femur from the nurses point of view. Through an analysis of a research survey we will summarize the thesis outcomes and determine the specifics of possible complications under the nursery care of such clients. Hence, the thesis contains two fundamental parts: theoretical and empirical. The theoretical part deals with the historical development of nursing and care provided as regards these fractures, the anatomy of lower limbs and causes of such fractures. It also addresses the basic classification of such fractures, principles of an osteosynthesis therapy, education, nursing and rehabilitation care. The empirical part includes a research survey with two predetermined goals mapping the specifics and complications within the nursing care of clients with a distal femur fracture. With view to the fact that various specifics and complications within the nursing care in the period before and after surgery were ascertained, they were categorized as pre-surgery and post-surgery specifics and complications. The research survey found out that one specific is differing pre-surgery nursing care of the clients with a fractured distal femur, mainly provided that stabilisation of the fractured part is executed by means of a skeletal traction or a patch traction or through a knee brace. The ascertained nursing complications are related to such immobilization interventions. According to the interviewed nurses the nursing procedure is even more diverse, mainly as regards the injured clients mobility and the nursing care. Other specifics of the nursing care are monitoring of locomotion and sensitivity of the traumatized lower limb, antidecubitus care, aself-care deficit and a possible risk of the lever action impact on the distal femur when moving on the bed. Specifics of the post-surgery nursing care regarding clients with a knee brace are: monitoring of locomotion and sensitiveness of the lower limb, correct manipulation with the knee brace, care of the locomotion, a risk of the lever action impact on the osteosynthesis area mainly when the client is sitting on the bed with lowered limbs or doing exercise on the motor splint. Nursing complications ascertained during the post-surgery period are mainly an oedema and a haematoma of the surgical wound place, urine and faeces emptying disorders, inadequate relief of acute pain, decubites under the knee brace or on the heels, long-term deficit of the clients self-care due to the traumatic consequences and other possible complications as described in this thesis. Outcomes of this thesis are two simple mind maps, which are a part of this thesis. The first mind map shows the nursing care specifics as regards a client with a fractured distal femur and the second describes the most frequent complications and interventions of a nurse within the nursing care as regards a client with a fractured distal femur. The outcomes of this thesis can serve as an information material for traumatology unit nurses and also for nurses working in other complements.
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Prevention and rehabilition of ankle sprains by basketball players
KRAMLOVÁ, Kateřina
The submitted Bachelor Thesis elaborates the issue of prevention and physiotherapy of distortion of the talocrural (ankle) joint of basketball players. The work focuses on two main objectives in order to find out which of the fixation aids is more efficient in preveting distortion of talocrural (ankle) joint and compiles a schedule and physioterapeutic programme for sportsmen ? basketball players suffering from the distortion of the talocrural (ankle) joint. Methods of qualitative research including observation techniques, kinesiological examination and semi-standardized interview were applied in this research, following the secondary analysis of acquired data. The results are processed in a form of casuistries on a basis of which individual physiotherapeutic plans for the tested persons were elaborated. Therapy for renewing the function of lower limbs took place according to the aforesaid plans. At the end of the physiotherapy, by means of an output examination of the monitored persons, it was identified that the extent of movement in the joint was improved, their muscular strength increased and muscular imbalance was removed. The Bachelor Thesis might become a quide for basketball players giving them necessary instructions about what to do in order to improve the stability of talocrural (ankle) joint during physical stress in the course of training or a match, what fixation aids they should use and how they should strengthen their muscles of lower limbs for prevention of problems. This work may also be at the service of future and current physiotherapists in practice and a source of training for the non-professional public.
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The issue of visually - handicapped people and their independent movement outside ( the mapping of the route in České Budějovice: the housing estate Máj -
JANOUŠKOVÁ, Jana
Bachelor thesis informs us about the problems of independent movement outside the visually impaired and analyzes the conditions for their safe movement. It introduces the division of visual defects, characteristic of visual impairment and its influence on the spatial orientation and also about the possibilities special-pedagogical education as a process of rehabilitation for people with vision loss. The work assesses the conditions of safe movement on existing roads and means of orientation in the exterior, further complicating what kind of obstacles visually impaired individuals to move and what type of technical aids which is made possible by their orientation in space. The findings will be further used for practicing safe and independent movement, as well as for route planning in a public benefit corporation Tyflokabinet in České Budějovice.
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Work with chidren with mental retardation
PÁTKOVÁ, Hana
The bachelor thesis is orientated towards mentally handicapped children and towards the diverse methods involved in their support during their upbringing. The thesis describes the relation of the level of disability of a child in relation to his rate of education and compares the development of his personality. The theoretical section consists of basic notions, definition and explanations associated to; mental illnesses, to the personalities of disabled children ,their rehabilitation, upbringing and their education. Here professional citations are referred to. These citations revolve around mentally disabled children. The theoretical section concludes by looking at the issues present in families with a mentally disabled child. The practical section of the thesis focuses on specific specialized schools and the facilities provided to mentally disabled children. In order to successfully conduct the research it is necessary to conduct a study on a specific child that is mentally disabled. This involved analyzing his professional documentation and personal investigation. It also involves establishing. All of these steps are necessary in order to properly document the child's level of education.
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PROBLEMS OF PATIENT RESOCIALIZATION IN PSYCHIATRIC HOSPITAL ČERVENÝ DVŮR
DVOŘÁKOVÁ, Lucie
This bachelor thesis called The Issues of Rehabilitation of the Psychiatric Hospital Cerveny Dvur patients deals with both the rehabilitation of the Cerveny Dvur patients and system of the rehabilitation care provided after the stay in this hospital. The thesis is divided into two parts, a theoretical and practical one. The theoretical part contains basic concepts concerning the issues of rehabilitation, specific problems during the rehabilitation which can appear after the return to a normal life, the issues of relapse or recurrence and finally the information about the psychiatric hospital Cerveny Dvur where the research was realized. The main goal of the practical part was to chart the rehabilition of the Cerveny Dvur patients with the emphasis on sub-goals such as the system of the care provided after the stay in this hospital as well as the reasons for the abstinence violation. There were three research issues defined which were focused on the functioning of the aftercare, risk factors during the rehabilitation and the most frequent reasons for the abstinence violation. The research itself was carried out qualitatively since the data were obtained by the method of semi-structured interviewing. Seven patients and three therapists of Cerveny Dvur took part in it and the research was realized just at this hospital. During the discussion I was comparing the results of this research with professional publications. Finally I establish hypothesis and give some recommendations to solve the problems resulting from the research. I think that it is necessary to devote more time to these issues and also not to underestimate the aftercare.
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The doctor and nurse cooperation in the center for patients undergoing a principal joint aloplasty
RAZIMOVÁ, Lada
Motoric system diseases belong to the most frequent ones in the present days. All age categories are affected. Congenital defects are included and also injuries, inflammations, degenerative illnesses and others. In the Czech republic are many centers gathering patients with the same diseases. However the centers for orthopedic patients are missing. The dissertation is divided into a theoretic and empiric parts. The theoretic one is focused generally on problems with joint replacements, rehabilitation and relation between a medic and a patient. The dissertation was targeted on: 1. To verify if the informing about the subsequent postop nursing care provided in the center for patients undergoing aloplasty comes up to a patient?s expectations and fulfils their needs. 2. To find out if hospital nurses perceive the difference in the patient engagement in the nursing care according to if he had visited the center before or not. 3. To reveal potential problems in the center running from the patient, nurse and doctor point of view. The research part of the dissertation was implemented with a combination of both qualitative and quantitative survey. For quantitative survey was chosen a method of questioning with a form technique for patients (after a hip or a knee aloplasty) in the Czech republic and Austria and also for nurses working in the orthopedic department and intensive care unit in the Pelhřimov hospital. Three hypotheses were established. 1. The given nursing care informations provided in the center for patients undergoing aloplasties fulfil the patient?s needs. 2. The hospital nurses assess a significant difference in the patient?s collaboration between those who had visited the center before and who had not. 3. In the center for patients waiting for aloplasty daily running there exist problems from the nurse?s point of view. As for the qualitative part of survey a method of questioning with the technique of a semistructured dialog with open questions was used. The research file was created by patients after principal joints aloplasties. In this part we have tried to answer three main questions. 1. What is the relationship between both hospital and the center nurse activities and the patient?s contentment in the sphere of his needs? 2. What sorts of informations for the patients in the center are missing? 3. The patients evaluate the informations provided in the center as orientational or as significant for easier postop care managing? The results of the research survey were analysed and taken in schemes. Patients suffer from disturbing their both physical and psychological needs and so the goal of collaboration is a satisfied and fully informed patient. From the results it is apparent that a nurse in the center closely cooperates with a hospital nurse. The survey revealed that the patients in the center are missing no informations. The patients are prepared for the operation, orient themselves in the related problems know what comes with the rehabilitation as an important part of the postop care. To be concluded: patients are prepared for easier postop care managing. On the basis of analysis of respondent?s answers it was found that the patients undergoing a principal joint aloplasty are sufficiently informed. Although hospital nurses and doctors sense the difference between a patient who had visited the center before and who had not the stimulus for subsequent survey could be how the patients perceive the differentness of info provided within the center and out of it. The survey results could be a stimulus for establishing new centers not only within Vysočina but also in Austria. In the relation with the dissertation results and on the basis of info provided in the center when the patients assessed the info as sufficient for them an informing prospectus was created. The dissertation could serve as an informational material for students not only in the nursing profession.
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The effects of mastektomie on social life of women with breast cancer
VIKTOROVÁ, Vendula
Breast carcinoma is at present one of the most frequent diseases of women which affects all areas of woman ´s life and becomes all-society problem. It is an oncology disease which brings a woman and her close relatives a huge psychical and physical stress. One of the possibilities to cure the breast cancer is the chirurgical removal of the whole breast (mastectomy), which is a huge change not only in woman ´s social life. The thesis gives information on breast carcinoma, risk factors for the onset of the disease, clinical symptoms, diagnostics and the treatment of breast carcinoma. Further, it describes the possibilities of reconstruction therapy, rehabilitation and psycho- social effects of cancer. The objective of the thesis was to find out if and how mastectomy influences the social life of women. For the data elaboration the method of quantitative research by means of questioning was used. The questionnaires were addressed to women with breast carcinoma after mastectomy. The research group was created by the clients of General Faculty Hospital in Prague. The questionnaires were anonymous and voluntary, in the form of 25 closed and semi-open questions. Hypothesis H1: negative influence of mastectomy depends on the partner ´s attitude and the family support, was proved. Hypothesis H2: mastectomy negatively influences single women and women without children, was also proved. Hypothesis H3: women after mastectomy are of worsened occupational use, was disproved. The research has shown that the question of solving social issue in women after mastectomy is more and more up- to-date. Average age of respondents is 51 - 60 years. In the question concerning the change of life in women after mastectomy were most frequently mentioned the problems with the change in dressing, sport activities and psychical problems. The awareness of women on rehabilitation, reconstruction operations, possibilities of using epithesis and also on the civic partnerships focused on breast diseases should improve.
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Application of the ICF classification for a possible inclusion of mentally retarded persons into society
ŠULOVÁ, Jana
The objective of this dissertation thesis is the application of the International Classification of Functioning, Disability and Health (ICF) with mentally retarded persons, or the examination of ways of application of its data for a possible inclusion of mentally retarded persons into society. The thesis deals with the system of the ICF classification, its application within the framework of research as well as the subsequent possible application in practice when reviewing the situation of disabled persons.The results of the thesis bring a recommendation how it is possible to proceed when reviewing the situation of a mentally retarded client in practice and how to use the ICF classification as a tool of support of psychosocial inclusion of these persons.
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Japanese Internal Influences on Foreign Policy after WWII
Inagamov, Behzod ; Druláková, Radka (advisor) ; Knotková, Vladimíra (referee)
This dissertation focuses on Japanese policy as a whole, internal and external policy priorities and objectives, in order to illustrate the role, and analyze the level of effectiveness of conducted foreign policy tools. This paper explores some of the reasons and factors of conducted internal and external policy tools. Therefore, it shows how effective and in timely manner reaction of Japanese to state's internal policy, has influenced and played a key role during the country recovery and restoration. Moreover, proper policy objectives not only have restored the country but also made Japan one of the most advanced world centers. Japan is in a number of the advanced countries of the world, participating in modern world political process which dynamics has the general laws and the tendencies of development connected with transformation of the Pacific Rim into the center of global activity of the leading countries of the world. Changes in global scale, aftermath of the World War II affect the significant characteristic of foreign policy, official and economic diplomacy of Japan towards peace and security advocating country.
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On Some Aspects of the Relationship between Girls Placed in the Educational Institute Počátky and Their Parents
HEŘMÁNKOVÁ, Petra
The thesis deals with the relations of girls placed in the Educational Institute Počátky with their parents. The theoretical part describes the legislative foundations of the existence of educational institutes in the Czech Republic, psychosocial characteristics of girls placed in educational institutions, and especially the pedagogical procedures applied when working with girls placed in educational institutions and with their parents. The practical part is dedicated to the following two research questions: 1st question: What are the relationships between the girls placed in the Educational Institute Počátky and their parents? 2nd question: How do these relationships affect the possibility of reintegration of girls into the society? Only 30% of the respondents shows the positive relationships with parents, without signs of emotional deprivation and negative influence on its reintegration into society. The remaining 70% is confirmed by many studies. It is apparent that for isolated children need for love and belonging is the long run unsatisfactory.
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