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Possibilities of use of questionnaire WHODAS 2.0, regarding physiotherapy of patients with diagnosis of Central Hemiparesis
Matiaško, Dušan ; Sládková, Petra (advisor) ; Rodová, Zuzana (referee)
Bachelor's Thesis Abstract Autor: Dušan Matiaško Supervisor: MUDr. Bc. Petra Sládková, Ph.D. Title: The possibilities of use of questionnaire WHODAS 2.0, regarding physiotherapy of patients with diagnosis of Central Hemiparesis This Bachelor's Thesis deals with the issue of subjective assessment of disability in patients with central hemiparesis. Objective testing cannot comprehensively capture an individual's overall experience stemming from his/her health condition. On the other hand, subjective evaluation using the WHODAS 2.0 questionnaire, provides specific information about the most problematic areas of their life as experienced by the individual. This allows the examiner to directly address these issues and achieve a better therapeutic effect. Alternatively, it may also lead to acknowledging that the appropriate solution lies within the expertise of other specialists. Objectives: The main objective of the thesis is to outline the impact of a rehabilitation program using the WHODAS 2.0 questionnaire in all its defined domains. A secondary goal, is to compare the use of the 12-item and 36-item versions of the WHODAS 2.0 questionnaire in relation to physiotherapy. A third objective is to create a short instructional video on the practical application of WHODAS 2.0. Methods: In the practical part,...
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Importance of a Subjective Assessment of Patient's Quality of Life after Acquired Brain Injury, WHODAS 2.0 Questionnaire
Hysková, Ludmila ; Sládková, Petra (advisor) ; Pluhaříková-Pomajzlová, Jana (referee)
OF THE DIPLOMA THESIS Name, Surname: Bc. Ludmila Hysková Supervisor: MUDr. Bc. Petra Sládková Ph.D. Title of the diploma thesis: Importance of a Subjective Assessment of Patients' quality of Life after Acquired Brain Injury, WHODAS 2.0 Questionnaire Abstract: The diploma thesis deals with the quality of life with people after acquired brain injury. Brain injury is a common cause of disability in the adult population. The aim of the thesis is to find out how the quality of life with people after acquired brain injury changes depending on the attendance of a day care centre. Furthermore, the aim is to determine if there is a correlation between subjective WHODAS 2.0 and objektive FIM data. The theoretical part describes the acquired brain injury, its types and consequences and the subsequent rehabilitation. It also focuses on the quality of life and the possibilities of its assessment using different tools. The WHODAS 2.0 questionnaire is introduced and its clinical use is described. The practical part focuses on the methodology, objectives, hypotheses and research set. The research population consists of 21 patients who attended a rehabilitation day care centre for 4 weeks. The data is collected from the period of April 2022 to March 2023. The results of the work show that the quality of life...
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Využití hodnotících a měřících nástrojů pro hodnocení potřeb pacientů s tělesným znevýhodněním
NEUGEBAUER, Jan
Physical disadvantage is a debatable topic regarding terminology,variability,and specifics of care.In connection with this issue,we look at the whole concept in analyzing and satisfying current needs,which differ significantly depending on the type,extent, and reversibility of disadvantage.General needs tend to be constant,but in these patients,the spectrum of needs that have been modified or newly created in connection with the disadvantage is more significantly affected. For careful analysis, the nurses can use the evaluation and measurement tools,focusing on the problematic area(e.g., self-sufficiency or risk factors) or comprehensively on the level of disadvantage.Nurses in the Czech Republic use only instruments specifically evaluating each area separately.Implementing a comprehensive tool could contribute to the improvement of care for patients with physical disabilities in clinical practice.The dissertation aimed to analyze the available evaluation and measurement tools for evaluating patients with physical disabilities in nursing, map the care provided for these patients,and analyze problematic situations present in patients with physical disabilities during hospitalization.We use a mix of methods to process the work using the questionnaire survey technique and the Focus groups method. We create the questionnaire survey for two groups marked as A and B. Research group A had a representative character and consisted of nurses from all over the Czech Republic.Research group B consisted of patients with physical disabilities.Within the data collection, we create two different questionnaires - non-standardized for research set A with a focus on using evaluation tools,work with results,recommendations for practice,and the concept of physical disabilities.We also create a combination of a WHODAS 2.0 and further information focusing on the concept of own body and the quality of life for research set B.In clinical practice, the use of a general standardized tool,especially for fall risk assessment (Conley scale and Morse Fall Scale),pressure ulcer risk assessment (Braden scale and Norton scale),and self-sufficiency assessment (Barthel test,routine instrumental test).As part of the active search for the specific needs of the nurse, she also evaluates the area of activity,motivation, mobility,and nutrition.Respondents do not evaluate sexuality and spirituality adequately in clinical practice,and nurses state that these topics are still taboo and consider it a more suitable alternative for these domains to be provided by other specialists.For the field of assessment, they would welcome in their practice both tools for assessing the risk of pressure ulcers - Waterlow Scale,Knoll Scale or Shannon Scale;fall risk assessment tools - Morse Fall Scale,Conley Scale or Tinetti scale;tools for self-sufficiency evaluation - Barthel test, a test of everyday instrumental activities.In patients with physical disabilities,the most problematic domains currently are urinary incontinence,pain,and the psychological area,focusing on self-esteem and a sense of security and safety.Nurses would like to welcome a more comprehensive tool for assessing the issue of physical disadvantage for use in clinical practice,and they would also welcome educational courses in this area,which will help them understand this issue better.In clinical practice,respondents use standardized and non-standardized tools to evaluate patients with physical disabilities.The respondents would welcome many of the standardized tools in their practice and recommend them for use throughout the Czech Republic.Patients with physical disabilities often suffer from the risk of pressure ulcers,falls,the development of infections,mental health problems,and pain.As a recommendation for practice,we agree with the implementation of standardized tools into clinical practice.WHODAS 2.0 is well-suited for analyzing the level of disadvantage and points to disadvantaged areas.Furthermore,the nurse
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