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Effect Multiple Sclerosis on activities of daily living
Němečková, Jana ; Nikodemová, Hana (advisor) ; Křivková, Jana (referee)
Bibliografický záznam NĚMEČKOVÁ, Jana. Vliv roztroušené sklerózy na aktivity denního života. Praha: Univerzita Karlova, 2. Lékařská fakulta, Ústav ošetřovatelství, 2016. 87 s., přílohy. Vedoucí bakalářské práce PhDr. Hana Nikodemová Abstract In my Bachelor thesis I examine the impact of Multiple sclerosis on a daily life activities. The intention is to present an overview of knowledge of the disease itself and map its impact on the activities of a normal day. The work is divided into theoretical and practical part. The introduction of the theoretical part is devoted to reasons of my decision to describe this topic, I define the aim of the work and the working hypotheses, subsequently there is described the disease itself in tabular form by each areas, such as the characteristics of the disease, duration of disease, diagnosis, treatment etc. Then I pay attention to daily life activities and needs of the patient. In the practical part is performed quantitative research through a questionnaire survey of patients from a specialized center for the treatment of demyelinating diseases in the Department of Neurology at the Motol University Hospital. The obtained data are presented in tabular and graphical reports. Keywords multiple sclerosis , activities of daily living, the impact of disease, attack, human needs
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Effect Multiple Sclerosis on activities of daily living
Němečková, Jana ; Nikodemová, Hana (advisor) ; Křivková, Jana (referee)
Bibliografický záznam NĚMEČKOVÁ, Jana. Vliv roztroušené sklerózy na aktivity denního života. Praha: Univerzita Karlova, 2. Lékařská fakulta, Ústav ošetřovatelství, 2016. 87 s., přílohy. Vedoucí bakalářské práce PhDr. Hana Nikodemová Abstract In my Bachelor thesis I examine the impact of Multiple sclerosis on a daily life activities. The intention is to present an overview of knowledge of the disease itself and map its impact on the activities of a normal day. The work is divided into theoretical and practical part. The introduction of the theoretical part is devoted to reasons of my decision to describe this topic, I define the aim of the work and the working hypotheses, subsequently there is described the disease itself in tabular form by each areas, such as the characteristics of the disease, duration of disease, diagnosis, treatment etc. Then I pay attention to daily life activities and needs of the patient. In the practical part is performed quantitative research through a questionnaire survey of patients from a specialized center for the treatment of demyelinating diseases in the Department of Neurology at the Motol University Hospital. The obtained data are presented in tabular and graphical reports. Keywords multiple sclerosis , activities of daily living, the impact of disease, attack, human needs
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Bone densitometry
ŠÍRKOVÁ, Eliška
According to the World Health Organization (WHO) osteoporosis is defined as: "Increasing of systemic disease of skeleton. The characteristic feature is the lack of bone substance and disorders of microarchitecture of bone tissue. The result of the disorder is disposition to fractures. Earlier the disease was not diagnosed until it got to the stage of occurrence of osteoporotic fracture. Nowadays it is anticipated by means of BMD. Especially women at the age of postmenopause and older men are invited for the medical check-up. However, younger people and even children are invited too. The main indications for the BMD measurement are women who stopped a hormonal curing by using estrogen or they are at the age of postmenopause. It is also recommended for patients with increased occurence of fractures caused by small force and for patients who had a big weight loss. Last, but not least, it is good for men in their seventies, patients who are considering the pharmacological treatment and of course patients with visible effects of the treatment. The densitometry medical check-up itself, known as DEXA, is painless and non-invasive method, using which we can find comprehensive information about the amount of bone mineral in examined section of bone. The parts, where the density is measured, are the parts that are the most abraded. These are vertebrae L1 L4, distal antebrachium, proximal femur, ribs and proximal humerus. It is necessary to check BMD patients with the same apparatus and software during the each medical check-up. For the checking measurement the patients comes every year. Nevertheless, not later than after the two years after the first medical check-up. The purpose of the thesis is research including two main points: analysis of the data acquired from densitometric station of 'Nemocnice České Budějovice a.s. and omparison of the data of patients with a regard to age, sex and the kind of disease. Based on the research it was found out, that division of the patients into groups according to the diagnosis is not conforming. 95% of patients are suffering from various stages of osteoporosis. Only 5% of patients have different diagnosis. Based on the data from the research it was found out that there are ten-times more women who undertook the medical check-up. It is clear, why mainly women undertake the osteoporosis medical check-up. The sudden change of metabolism of bones, mostly related to climacteric, the end of treatment using estrogen, or lactation, is difficult situation and it is very stressful for the whole organism.
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Hormonal treatment in women, prejudice and awareness
BUDÍNOVÁ, Eva
Hormonal treatment is an essential component in treatment of a modern woman. But yet it is disputed and perceived negatively in women owing to prejudice and poor awareness of the issue. The lack of information or information obtained from non-professional sources cause prejudice and the negative perception that is difficult to refute. The data were collected using a quantitative as well as qualitative examination. The quantitative research was made through an anonymous questionnaire in the gynecologist{\crq}s office of MUDr. Koubková in Tábor. The questionnaire gathered identification data and general knowledge on hormone therapy. 110 questionnaires were handed out and 95 were included in the questionnaire. The qualitative examination was carried out in the form of an interview with the nurses from the gynecologists´ offices in Tábor. The thesis gives a survey of the awareness of treatment and the reasons for its refusing, which was its main target. The five single goals that had been set were accomplished by the research results. Five hypotheses were stated. The first, second and third hypotheses were to confirm the premise that women tend to have a negative attitude towards hormonal treatment and they refuse hormonal treatment on account of prejudice. These hypotheses were confirmed. The negative attitudes and hormonal treatment refusal stem from the lack of information or the information obtained from wrong sources. Prejudice is caused by inaccurate information obtained from non-professionals. The fourth and fifth hypotheses were to confirm the presumption that highly educated women have a more positive approach to hormonal treatment than those with basic education, and that the education level has an influence on the attitude towards hormonal treatment, and that women of a lower age are more open to hormonal treatment than middle-aged or elderly women. These hypotheses were not confirmed. Four hypotheses were determined. Questions 1 and 2 examined the women{\crq}s problem taking hormone therapy. Questions 3 and 4 investigated the way a nurse participates in giving information on hormone therapy in the gynecologist{\crq}s office and the way this shortage of information can be made up. All of the questions were answered by the results of the research. The results of the research show that women, while seeking information, address their questions to physicians, but also to their friends, or check the Internet for information. Those who influence their decision making in the respect of hormonal treatment are their partners, friends, media and others. Women confirmed that they have lack of information and are interested in obtaining more information about hormonal treatment. Prejudice and the negative attitude to hormonal treatment originate from lack of information. Hormonal treatment is an indispensable part of the care for a modern healthy woman. It is necessary for women to have access to all the information available to prevent them from the influence of incorrect information and prejudice. The results of the research will be used to make health care personnel familiar with the questions of unawareness and the influence of prejudice on women so that the situation could improve in this respect.
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