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A case report of physiotherapeutic care of a patient after ischemic stroke
Kozerawska, Natália ; Sohrová, Jana (advisor) ; Křížková, Štěpánka (referee)
Title: A case report of physiotherapeutic care of a patient after ischemic stroke Objective: The aim of this thesis is to summarize the theoretical information on the topic of stroke and then to develop a case report of a patient after ischemic stroke with right-sided hemiparesis. Methods: This bachelor thesis deals with stroke and is divided into two parts - general and special. The general part contains the main theoretical information about stroke. In addition, the physiotherapist's examination typical of the diagnosis is described, together with a selection of methods and procedures most commonly used in the physiotherapeutic care of these patients. The special section includes a case report of a patient after ischemic stroke with subsequent right-sided hemiparesis, including the initial and final kinesiological examination, the course of individual therapies and a summary of the effect of therapy. The background for the special part was obtained during the continuous professional practice at the Department of Post- operative Rehabilitation at the Regional Hospital Kladno from 9 January to 3 February 2023 under the supervision of the supervisor Mgr. Dita Hamouzová. Results: The patient improved in several aspects, especially in overall stability and range of active motion. However, there was...
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Case study of physical therapy treatment of ischemic stroke patient with right-sided hemiparesis
Bárta, Tomáš ; Reckziegelová, Petra (advisor) ; Dědková, Miriama (referee)
Title: Case study of physical therapy treatment of ischemic stroke patient with right- sided hemiparesis Objectives: The purpose of this bachelor thesis was to process theoretical information about the diagnosis and to create case study of the ischemic stroke patient with right- sided hemiparesis. Summary: This bachelor thesis deals with stroke and is formed of theoretical general and practical special part. The general part includes the definition of stroke, anatomy of blood supply to the brain, types of stroke, stroke assumptions and its prevention, and post-stroke rehabilitation possibilities using physiotherapeutic methods and procedures applied depending on the stage of the disease. The special part describes the methodology of the thesis and contains a case study of the ischemic stroke patient with right-sided hemiparesis. The case study includes anamnesis, initial kinesiological analysis, course of performed therapies and final kinesiological analysis with evaluation of the therapeutic effect. Data for the processing of the special part of the theses were obtained within the continuous professional experience at the Rehabilitation Clinic of the FNKV during the period from 11-1-2021 to 5-2-2021. Keywords: ictus, cerebral infarction, stroke, cerebrovascular accident, cerebrovascular ischemia,...
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Informal client care after CMP.
VLNATÁ, Jana
The focus of the thesis is on the informal caregiver and family, who cares for a family member who has had a stroke. This topic is very relevant because CMP is one of the most common causes of disability and death, both in the Czech Republic and worldwide. The thesis consists of theoretical and practical part. The theoretical part is focused on the study of literature and is divided into 4 basic areas. The first area characterizes the concept of brain and stroke, describes the causes, distribution, symptoms, treatment and consequences of this health and life-threatening event. The second area is the division of coordinated rehabilitation, which is necessary after a stroke, whether it be medical, social, pedagogical, work rehabilitation or spa care. The third area focuses on poststroke therapies such as physiotherapy, speech therapy, occupational therapy and psychology. The next area focuses on forms of social assistance, without which home care for a close person would not be possible, and includes a care subsidy, a special aid subsidy, a mobility subsidy, a disability card and pension. Last but not least, terms such as formal and informal care are explained. The method of qualitative research using semi-structured interview technique was chosen for the elaboration of the practical part. The research group consisted of seven members of the South Bohemian Region who take care of a close member of their family for a long time at home. The interviews were recorded and then literally rewritten. In my research, I tried to answer the question: "What are the family's difficulties in caring for family members after having suffered from CMP and what are their most common problems?" In the discussion, I summarized the findings and hypothesised, based on research. The results of the diploma thesis can serve as a source of information for persons after the stroke and thein families and help to educate the public.
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The Nursing Care as an Instrument of Prevention of Complications in a Patient in Stroke Centre
HULÍNSKÁ, Silvie
In the diploma thesis called Nursing Care as a Complication Prevention Tool in the Patient Stroke Center, we dealt with various aspects of nursing care in the stroke center. The development of nursing research in the stroke center lags behind the development of rapidly growing medical knowledge. With the development of medical care, nursing care should respond flexibly. The research intent was to get comprehensive information on preventing complications in patients in the stroke center using nursing care. We have investigated the complications that may arise in patients with acute stroke and how they can be affected by nursing care. We have set three goals: to find out what stroke complications can be influenced in the acute phase by nursing care, to identify nursing activities by nurses in stroke centers to prevent complications and to identify obstacles and limits of preventive nursing care in the stroke center. These objectives correspond to five identified research questions. We were interested in the opinions of the staff on the provided nursing care and we also wanted to know the perception of the care provided by the patients themselves. We have tried to identify key nursing care sites, identify weaknesses and possible shortcomings, and have sought to find the basis for possible improvement in care. The qualitative research strategy was chosen to achieve the objectives of the thesis. The technique of data collection was an individual depth semi-structured interview with ten respondents. The interviews were subjected to qualitative analysis using the ATLAS.ti program. By coding, a total of 104 codes have been identified, grouped into 20 categories. We identified 18 complications that can occur with a stroke patient. For all these complications, we have found interventions to be prevented or alleviated. The results also show that nurses working in the stroke center should have specialized education for intensive care rather than college education. Specialized education in neurological issues, which nurses can acquire through post-graduate stroke seminars and exercises, is also suitable. We have identified systemic barriers to nursing care, including lack of material, lack of time and lack of staff. As obstacles on the part of nursing staff we have identified nursing indifference, poor mood, poor collaboration with the patient, hurried care, physical limitations (back pain, fatigue), lack of awareness, knowledge or skills and inadequate teamwork. As obstacles on the part of the patient we have evaluated speech disorders, perception disorder, unconsciousness, faulty adaptation, lack of cooperation, lack of understanding, distrust, negation, aggression, restlessness, disorientation, apathy, depression, overvaluation of own abilities, conflict with the patient's family. During the research, other interesting facts emerged that do not directly relate to the goals and research questions.
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The Work of the Nurse at the Stroke Unit
BROŽÁKOVÁ, Žaneta
The theme of the Bachelor degree work ?The Work of the Nurse at the Stroke Unit? was chosen as it deals with the interesting issue of the development of neurology medical branch which is closely connected with building ictus stroke units. These new units provide for modern treatment and nursing care in particular to patients suffering from the acute vascular cerebral accident ? stroke (ictus). The development of these units also supposes higher requirements for nurses both in the sphere of the theoretical knowledge and the practical skills. The theoretical part of the work deals with the general issue of ictus in the form of symptoms, diagnostics and treatment. Further, it informs us about the organization of the cerebral-vascular care in the Czech Republic and nurses´ competences in the selected nursing performances. Next, there is described the intervention of the nurse at the acute reception of the patient suffering from ictus and particularly the complex nursing care at the ictus/stroke unit accompanied with nursing diagnoses which occur at the patient suffering from ictus. The aim of the work was to find out specific features of the nurse´s work at the ictus unit from the nurse´s point of view and to map out nurse´s knowledge at the ictus unit from the nurse´s point of view. To accomplish both aims there were answered research questions. VO1: What nursing procedure is specific for the work of the nurse at the ictus unit? VO2: What nursing diagnoses are specific for patients at the ictus unit? VO3: What knowledge is required form the nurses working at the ictus unit? VO4: How does the nurse gain necessary knowledge for the work at the ictus unit? The practical part of the work provides a lot of information on the work of the nurse at the ictus unit from the nurse´s point of view. This detailed information was found out by means of the research investigation, the qualitative method in the form of interviews with nurses at the selected ictus units. The results of the research work are used for the compilation of the nursing standard of the care for the patient suffering from ictus during thrombolytic therapy. This standard provides nurses complex information and helps the patient to get high-quality and safe nursing care.
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