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Center for seniors in Brno-Medlánky
Otépka, Petr ; Klimecký, Martin (referee) ; Gerö, Jiří (advisor)
The architectural study for the elderly home follows on the urban-architectural study conducted in the previous semester as a part of the NGA056 – Specialised Studio course. The study resulted in a compact urban development with mix of functions. It includes not only housing, commerce, public buildings, the church, the sport hall and transport facilities, but also a block of centre for elderly. The architectural study is focused on creating a complex centre with good supply of services, amenities, privacy and, most importantly, quality spaces. The design is based on the concept of compactness. All pavilions which are full of spatial and operational requirements form a block and inner courtyard. The inner courtyard is situated above the underground parking, and it is adjacent to a park, connected to it by a ‘neck’. The park opens to the southwest and its borders are defined by the centre on the east and apartment building for elderly on north side. On the side which faces the centre of the new district, the block turns on its ground floor, accommodating a café, entrances and other services. It facilitates connection with the community, together with park on the opposite side. The proposal presents a contemporary perspective on housing for the elderly in our society. The spaces try to have their own identity, with which residents or clients can identify and accept a room or apartment as their home, rather than just a final stop on their life’s journey.
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The need of sleep by patients with cardiovascular disease in ICU
KABEŠOVÁ, Jitka
Lately, attention has been focused on sleep problems. Poor quality sleep, insomnia or intentional sleep shortening are risk factors for cardiovascular disease development, overweight, diabetes and mental disorders. During hospitalization in the ICU the sleep quality in patients usually worsens not only because the disease itself but also owing to other factors, such as fear, anxiety, lack of information on the disease, unfamiliar environment or noisy monitors. The theoretical part is divided into five basic chapters as follows: sleep characteristics, the issue of sleep, cardiovascular disease, meeting sleep needs in patients in the cardiologic Intensive Care Unit and the intervention of a nurse in meeting sleep needs in the sleep laboratory. I set two objectives in my thesis: The first objective: to learn if sleep needs in patients in the cardiologic Intensive Care Unit are met. The second objective: to identify factors influencing the fulfilment of sleep needs in patients in the cardiologic Intensive Care Unit. Two hypotheses were suggested: The hypothesis I: sleep needs in patients hospitalized in the cardiologic Intensive Care Unit are not met, The hypothesis II: the most percieved factor influencing sleep in patients in the cardiologic Intensive Care Unit was the change of environment. To achieve the objectives I used the questionnaire method. The research set included patients hospitalized in the cardiologic Intensive Care Unit in the České Budějovice hospital, Inc. The obtained data analysis shows that sleep needs in patients hospitalized in the cardiologic Intensive Care Unit are not met. The most stressful factors are: the change of environment, monitor noisiness, lights switched on at night, uncomfortable beds and anxiety. The hypotheses were confirmed. The objectives of my thesis were accomplished. In the closing part of my thesis I suggest some solutions to improve patients´ feelings and meet their sleep needs, such as dim lights at night, turned down monitoring apparatuses alarm, patients activation during the day, a calming dialogue with the patient, bed making and airing the room before night. I also enclose some attachments treating the issue of sleep needs.
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