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Docementary photography: Life with Alzheimer disease
Arltová, Martina ; Géla, František (advisor) ; Silverio, Robert (referee)
This bachelor's thesis focuses on life at the Retirement home with a special regime in Břevnice for clients with Alzheimer's disease and other types of dementia during one year, which was captured by documentary photography. The institution is located near Havlíčkův Brod. About twenty clients in different stages of dementia and Alzheimer's disease live there. A team of nurses and an activation worker take care of them. The thesis pursues evolution and ethical problems of social photography, in which documentary from institutional environment belongs. It introduces selected authors of world-class and Czech social documentaries. In the following part, this thesis inquires under which conditions can be taking photographs of mentally ill people ethical. Eventually, it explains the usage of photography in relation to mental disorders. It describes the creations of the photographers who suffer from mental illnesses, the usage of photography during diagnostics of patients in mental hospitals, and photography as a method of art therapy. The main, practical part of the thesis is a photo book containing a set of documentary photographs portraying the everyday life of the clients and personnel at the retirement home. Those photographs are accompanied by images captured by one of the seniors from Břevnice.
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Problems of nursing care for klient with senile dementia
KLOUDOVÁ, Martina
Dementia, also called old age disease is no more the problem of developed countries only, it has become a global problem. The population in the Czech Republic is growing old, which is caused by decreasing birth rate and decreasing mortality in all age groups. Dementia belongs to more frequent diseases than brain stroke and diabetes mellitus among seniors. In 65 year-old people the risk of dementia development is 5 %, at 75 it grows to 10 %. More than 30-50 % of seniors over 85 suffer from the disease (Jirák, Holmerová et al., 2009). Most nurses meet clients with dementia at their wards, which is why they should be educated in the field of specific needs in caring about these clients.The goals of the thesis were: 1. To indicate the specific problems of nursing care about a client with old age dementia. 2. To map the possibilities of educating hospital nurses in the problems of clients with old age dementia. 3. To find the negative factors affecting the psyche of nurses caring about clients with old age dementia. Four research questions were set to reach these goals. 1. What are the most frequent problems dealt with by healthcare staff caring about clients with old age dementia? 2. In what way a nurse communicates with a client with old age dementia? 3. What are the possibilities to educate nurses in the issues of old age dementia? 4. What are the negative impacts on the psyche of healthcare staff members working with clients suffering from old age dementia?The method of quantitative research by means of interviews was applied to elaboration of the thesis on the topic Problems of Nursing Care of a Client with Old Age Dementia. The interviews were semi-structured and were prepared for nurses from various standard departments of Strakonice Hospital. The interviews consisted of seventeen questions and were recorded with the consent of the nurses and consequently literally transcribed. The research was performed from 22 February to 1 March 2013.The research results have shown that all nurses often meet clients with dementia and they know the specific problems related to nursing care of these clients. The results also show that although they are aware of various forms of education in the issues of old age dementia they do not educate themselves and they consider other nurses uninformed. We found during the research that no forms of education are provided in this field at the departments. Despite the lack of information nurses try to solve problem situations with clients upon their experience or collecting information from other healthcare staff, which is usually insufficient. Because of these relations communication between a nurse and a client with dementia worsens, which leads to poor cooperation with both, a client and his/her family, and negative impacts in nurses? psyche like fatigue, stress and tiredness often occur, which is also reflected in their family lives.We think that nurses should be more strongly motivated to education in the issues of old age dementia. Education would bring nurses theoretical knowledge of dementia, it would help them create better cooperation with a client suffering from dementia and they would be able to prevent and duly solve possible problematic situations in the treatment and they would also learn how to communicate with a client with old age dementia efficiently. My bachelor thesis results in a draft of a seminar intended not only for nurses from consequent care departments, which contains the basic information on the issues of nursing care of a client with old age dementia (Annex 5).
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