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Nursing Care for Patients with Vascular Disease
Šestáková, Anežka ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
This thesis deals with diseased peripheral blood vessels, namely thrombosis of veins affecting limbs and the pelvic area and acute arterial blockages in extremities. In addition to data concerning these illnesses, the thesis also presents the treatment of these patients and treatment of those patients who are given anti-coagulants either preventatively or as part of treatment. The empirical portion includes quantitative research through an anonymous survey instrument. The respondents were nurses who worked in internal, surgery, or general units of intensive care in university and regional hospitals. The goal of the research was to determine whether nurses are aware of the general areas of non-coronary blood-vessel issues and of the idiosyncrasies of treatment of patients with warfarin and heparin, and whether the nurses were aware of the idiosyncrasies of treatment of patients with non-coronary arterial blockages. We discovered that nurses were most aware of the idiosyncrasies of treatment of patients with warfarin and heparin. On the other hand, the nurses had almost no awareness of the idiosyncrasies of treatment of patients with non-coronary arterial blockages. Exactly half of the respondents were aware of the general areas of non-coronary blood-vessel issues. The conclusion of the thesis...
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Aspects of long - term intensive care
Picková, Jana ; Hošťálková, Monika (advisor) ; Zatočilová, Jana (referee)
My thesis deals with aspects of long-term intensive care. The goal of my thesis is to determine the basic needs of patients and family preparedness aspects of intensive home care. Other stated goals is find out the possibility of returning patients to home care and also find out what is the use of basal stimulation in long-term intensive care department. In the theoretical part of my thesis are included the chapters about definition of intensive care and home intensive care, for the full completeness is here the chapter about the state which are requesting the intensive care. The main part is dedicated to extensive immobilization syndrome in intensive care. An integral part is also a chapter discussing the basal therapy. For an easy transition to the empirical part is included a chapter outlining the nursing model according to Majora Gordon The empirical part of my thesis contains three detailed studies of nursing.Nursing case studies are carried out in intensive care department Vršovická, in chronic intensive care department of Motol hospital and long-term intensive care department of the Pardubice region, in Chrudim hospital. Coincidentally, it is of patients with different diagnoses and different age. Nursing case report is created at patient with diagnose of end-stage chronic obstructive...
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Specifics of care for women with postpartum in intensive care
Kučerová, Klára ; Kulhavá, Miluše (advisor) ; Hošťálková, Monika (referee)
The thesis is focused on the specifics of care for women with postpartum bleeding in intensive care. Part of this work are two segments, theoretical and empirical. The first segment focuses on the theoretical part, which lists the existing knowledge from literature approaching the issue of bleeding complications accompanying childbirth, especially postpartum period, when the lack of timely solution can endanger the woman's life. This section defines the terms postpartum bleeding, hemorrhagic shock, DIC, intensive care and severe postpartum bleeding complications. The work also focuses on nursing care for women with postpartum bleeding. The theoretical part is concluded postoperative nursing care. The second segment of the work is of empirical character. The main objective of this thesis was to investigate how the care provided to the ARO / ICU for women with problems postpartum bleeding. This part of the non-standardized using an anonymous questionnaire identifies issues of bleeding complications in postpartum period. The work deals with the level of care provided in intensive care for women with severe postpartum bleeding complications, knowledge of the healthcare paramedical personnel in the care of patients with postpartum bleeding and acquiring new information on nursing care in case postpartum...
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The need of sleep of the patients in the Intensive Care
Svobodová, Karolína ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
Diploma thesis deals with the problems of sleep of the patients in intensive care. Sleep is the very basic of human needs and its correct pattern is crucial for any activity of an organism. A person who is sick has an increased need for sleep and are among the most frustrated needs. The theoretical part defines sleep as a basic human need to deal with physiology and sleep disorders. I include a chapter dealing with intensive care and aspects of the environment that affect sleep of the patients. The main objective is to determine whether the need for sleep of the patients is saturated or not. I also set milestones as to gain information regarding patients sleeping pattern at home.To find out, what influence nurses in approaching sleep as a matter and to look for factors that have an influence of some sort from the nurses point of view regarding the sleeping pattern same as from the patients view of the matter. In the empirical part, I reached the set goals through interviews and questionnaires. Thanks to interviews with patients, I discovered that need of sleep of patients in intensive care is not saturated.Out of the 30 respondents I interviewed, 17 of them therefore deemed their sleep as poor and insufficient. I also worked out the factors that have the greatest negative effect on the need of...
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Problems of the Patient with Psoriasis and his Integration to the Society
Vaňková, Lucie ; Hošťálková, Monika (advisor) ; Marková, Eva (referee)
The bachelor work is dealing with the problems of patients, afflicted with psoriasis.In the first half of the teoretical part I am fixing on the description of the anatomy and physiology of the skin.The second half of the theoretical part makes clear, what actually psoriasis yields, what is its history, how manifests, what is the posssibility of diagnostics, what types of psoriasis we can meet in the practice, which are the possibilities of the treatment and why is important education of the diseased person,the family and the society.In several chapters I describe,which is the fall-out on the psychical and physical disposition of the patient. Last but not least I am joining on the chapter about the integrating of persons with psoriasis to the society.The empirical part is fixed on the life and stories of the people who did not choose this disease wilfully, however it guides them for the big part of their life. There was used the probe of the qualitative investigation with the technique of the half structured dialogue.The dialogues were recorded and subsequently analyzed by the help of the method of stationary theory.The principal aim is to find out,in what social spheres people with psoriasis have most often problems. The talks are made with the chosen patients, with their families, friends and with general...
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NURSING CARE OF PATIENTS WITH HEMATOLOGICAL MALIGNANCIES IN THE INTESIVE CARE UNIT
Dolinská, Michaela ; Hošťálková, Monika (advisor) ; Kukol, Václav (referee)
NURSING CARE OF PATIENTS WITH HEMATOLOGICAL MALIGNANCIES IN THE INTENSIVE CARE UNIT Michaela Dolinská, DiS. ABSTRACT Overall survival and quality of life of the patients with malignant diseases, especially with hematological malignancies, have improved significantly in the last years. Early diagnosis and aggressive treatment, including the hematopoietic stem cell (bone marrow) transplantation modality, have led to the increase survival rate of such patients. Simultaneously, these opportunities generate increasing number of individuals requiring the intensive care due to various complications of malignant disease and/or its treatment. This bachelor thesis is designed as theoretical-empirical study. The theoretical part provides the review and analysis of current literature and discusses particular specifics of nursing care of patients with hematological malignancies in the intensive care setting. Pancytopenia- associated immunosuppression and infection risk, the need of barrier-approach principles of nursing care will be described. Next, bleeding conditions and restricted transfusion politics, telling unfavorable information to the patients and their families and last but not least the palliative care principles are reviewed too. The empirical part of the thesis is processed as the qualitative research in...
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Quality of life of patients with degenerative disease of the spine
Čermáková, Lenka ; Hošťálková, Monika (advisor) ; Hrdličková, Renáta (referee)
The presenting project regarging 'Quality of life in patiens with degenerative disorders of the spine' is subdivided into two parts - first theoretical introduction, second the empirical part. Theoretical part consists of an anatomical and fysiological issues of the spine, description of the low back pain syndrome, degenerative disorders of the spine with it's symptomatology, diagnosis, treatment and nursing. In the empirical part I followed a cohort of patients. Each of the patient fulfilled a'Quality of life questionare' prior to spinal surgery and at least six months after spinal surgery, then the results were compared. The median age group was 60 yo, i.e. 44.12 % of all operated patients with degenerative spinal disorders. 41.18 % of the patients went to vocational school and 41.18 % were manual workers with physically demanding work. According to the results, quality of life after spinal surgery was overall improved, low back pain lessened and patients reduced using pain killers. There was s signifiant improvement in daily acivities and patients subjectively felt theirselves in better health condition.
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Nursing Care in Patient with Acute Myocardial Infarction
Němec, Pavel ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
The aim of this bachelor thesis is to identify the characteristics of prehospital and hospital care of patients with acute myocardial infarction. The theoretical part of the thesis summerizes clinical symptoms, diagnostical procedures and treatment of such patients. There is mentioned the importance of preventive steps, also. The differences in prehospital and hospital nursing care of acutelly ill patient are examined in detail. The practical part of the thesis uses data of Pilsen Region Rescue Service and analyzes the incidence of acute myocardial infarction in this area. Furthermore, two case studies discuss the appropriateness of nursing care. Key words: acute myocardial infarction, interventional treatment, nursing care, nursing diagnose, interventional treatment, patient
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Women stress urinary inkontinence in the public eye
Košická, Kateřina ; Kulhavá, Miluše (advisor) ; Hošťálková, Monika (referee)
Context: Stress urinary incontinence is the most frequent form of urethral incontinence of urine and affects a significant number of women. Almost half of women affected by this condition will not seek professional help even if it is causing them psychosocial difficulties, which urinary incontinence often brings. I work in the operating room of the Gynecology - Obstetrics Clinic at the General University Hospital "U Apolinare", where I participate in the treatment of Stress urinary incontinence. This is why I chose this topic for my Bachelor thesis. Goal of the research: The main goal of my Bachelor thesis was to analyze the prevalence of Stress urinary incontinence among the public. One of my subgoals was to determine the number of women affected by Stress urinary incontinence and how they were informed about this issue before they consult the doctor. I wanted to assess if women are afraid to speak about their difficulties in front of medical staff. The most effective treatment of the Stress urinary incontinence is surgical treatment. I wanted to find out if women were satisfied with the results. Description of the used methods: The thesis is divided into two sub-units, one theoretical, which comprehensively introduces readers to the issue. It describes the anatomy, pathophysiology basis of...
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Intensive home care - Home care with elements of intensive nursing
Králová, Eva ; Hošťálková, Monika (advisor) ; Meisnerová, Eva (referee)
The master thesis deals with an intensive home care - home care of intensive nursing and maps the situation concerning the home mechanical ventilation. The theoretical part draws from the researchers' reviews. It clarifies the basic concepts, intensive home care and trends in providing the home mechanical ventilation. Furthermore, this part of the thesis explains the term mechanical ventilation. To facilitate long-term ventilation of a chronic patients it is necessary to ensure an adequate airway. Therefore, it is included a chapter dealing with a tracheostomy and its treatment.The first part of the survey summarizes a statistical overview of the home mechanical ventilation used in the Czech Republic till 31th March 2013. Next section includes a qualitative form research, which is observing the whole indicating and transferring process of a patient from a hospital to the home environment where the home mechanical ventilation is assured. I have concluded that men are more ill and women, mothers or wives are taking part in the healing process according to the investigation results. We have 81 ventilated patients in home care in total. Mechanical ventilation is mostly indicated for children with spinal muscular atrophy disease. Men compared to women are more often affected by traumatic conditions,...
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