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Nursing Care for Patients with Tracheostomy
Ebertová, Barbora ; Hošťálková, Monika (advisor) ; Maňasová, Taťána (referee)
The thesis is focused on nursing care of patients with tracheostomy. The work consists of two parts. The first part is theoretical. This section is devoted to anatomy and physiology of the respiratory tract, additional chapters devoted itself already the main topic and that is tracheostomy. The implementation presented here tracheostomy history, engineering design, types of procedures, types of cannulas tracheostomických, indications for the performance and possible complications. Another big part of the total nursing is where nursing care is devoted to a patient with tracheostomy and care of respiratory toilet, replacing the tracheostomy cannula and decanting. Then there is included a chapter on communication with the patient and possible alternative ways of communication and nursing diagnosis. The empirical part focuses on qualitative research, the method of data collection are two case reports of nursing. The survey was conducted at the clinic anesthesia, resuscitation and intensive care in two patients with tracheostomy. The aim of the research was to find out how the nursing care of patients with tracheostomy, method of communication with tracheostomy patients and to determine their nursing problems. Key words Tracheostomy, airway, tracheostomy tube, airway toilet, communication, nursing care
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A problematic patient at the Intensive Care Unit
Hricová, Ivana ; Hošťálková, Monika (advisor) ; Honzák, Radkin (referee)
Thesis on "The aggressive patient in intensive care, "focuses on obtaining information relating to violent patients, their behavior, the occurrence of selected sites, how to respond, behavioral health personnel to these patients and obtaining information relating to completing the incident report aggressive patients. This thesis is divided into theoretical and empirical. The theoretical part deals with the acquisition of theoretical knowledge of care intensity, aggression, communication with aggressive behavior, physical aggression, aggressive techniques to calm the patient, psychotherapy, pharmacotherapeutic treatment, prevention of aggressive behavior and incidents. The empirical part of the thesis presents results of quantitative data collection through a questionnaire survey using anonymous questionnaires. Three Prague hospitals were involved in the research (TTH, General University Hospital, Motol), 9 health facilities in total with the approval of Chief Nurses. Total of 178 nurses working in ICU were involved in the data collection. Survey results will be statistically processed into detailed charts. The results revealed that nurses surveyed hold the correct attitude to communication and aggressive patient right off reports of the incident. KEY WORDS: Aggression, ICU, resuscitation...
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Care of the airways in a patient hospitalized at the ARO, JIP
Budaiová, Lucie ; Hošťálková, Monika (advisor) ; Čapková, Radka (referee)
Diplom thesis called "Caring for the airways of a patient hospitalized in DAR, ICU" cosists of two parts - a theoretical and empirical one. The theoretical part is focused on basic knowledge concerning airways. Also describes the anatomy and physiology of airways, caring of airways - ensuring a patient airways, monitoring of the respiratory system and respiratory physical therapy in adult patients hospitalized at DAR, ICU. Empirical part of thesis describes results of data obtained from the questionnaires and finds the knowledge and skills of nurses in the care of airways and practices of nurses in this issue. Empirical part is also finding the implementation of rehabilitation of airways of extubated patient and compliance with safety measures preventing the creation of nosocomial infections. The research survey involved a total of six medical facilities in Prague and Ústí region - ie a total of 10 workplaces of DAR or ICU. The field study has been performed since November 2010 to January 2011. Two hundred and sixteen general nurses took a part at this study. I found out that general nurses have the correct attitude on the frequency of airways suctioning, to the potential creation nosocomial infections nurses take a professional attitude and knowledge of nurses are on good level. KEY WORDS:...
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Administration of medication in hospital wards
Fuková, Tereza ; Hošťálková, Monika (advisor) ; Pavlíková, Pavla (referee)
This thesis concerns the administration of medication in hospital wards. The theoretical section describes the process followed by the nurses, the most common types of medication, and drug classification. The thesis then assesses the level of pharmacological and legal knowledge among the nursing staff, and the incidence of clinical mistakes. The data was obtained by means of a 19- question questionnaire, in a survey of 100 nurses in medical, surgical, geriatric and psychiatric wards. Key words: Nurse, medicine, medicament, administration of medication, hospital ward
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Nursing care of patients with implemented intracranial sensor
Bednaříková, Jana ; Hošťálková, Monika (advisor) ; Polívková, Jarmila (referee)
The goal of thesis "nursing care of patients with implemented intracranial sensor" was to analyze nursing care of patients on neurosurgical and critical care units in hospitals of the capital city of Prague. Main objectives were to understand whether there are nursing standards for "Nursing care for patients with established intracranial sensor", how nurses care for patients with increased intracranial pressure, if they have an experience with complications with patients with implemented ICP sensor and finally if they know the main complications that can potentially occur. The theoretical part describes the most common causes of brain damage and associated causes of intracranial hypertension, summarizes the types of sensors for monitoring intracranial pressure and ways of their implementation. It also deals with the specifics of nursing care associated with monitoring of intracranial hypertension. Quantitative research was chosen as methodology for this work. Data for the research was collected through anonymous questionnaire with nursing staff. The result was a finding that none of the cooperating departments have prepared a standard of nursing care for patients with an implemented ICP sensor, and that the majority of interviewed staff were not able to answer correctly if that standard in their...
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Application Basal Stimulation in Intensive Care Unit
Hornychová, Petra ; Hocková, Jana (advisor) ; Hošťálková, Monika (referee)
Precis This graduation theses discusses about application of the concept of Basal stimulation in the work of nurses in intensive care. A theoretical part explains the concept of basal stimulation, briefly outlining the history of this concept and describes the different elements. Elements' name are include somatic, vestibular, visual, olfactory, auditory, oral and tactile - haptic stimulation. The work also highlights the importace of biographical history of the client. Research part determines the level of knowledges about basal stimulation between nurses in the ICU (intensit care units) and its use in the ICU at University Hospital in Hradec Králové. Research method is a survey. The questionnaire established author. Keywords: basal stimulation, nest location, location mummy, biographical history, communication.
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Readiness of healt care providers to mass disasters
Opltová, Kateřina ; Prošková, Eva (advisor) ; Hošťálková, Monika (referee)
Reception of a large number of the injured to a medical facility as a result of a mass disaster or a catastrophe puts high demands on health care. Such situations can not be dealt with the mere improvisation; it is necessary to create unified organizational procedures defining the composition of medical teams and their activities during the multiple reception of the injured to a medical facility. The theoretical part of this thesis provides a comprehensive overview of the current state of emergency preparedness in healthcare facilities. In the empirical part, I analyzed the readiness of health facilities for a mass disaster in the capital city of Prague. A structured interview with open questions was chosen as a method of data collection. Based on the survey, I concluded that the readiness of health facilities in the capital city of Prague differs. I recommend setting up a phone line while receiving patients as a result of a mass disaster in order to improve the situation in Prague. The sole purpose of such a line would be reporting emergencies. I also recommend health care facilities participate actively in exercises within the integrated rescue system and clearly identify and determine facilities where the reception of the injured takes place if a mass disaster occurs. Keywords: mass disaster,...
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The Risk of Penetrating Injurie and Their Prevention
Králová, Lucie ; Saxlová, Jaroslava (referee) ; Hošťálková, Monika (advisor)
This thesis deals with injuries of healthcare workers with sharp objects. Nurses injured by used needles is a very serious and timely topic. The theoretical part focuses on occupational diseases, mode of transmission of infectious diseases, to protect Nurses from stab wounds and protective equipment. Research was conducted in two hospitals, at the University Hospital Bulovka in Prague and Klatovská hospital and was attended by 109 nurses and midwives. Data obtained by the quantitative research confirmed that the incidence of stab injuries is high among health professionals. Contrary, knowledge and adherence to preventive measures against a sharp object injuries and professional awareness of the diseases is inadequate.
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Barrier Nursing Care
Sálusová, Markéta ; Jordáková, Jana (referee) ; Hošťálková, Monika (advisor)
Diploma thesis deals with barrier nursing. The theoretical part is focused on explanation of terms such as a barrier nursing and its components, process of disease transmission, and nosocomial infection itself. An empirical part of the thesis aims to find out how extensive knowledge about this problematic state registred nurses have got and whether they follow convention of hygienic and epidemiological principles properly. The research took place in Anaesthesiology and Intensive Care and Intensive Care Unit and their subdivisions of University Hospital and District Hospital. The method of standardized questionnaire was used for data collection. The analyzed data proved information on level of knowledge of barrier nursing and how much the convention of hygienic and epidemiological principles is followed by state registred nurses. The research reveals that there is a space for barrier nursing improvement especially in isolated patients. A standard proposed in the thesis deals with this problem.
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Medical Specialist Awareness and Attitude about Organ Donation
Hajšlová, Petra ; Hošťálková, Monika (advisor) ; Vaňková, Milena (referee)
Bachelor thesis is focused on finding the awareness and attitudes of nurses towards organ donation. The work is divided into two parts ̶ theoretical and empirical. In the theoretical part summarizes available data on the history and development in this field, applicable legislation is mentioned, care for organ donors and overview of the current situation of organ donation, along with current trends. Empirical part took the form of quantitative research, which was conducted by anonymous questionnaires. The aim was to determine nurses' awareness about organ donation organization, determine their orientation in the field of diagnosis of brain death, to map the contemporary practice in the care of a dead donor organs and detect personal attitude on the issue of donation. Respondents were nurses that during their practice on the wards encounter this issue. Questionnaires were distributed on anesthesiology and resuscitation department of Central Military Hospital ̶ Military University Hospital in Prague, then to the operating room and intensive inpatient department of intensive and resuscitation care at the Institute for Clinical and Experimental Medicine. Investigation was attended by 96 nurses. In results, we found that the principle of presumed consent to organ donation in the Czech Republic is...
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