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The demanding character of Nursing Care in specialized pulmonary sanaroria
KLEINOVÁ, Irena
Pulmonary sanatoriums are facilities where efficient and useful therapy for patients suffering from respiratory diseases is provided. They use treatments including the methods of climatotherapy, drinking cures or inhalation therapies. Diseases such as asthma bronchiale, chronic obstructive pulmonary disease, various forms of pneumonia, lung cancer and also tuberculosis are cured here. Just the tuberculosis treatment regimen is so specific that the research part of this thesis is devoted mainly to this phenomenon. Currently, tuberculosis represents a large medical problem in our country. Although the number of cases in the last decade has decreased, today it remains a serious medical and social problem with a huge economic effect on the entire society. The epidemiological situation is deteriorating on the global scale. The main causes of this deterioration are AIDS, the influx of refugees and immigrants from various risky countries, an increase in adherence to drug abuse and failure to keep to treatment measures. According to the WHO, two billion people are infected with tuberculosis globally. The urgency of this topic is seen in the fact that despite all measures, over 3 million people die of this disease globally and 90% of this number die in developing countries. This thesis is focused on the importance of pulmonary sanatoriums and also on the mapping of intensity of nursing care in particular pulmonary sanatoriums. To a great extent, the thesis deals with the issue of the specific needs of patients and the method of providing nursing care. The thesis describes individual facilities in the Czech Republic and their importance. It also deals with the specifics of nursing care for individual pulmonary diseases and goes into detail about provision of care at isolated units for patients with tuberculosis. It also deals with the holistic approach to the patient and multicultural nursing. A great part of the thesis is devoted to the needs of patients, and changes in their role in the sanatorium. The objective of this master´s thesis was to outline the difficulty of nursing care in specialized pulmonary sanatoriums and find the specific needs of patients in these facilities. Another objective was to discover the role of the nurse in provision of care and outline differences between individual facilities. All these objectives have been performed. Four research questions were set at the beginning of the research. The first research question dealt with how nursing care in pulmonary facilities is provided. The second research question was focused on finding the specific needs of patients in these facilities. The third research question dealt with the role of the nurse in providing care for patients in specialized pulmonary sanatoriums. And the last research question focused on differences between the individual sanatoriums. The practical part of the thesis contains the results of qualitative research gathered on the basis of a semi-structured interview. Final interviews were recorded, transcribed and subsequently processed by the technique of open coding. The research file consisted of 6 nurses working in pulmonary sanatoriums and 5 patients hospitalized with tuberculosis. Based on the information acquired, the patients perceive isolation units as a very simple and depressing place, where they miss contacts with their closest. The stay in the isolation unit is a shock for them. Foreigners complain of the language barrier. Nurses regard the nursing care as very demanding. They must care for patients with various diagnoses and provide multicultural care with respect to the national and cultural specifics of patients. Based on the results found, an information brochure was created, and this can help as a source of information for hospitalized patients in sanatoriums. Furthermore, the results of this thesis will be presented to individual sanatoriums for the purpose of making changes related to their equipment.
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Use of inhalation systems with asthma in connection with nursing
KLEINOVÁ, Irena
Asthma bronchiale is a chronic inflammatory disease of the airways, connected to bronchial hyperactivity leading to shortness of breath, wheezing, chest tightness and cough. It effects people of all age categories and cannot be efficiently cured nor prevented. The incidence ranks this disease among the most common children´s chronic diseases. It affects a significant part of the global population - records say about 300 million people. Its prevalence has dramatically increased over the last 20 years. It is estimated that in 2025 about 400 million people will suffer from asthma. Cornerstones of asthma control are based on early diagnostics, efficient treatment, adherence to lifestyle changes and proper use of inhalation devices. Once the treatment is effective and check-ups and the use of inhalation therapy are regular, the prognosis of asthma is very favourable and it is possible to improve the patient´s quality of life. The control over asthma and its maintenance is the main objective of treatment. This can be achieved by using anti-inflammatory therapy, especially in inhalation form. This Bachelor´s thesis focuses on mapping inhalation systems with patients with asthma bronchiale. To a large extent it deals with the issue of use of inhalation systems, keeping to lifestyle changes and the role of the nurse in asthma-specialized outpatient´s departments. We see the relevance of this topic in the fact that, despite all available literature and medical advice, many asthmatics still make mistakes in the inhalation technique. Wrongly selected inhalation systems or wrongly selected inhalation techniques results in therapeutic failures and problems of patients get worse. This does not maintain control over asthma. The fact that many asthmatics do not know their exact diagnosis and underestimate some symptoms is very alarming. In the introduction, the theoretical part focuses on the definition of the disease. Other chapters include causes and symptoms of asthma, its classification, diagnostics and treatment. It also provides information about the treatment of acute asthma attacks - exacerbation and the role of the nurse in examination of an asthmatic patient. A great part of the thesis deals with inhalation systems, their types and effects. The preparation for the use of manual handheld inhalers and nursing care for the asthmatic patient in outpatient and inpatient care is developed at the end of the theoretical part. The objective of this part was to summarize the current knowledge about this issue. The objective of the Bachelor´s thesis was to map the use of inhalation systems in patients with asthma bronchiale. The following research questions were used: How do nurses inform patients about the use of inhalation systems? What type of inhaler do patients like? What is the nurse´s involvement in the examination of asthmatic patients? What are the most common mistakes in the application with an inhaler? How do asthmatics keep to lifestyle changes? The practical part of the thesis contains the results of qualitative research which was made on the basis of the semi-structured interview. Final interviews were transcribed and subsequently processed by the technique of open coding. The research sample was made of 12 asthmatics and 9 nurses working in selected asthma-specialized outpatient´s departments. With respect to the results found, an information brochure was created - see Annex 7 - which is intended for use by asthmatics. We believe that the results of this thesis will be helpful for asthmatics and increase the interest of experts in this issue and will also address other people willing to take part in its solution.
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Development potential of selected municipalities (municipalities in the South Bohemian Region)
KLEINOVÁ, Irena
This thesis is divided into theoretical and practical part. In the theoretical part are explained key words with reference to the authors and publications that issue. The practical part describes at first the chosen municipalities, followed by the SWOT analysis that capture the strengths, weaknesses, opportunities and threats. The following is the description of the development potential. The conclusion are set out guidelines for their sustainable development.
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