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Special aspects of nursing care of clients in the Nursing home for disabled people in Zběšičky
LHOTECKÁ, Markéta
In the Nursing home for disabled people in Zběšičky nursing care for persons with combined disabilities who need specific nursing care is provided. Nursing activities are focused on meeting the clients´ needs. The mission of the Nursing home is to create another home for the disabled and make the disabled clients´ lives similar to those of healthy people. The main effort of the nursing staff in the Nursing home is to make clients self-sufficient in daily routine - with respect to their individual abilities. The aim of the research is to determine the level of nursing care in the Nursing home and to analyse the care provided to the clients. Using the results of the research we can point out the possible inadequacies in nursing care so that the quality of nursing could be improved. The research was conducted by the quantitative method. The techniques used in the research were observation, interview and analysis of documents. During the observation the main attention was focused on meeting the clients´ needs. Relevant medical records were analysed. The research database 1 was composed of four Nursing home clients with combined disabilities, who were chosen randomly. Semi-standardized interviews were conducted with all the nurses of the Nursing home (seven nurses) who formed the research database 2. The results of the research and the medical records analysis show that clients´ needs are met to the extent limited by the clients´ condition. If the needs are met only partially it is caused by the client´s serious disability the nurses try to compensate. During the observation special aspects of nursing care were determined: these are especially meeting the clients´ needs concerning activity and rest. Nurses take part in physiotherapeutic and activating exercises. Another special aspect of nursing is basal stimulation which significantly improves meeting needs in communication, perception and cognition. In meeting the needs concerning hygiene, excretion and nutrition the care is similar to that in immobile clients in other health care facilities. Nursing staff members were interviewed to find the level of adherence to the health and social standards set for nursing homes for disabled clients. The care provided in the Nursing home is community care and the standards correspond to the principles of thit type of care. These principles are: complexity, respecting human rights, health recovery in society, continuous education and standardization of the process. On the basis of the research a following hypothesis was stated: the nursing care provided to clients with combined disabilities corresponds to health and social standards applied in the Nursing home for disabled people in Zběšičky. Some inadequacies were found in abiding by the principle of complexity. There is a lack of medical diagnostics in the nursing process. The objectives of the thesis were accomplished. The results obtained by the research will be provided to the Nursing home for disabled people in Zběšičky and can be used to improve the nursing care. It is advisable to organize a seminar on the nursing process for the nursing staff in the Nursing home.
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