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Kawasaki disease in the contemporary society through nurse´s eyes
MIKEŠOVÁ, Annemarie
Mucocutaneous lymph node syndrome or Kawasaki syndrome is very severe disease. The most common symptom includes a high fever which is probably due to inflammation of blood vessels so-called vasculitis. The characteristic statement is that the etiology of disease remains unknown and the origin is not clarified. Several months old babies to preschool children are the most often affected group of patients. It is relatively rare, modern and mystery disease in contemporary and industrial developed society. The first appearance of this disorder is in 20th century. The disorder was first described by well-known Tokyo origin pediatrician Tomisaku Kawasaki in Japan, who studied this disease very thoroughly. This rare disease is considered autoimmune in origin triggering by an infectious agent especially in those who are genetically predisposed. Specific and typical symptoms of Kawasaki disease include long term fever, conjunctivitis, erythema,lymphadenopathy, mucosal changes as red swollen lips and strawberry tongue and multiple rashes. Related cardiovascular complications should be pointed out especially coronary or other major arteries aneurysms and their ruptures, pericardial effusion, heart inflammations, coronary thrombosis, pericardial exudates, arrhythmias, or mitral valve disease. There is no specific test for identification of Kawasaki disease despite the contemporary technological and diagnostic options. So, the easiest way to establish diagnosis is to recognize typical symptoms, blood/urine/spinal fluid testing and then performing X-ray, electrocardiogram and echocardiogram. This disease has very low mortality, the short-term prognosis is excellent and relapse of symptoms is rare. In total, 337 children were diagnosed with Kawasaki disease and admitted to hospital during the evaluation period (2007-2015) in the Czech Republic. This is significantly lower incidence comparing to the other countries in the world. Diploma thesis "Kawasaki syndrome in contemporary society from a nurse´s point of view" was designed as theoretical with a supplement of short case study. The goal of presence of this case study is to better comprehend presented topic. The scope of problem is described from theoretical point of view in partial chapters of this diploma thesis. All the information mentioned in this thesis quotes verified sources, publications written by the Czech and foreign specialists in this particular field. The goal of the thesis was to describe, based on available literature, the issue of Kawasaki disease in children focused on specifics of nursing. All the information was searched in bibliographical issued writings, in databases, or on the Internet. Based on the goal determined in advance, scientific methods such as explanation, analysis, synthesis and demonstration of data were chosen for composing this diploma thesis. The output of theoretical work is to present complex view on the issue of Kawasaki syndrome particularly for non-medical professionals. It came out that the profession of nurse has its own irreplaceable place in the context of Kawasaki disease. As well as competences of nurse are essential. These competences are provided for improving quality of life of children with this unfamiliar and life-threatening disease.
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Kawasaki syndrome in contemporary society from a nurse´s point of view
MIKEŠOVÁ, Annemarie
Mucocutaneous lymph node syndrome or Kawasaki syndrome is very severe disease.The most common symptom includes a high fever which is probably due to inflammation of blood vessels so-called vasculitis. . Several months old babies to preschool children are the most often affected group of patients. Specific and typical symptoms of Kawasaki disease include long term fever, conjunctivitis, erythema, lymphadenopathy, mucosal changes as red swollen lips and strawberry tongue and multiple rashes.Qualitative and quantitative research was applied in the diploma thesis "Kawasaki disease in the contemporary society through nurse´s eyes". Three basic objectives and three research questions were established in this diploma thesis.
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Coeliac disease and its impact in the life of a child at younger school-age.
MIKEŠOVÁ, Annemarie
Celiac sprue or celiac disease leads to a lifelong adherence to the diet, i.e. to a total exclusion of gluten from the diet. In celiac disease antibodies are released, that act autoimmune and affect the inherent small intestinal tissue, while the detachment of antibodies is caused by the presence of gluten in food. In pathological process the disorder of the morphology of small intestinal walls occurs, causing the reduction of intestinal villus height, which are physiologically present on every intestinal mucosa. In a critical state the subtotal or total atrophy of intestinal villi rises means their partial or complete disappearance. This damage of mucosa results in chronic inflammatory processes, which cause malabsorption.Celiac sprue is a chronic, autoimmune disease developing either on genetic background or due to the immune response.The basic and only treatment consist in longlife exclusion of gluten from the diet., i.e. the suppression of toxic protein occurring in cereal grain. Celiac sprue belongs to the incurable diseases and preventing the complications, which may occur in relation to a bad regime, is a matter of course. Nowadays the importance is attached to prevention, which is divided into three basic levels: primary, secondary and tertiary. The primary prevention is crucial, it is when the incidence of the disease is sought out. The time, when the gluten gets into the child´s body for the first time, has a great influence on the development of the disease. The main goal of this thesis was to map the issue of celiac disease of early-school-age children with a focus on the specifics of nursing using the literature available. The celiac disease issue was searched out in bibliographic publications and on the Internet. Based on the stated objective, the synthesis method, explanation or data demonstration was chosen for this bachelor thesis. Economic point of view is regarded as a fundamental issue of the disease. It turned out that only a small number of czech health insurance companies provides a catering allowance to celiac patients. It was found out, that in many EU states so called community care provided by community nurse, exists. There is no trend like this in Czech republic despite the fact, that this field can be studied in the master study. The nurse is an unsubstitutable member and fundamental pillar of a multidisciplinary team. She also has significant competencies in patient care and constitutes an irreplaceable place in nursing. The output of this theoretical thesis is to create a comprehensive view of the range of problems related to celiac disease of early-school-age children.
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