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The importance and possibilities of positioning of patients after stroke
PLOUHAROVÁ, Kamila
This bachelor thesis is about the importance and possibilities of positioning of patients after stroke. The thesis is divided into theoretical part and practical part. The theoretical part deals with a summary of theoretical knowledge about stroke and possibilities of positioning patients after stroke. There is a more detailed description of antispastic positions, which are based on the Bobath concept. The thesis also includes information about other ways of positioning, which are positioning based on the concept of basal stimulation, positioning using inflatable splints, canistherapy and the suitable supply of information to the patient. The aim of the practical part of the thesis is to evaluate the importance of positioning of patients after stroke by comparing the entry and exit examination and suggest short and long term rehabilitation plan for patients. In practical part was chosen qualitative research a case study that was performed with 5 patients after stroke. Patients were selected randomly during my practice in hospital in České Budějovice at the Neurological and Rehabilitation Department. Data collection was performed processing of case studies, which used the method of observation, interviewing patients and nursing staff and secondary data analysis. Each case report contains anamnesis, entry and exit examinations, proposal of short and long term rehabilitation plan and information about therapy, which patients participated. The results of the thesis show that physical conditions were improved by patients described in case studies 1, 2 and 3. Patients 1 and 3 also improved their psychological conditions. The patient described in the case study 2 did not have any psychological problem at the beginning of the research. The physical and psychological conditions were not improved by patients 4 and 5, but avoid the formation of pressure ulcers and to reduce passive range of motion. Improvement by patients 1, 2 and 3 can be caused by favourable prognosis early in the disease and also care of multidisciplinary team. Against to this by patients 4 and 5 was the prognosis unfavourable.
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