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Heftiness of work nurses for patient with Alzheimer's disease
SALOTOVÁ, Jana
This diploma work focuses on demanding and important task of nurses care of patients suffering from Alzheimer's disease. The problems of Alzheimer's disease represent socially serious and very important subject at present due to the fact that our generation is growing old, which will obviously result in increasing frequency of Alzheimer?s disease occurrence. This diploma work is divided in two parts: theoretical part and practical part. In the theoretical part there are causes, signs and symptoms, diagnosis and therapy of Alzheimer?s disease. Furthermore there is a conceptual framework of nursing care applied to the patients suffering from Alzheimer?s disease according to nursing model by Virginia Henderson. In addition to it burn out syndrome is mentioned here because due to the syndrome the nursing personnel is exposed to extreme psychic and physical load. The Alzheimer Programme Plan in the Czech Republic is presented in order to get better idea about activities in our country. In the practical part of this diploma work we laid down the following three objectives. The first objective was to ascertain exacting character of nursing work of the nurses taking care of the patients suffering from Alzheimer?s disease. The second objective was to ascertain what is considered by nurses to be the most problematic area within the range of nursing care of the aforementioned patients suffering from Alzheimer?s disease and the third objective of our research was to ascertain the contribution of specialised Alzheimer centres. The above-specified objectives have been fulfilled. In addition to it another research questions have been defined as follows: what is the level of exacting character of nursing work of the nurses taking care of the patients suffering from Alzheimer?s disease, what do the nurses see as the most problematic area within the range of nursing care of the aforementioned patients suffering from Alzheimer?s disease within the range of nursing care, what is the contribution of specialised Alzheimer centres and what nursing care should be provided in the specialised Alzheimer centres. The research questions have been answered. For the purpose of the development of this diploma work a qualitative examination has been used. Data acquisition and collection have been performed by applying the method of non-standard structured interview. The research work took place in Psychiatric Ward of the Hospital of České Budějovice a.s. (Joint stock company), in Alzheimer Centre named Loucký Mlýn near the town of Vodňany and in Alzheimer Centre in the town of Písek, and in Home of Old People in the village of Dobrá Voda. The answers of the interviewed nurses have been worked out in the form of sixteen case reports and subsequently category matrices (tables) containing the most important data were created from the aforementioned reports. The examination took place in the time period from March 2011 to June 2011. The results of our work could serve as a feedback for hospitals and sanatoria first of all for those where the examinations took place. Furthermore the results may be used for keeping public informed about the possibilities of helping patients suffering from Alzheimer?s disease e.g. in the form of information booklet.
Detailed record
Nurses´opinion on regulation fees in public health care in connection with nursing care provided
SALOTOVÁ, Jana
This bachelor work is focused on regulation fees in public health care that sere introduced in the Czech Republic on 1/1/2008. The issue of regulation fees in public health care is a very delicate and discussed topic at present, still filling front pages of newspapers, magazines and television programs after almost a year. The work is divided into theoretical and practical part. The theoretical part lists the principles when the regulation fee is and is not to be paid. We mention also the protective limit and the office job related to collection of regulation fees. We describe the situation abroad to give an idea how regulation fees work in neighbouring states. The practical part of this work had three goals. The first goal was to find out how nurses perceive the introduction of regulation fees in public health care. The second goal was to find out whether the regulation fees affect the nursing care provided, and the third goal of our research was to find out what nurses consider the most problem-loaded area within the regulation fees. Those goals were met. Research questions were set on the base of the goals. How nurses perceive regulation fees in public health care, what they would like to change in the collection of regulation fees, what the provided nursing care should look like from the nurses{\crq} point of view and what they consider the most problem-loaded area within the regulation fees. The research questions were answered. Qualitative investigation, questioning method were used to process the bachelor work. The data collection was implemented in the technique of non-standardized structured interview. Our inquiry took place in the Nemocnice České Budějovice a.s. and the Nemocnice Strakonice a.s. hospitals. The nurses{\crq} answers were processed into twenty pieces of casuistic. The investigation took place in February 2009. The results of our bachelor work could serve as feedback for the hospitals where the investigation was implemented. Subsequently they could contribute to create a united form for collection of regulation fees, both from the point of view of payment and of office work. Further the results could serve to support cooperation between the patient and the health care staff. I would also suggest training events for health care staff so that they are able to master problem-loaded situations. For example how to approach a patient who refuses to pay the regulation fee. I would suggest regular training events also for ward sisters and head nurses in the area of legislation of regulation fees.
Detailed record
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