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Nursing care of intoxicated patients
SZTARSICHOVÁ, Barbora
This thesis deal with problems of nursing care of intoxicated patients. Nowadays increasing amounts of toxic substances associated with increasing number of hospitalized people with diagnosis intoxication. Nurse work with intoxicated patients can´t be done without good knowledges about this issue as same as without providing comprehensive nursing care. In theoretical part of this thesis we paid atenttion to general description and to the division of intoxication by journeys into the organism. We mentioned history of toxicology, division of intoxication by the cause of intoxication and drug intoxication. Then we paid attention to the toxicological information center, the diagnostics of intoxication, symptomes of some intoxications, treatment and elimination methods, specific antidotes, nursing care and communication with the intoxicated patient. For this thesis we set two goals. No. 1 : To find out what are problematic areas in nursing care of intoxicated patients from nurse´s point of view. No. 2: To find out specifics of nursing care of intoxicated patients. For this thesis were also set three research questions. Question no. 1 is what are problematic areas of nursing care of intoxicated patient from nurse´s point of view. Second question refers to discovery what role has nurse in taking care of intoxicated patients. And the last research question finds out specifics of nursing care of intoxicated patients. For processing the empirical part of this thesis was used a qualitative research for which we used semi-structured interview. Respondents were 9 nurses work at the internal medicine department, intensive care unit of internal medicine and urgent care department in Hospital of České Budějovice a.s. The data gathered from the interviews were subsequently analyzed and processed into three categories. The first category are the problematic areas in nursing care of the intoxicated patient. Second category is the role of nurses in the care of intoxicated patients and the last category is the specifics of nursing care of intoxicated patient. This survey has provided answers to our research questions. Nurses sees as the biggest problem in taking care of intoxicated patients mainly their lack of cooperation and aggression and also a problem in communication with this patient. Second question, what role has nurse in taking care of intoxicated patients, respondents said that the basic role is to fulfil doctor´s orders, take blood samples for toxicological examination and educated patients. Specifics of nursing care of intoxicated patients constitued of security against further injury and intoxication, prevent further absorption of toxic substances into the organism and elimination of toxic substances from the body of the patient. From the results of this work follows that nursing care of intoxicated patients is mentally challenging for most of the nurses mainly because reasons related to lack of cooperation and aggressive patients.
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