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Problems of Children Crohn's disease
TENKLOVÁ, Monika
Crohn's disease is a chronic inflammatory disease that affects the entire gastrointestinal tract in all its layers.The theoretical part deals with the characteristics of the disease, its causes, symptoms, complications, treatment and psychological aspects. It also touches on the needs of children and communication with a chronically ill child.At first, this work set out to achieve two goals: mapping the provision of nursing care to children with Crohn's disease in hospitals and determining the impact of Crohn's disease on the everyday life of a child. A third goal, gathering respondents' views on the possibilities of community nurses in collective institutions, was encountered during the research and was added.The empirical part was carried out using qualitative research method using semi-structured interviews both with health professionals working at pediatric wards, as well as children with Crohn's disease and their parents.Survey results show that children with Crohn's disease come in contact with health workers at various departments of health facilities. The most common early symptoms of Crohn's disease in children included abdominal pain, diarrhea with blood or mucus and failure to thrive. The most common areas affected were the gastrointestinal tract, the small intestine, the colon in one case and the rectum in another.Some workers did not know which tests or treatments their hospital prescribes to the children.They report pain as the main nursing challenge, but this did not reflect in nursing practice.In all departments, except one, there was no material on Crohn's disease, which would have been helpful to the workers.Interviews with children and parents, as well as with health workers confirmed that the disease has a socio-cultural impact on the child and those around it. The results of this diploma thesis were presented at three conferences and will be published.
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Readiness of hospitals for admission of children with surdopaedic defects
TENKLOVÁ, Monika
Hearing is the most sensitive of all human senses. Together with sight, it serves as a means of communication and social interaction. Children with congenital hearing impairment lack the preconditions for development of speech. In this case, a long-term speech therapy is needed. The theoretical part of the thesis is concerned with hearing impairments. It mentions children with hearing impairments and also the education of nurses. I describe paediatric units and the work of nurses in these units. Two objectives were set for this bachelor's thesis: to find out whether nurses working in a hospital paediatric unit are ready to care for patients with hearing impairment and to examine how well the hospitals are equipped to care for these patients. The research part of the thesis was conducted as a qualitative research with nurses working in a paediatric unit in the form of a semi-structured interview. The interviews with nurses were then transcribed using verbatim transcription. Altogether, ten nurses working in three different hospitals were interviewed; two of these hospitals are located in the South Bohemian Region and one in the Central Bohemian Region. The first part of the research examined the qualification education, lifelong learning and education possibilities for nurses in the area of deaf education. We were also interested in the experience of nurses with the hospitalisation of children with hearing impairment in the paediatric unit. In the next part of the research, we examined the deaf education tools and modern technologies that could make care of children with hearing impairment easier. We were also interested in cooperation between the hospitals and special education teachers. In both hospitals in the South Bohemian Region, a teacher (not specialised in special education) is available in the unit, but the hospital in the Central Bohemian Region has not had any teachers in their unit for several years. So far, none of the nurses have experienced a special education teacher working in their unit. The last part of the research is aimed at nursing care of patients with hearing impairment. The nurses think that they are ready to provide nursing care or that they are expected to be. The research showed that there are occasionally children with hearing impairment in the paediatric units, but the nurses are not able to communicate with them using sign language. The paediatric units have experience with hospitalising these children, but in spite of that, they have no deaf education tools or modern technology available for them. These findings will be published in a nursing journal.
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