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Possibility for client{\crq}s development of personality in stationary {\clqq}Úsměv`` for persons with mental and combined handicaps
DVOŘÁKOVÁ, Veronika
The care of individuals with mental and combined handicaps is so hard, that it is often necessary to place the individuals into the day centres. The client daily attend all therapies with simultaneous educating by social experiences, by the offer of interest and club{\crq}s activities. The aim of this work was to find out, what activities help to the clients of the stationary Úsměv for persons with mental and combined handicaps in Třebíč in the development of personality, motoric abilities, integrating into the society, activities that lead to the keeping and developing of intellectual powers and skills and so on. After I have acquainted with the problems I have decided to use the qualitative research. As the essential methods I have selected unconcerned observation, non-standard interview and the content data analysis of the medical and psychological documents. The main aim was to obtain the essential information on researched individuals in relation to their developments that depend on the stationary activities. The interviews were conducted with the researched individuals, employees, parents of the individuals and they are evaluated for each group. The target file was formed of 5 individuals from the stationary Úsměv for persons with mental and combined handicaps older than 15 years in Třebíč with DMO. On the basis of the pieces of knowledge I have created the hypothesis: {\clqq}Everyday, systematic and regular visits of the stationary client and usage of all activities it has offered can help to develop the personality, integrate the client into the society, obtain self-sufficiency, development of rough and fine motoric in the area of clients with mental and combined handicap and primarily with DMO.`` The results of my research confirmed that there doesn{\crq}t exist one concrete activity that would help in the client{\crq}s personality development but the complex of all activities provided by the stationary can help them and the regular contact with people out of the home environment can help with their integration into the society. Necessity of the long-term planning of the personality development of each client came out of the research and keeping of the detailed documentation about the development of their abilities and skills.
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Application of snoezelen as multisensory stimulation in children with heavy combined handicap
RICHTROVÁ, Lucie
Snoezelen is a therapeutic method based on complex involvement of senses. The target group is particularly formed by individuals with heavy combined handicap, within the whole age spectre from newborns to seniors. Snoezelen is provided in a specifically arranged room offering the individual pleasant environment and stimulating sensual impulses. A therapist has a function of a guide here; the individual him/herself defines how to spend the free time in the snoezelen. The aim of the thesis was to find the possibilities of snoezelen application in children with heavy combined handicap. The particular goal was to develop individual plans for exploitation of snoezelen focused on development of concentration of attention and communication abilities. The theoretical part thus includes specification of general conditions and principles of snoezelen application as a therapeutic method apart from definitions of the basic terms, detailed characteristics of snoezelen and a list of supportive methods. This knowledge was then applied to the theoretical part of the thesis. Case reports were used for verification of the theoretical outputs with regar to the target group characteristic and the individual specifics of therapeutic work. Combination of involved observation and document analysis was used for data collection. Three children with heavy combined handicap were chosen for the research sample. All the probands passed a three-month therapy in specific environment arranged according to snoezelen principles. The room met the conditions for development of attention concentration and communication abilities. However the children did not take use of the opportunity during two month of therapy. Only relaxation effect of snoezelen was seen in all of them, a shift in interaction with the environment, where the child actively influenced the snoezelen elements was found in one case. The results showed that the short time and low frequency of therapeutic sessions were probably the reasons of non fulfilment of the set goals with regard to the disability character and degree. The thesis may serve as informational material for persons or facilities interested in utilization of snoezelen and would like to use a multi-sensory room in practice.
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Hipotherapy as a part of coherent rehabilitation by multiple handicapped children
HONNER, Petr
Hippotherapy is a method of physiotherapy which transmits a regular three-dimensional movement of a walking horse from the horseback to the client in various positions. This movement is unique and it stimulates postural reflexes, coordination and balance responses, provides proprioceptive sensorimotor stimulation and it practices and fixes physiological movement patterns. The impulses are transmitted from the horse to the client´s lumbosacral area of the spine via the pelvis. As a person riding a horse does not load his/her legs the rider´s response to the moving horseback is a specific movement pattern for the trunk and pelvis, as if the person is walking. This aspect of hippotherapy cannot be replaced with any other rehabilitation method. It is performed in a non-clinical environment and it offers to the client the opportunity to communicate with the horse and to get outdoors to places that would be otherwise not available for him/her due to the disability. The children and adults are thus involved in an activity they can talk about with friends. The horse and the environment around contribute to the treatment of the body and soul alike. The theoretical part of my bachelor thesis deals with the definition of hippotherapy within the integrated rehabilitation of persons with various types of handicaps. I have focused particularly on individuals afflicted with spinal muscular atrophy and hereditary sensorimotor polyneuropathy. The objective of my bachelor thesis is to describe favorable effects of hippotherapy on children with various types of handicaps. The research part deals with the utilization of the method in practice. The qualitative techniques used for data collection included medical records, observations, secondary analysis of data and photographic documentation. The results of hippotherapy demonstrated favorable effects on both the monitored clients who attend the ARPIDA rehabilitation center for handicapped people. The research was conducted on clients with spinal muscular atrophy of type III and hereditary sensorimotor polyneuropathy. The casuistry of both the clients describes the course and results of the therapy.
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The canistherapy provided for children with multiple disabilities.
MACEČKOVÁ, Martina
The Bachelor thesis deals with the canistherapy provided for children with multiple disabilities. The first half of theoretical part is focused on the definition of term 'canistherapy'; its progress in the Czech Republic; its methods, forms, stages, objectives and issues. Likewise, I have drawn my attention to particular canistherapy organisations. The second half of theoretical part gives an accurate description of the canistherapy provided for children with multiple disabilities. There is also specified the term 'canistherapy dog'. The research part concerns the institutions where they take care of the aforementioned group of children. The aim of my essay has been to find out the effect of canistherapy on children with multiple disabilities. The results are shown in terms of the case histories and their overall assessment is described in the final discussion.
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Special aspects of nursing care of clients in the Nursing home for disabled people in Zběšičky
LHOTECKÁ, Markéta
In the Nursing home for disabled people in Zběšičky nursing care for persons with combined disabilities who need specific nursing care is provided. Nursing activities are focused on meeting the clients´ needs. The mission of the Nursing home is to create another home for the disabled and make the disabled clients´ lives similar to those of healthy people. The main effort of the nursing staff in the Nursing home is to make clients self-sufficient in daily routine - with respect to their individual abilities. The aim of the research is to determine the level of nursing care in the Nursing home and to analyse the care provided to the clients. Using the results of the research we can point out the possible inadequacies in nursing care so that the quality of nursing could be improved. The research was conducted by the quantitative method. The techniques used in the research were observation, interview and analysis of documents. During the observation the main attention was focused on meeting the clients´ needs. Relevant medical records were analysed. The research database 1 was composed of four Nursing home clients with combined disabilities, who were chosen randomly. Semi-standardized interviews were conducted with all the nurses of the Nursing home (seven nurses) who formed the research database 2. The results of the research and the medical records analysis show that clients´ needs are met to the extent limited by the clients´ condition. If the needs are met only partially it is caused by the client´s serious disability the nurses try to compensate. During the observation special aspects of nursing care were determined: these are especially meeting the clients´ needs concerning activity and rest. Nurses take part in physiotherapeutic and activating exercises. Another special aspect of nursing is basal stimulation which significantly improves meeting needs in communication, perception and cognition. In meeting the needs concerning hygiene, excretion and nutrition the care is similar to that in immobile clients in other health care facilities. Nursing staff members were interviewed to find the level of adherence to the health and social standards set for nursing homes for disabled clients. The care provided in the Nursing home is community care and the standards correspond to the principles of thit type of care. These principles are: complexity, respecting human rights, health recovery in society, continuous education and standardization of the process. On the basis of the research a following hypothesis was stated: the nursing care provided to clients with combined disabilities corresponds to health and social standards applied in the Nursing home for disabled people in Zběšičky. Some inadequacies were found in abiding by the principle of complexity. There is a lack of medical diagnostics in the nursing process. The objectives of the thesis were accomplished. The results obtained by the research will be provided to the Nursing home for disabled people in Zběšičky and can be used to improve the nursing care. It is advisable to organize a seminar on the nursing process for the nursing staff in the Nursing home.
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Possibilities of follow-up social services for users with multiple disabilities over 18 years from České Budějovice and surroundings
NOVÁK, Jaromír
The aim of this diploma thesis was to map a current range of social services for users with multiple disabilities over 18 years from České Budějovice and the surrounding area and also to find an interest in individual types of social services from a perspective of their legal representatives. The theoretical part deals with a concept of the combined disability and its basic division. Further it devotes in detail to social services that are determined for clients with multiple disabilities over 18 years. A part of the theoretical there is also a list of organizations currently providing social services for this target group in České Budějovice and surroundings. A conclusion of the theoretical part devotes to a community planning, its history and present days in the South Bohemian region as well as directly in the town of České Budějovice. The practical part has been processed by a quantitative research method, specifically in a form of an anonymous questionnaire survey and it provides a comprehensive information on a fact, which social services are currently used by the legal representatives of the users with multiple disabilities over 18 years from České Budějovice, what services they are in future interested in and how they would imagine their functioning. This part also summarizes information how the legal representatives of users with combined disabilities over 18 years participate in an establishment of new social services and it maps their awareness of the community planning. The conclusions of the diploma thesis should serve as a feedback to organizations providing social services for users with multiple disabilities over 18 years. Furthermore, they could be used as a source for the community plan and to help for an extension of the offer of provided social services in České Budějovice.
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Influence of combined disability of children looked after the ARPIDA center on lifestyles of their families.
ČÍŽKOVÁ, Zdeňka
This diploma thesis deals with the care of a child with combined handicaps in the family. I investigated how the lifestyle of a family caring for a child with combined handicaps is affected. A sub-task was to explore this issue in a family caring for a child with combined handicaps who is a client of a nongovernmental non-profit facility, the centre ARPIDA, o.s., in České Budějovice. I used qualitative research methods in my diploma thesis. The chosen technique was a semi standardized interview with the parents and siblings of children with combined handicaps in care at the centre ARPIDA, o.s. A content analysis of data from individual client documentation from the centre ARPIDA, o.s., was used as a complementary technique. Based on these materials, I created five case studies of clients with combined handicaps. The theoretical part describes the important concepts and situations that are related to this issue. Particular attention then focuses on individual means of a comprehensive rehabilitation system which offer a comprehensive interdisciplinary care to families caring for a child with disabilities. In the practical part, I analyse the interviews carried out with the parents of children with combined handicaps. In particular, I examined their views of the changes that they arose in connection with the birth and care of a child with disabilities. I also had interviews with the healthy siblings of the children with disabilities. Thanks to these interviews, I gained interesting insights on this issue from the perspective of other family members. In conclusion, I state that the lifestyle of the parents and siblings of a child with combined handicaps is significantly affected by the birth of a disabled child. The parents often lose the opportunity to follow their professional careers and there is sometimes a negative impact on their health. They feel insufficiently appreciated by the state for their burdensome care for a child with combined handicaps. Due to this fact, healthy siblings become more mature and more sensitive individuals who are aware of critical life values. Based on the research part of my thesis, I defined three hypotheses in the end. Hypothesis 1: The parents are adversely affected in their health due to long care for a child with combined handicaps. Hypothesis 2: The most important quality in the care of a child with disabilities is patience. Hypothesis 3: Nongovernmental non-profit organizations are an important source of assistance to families with a child with disabilities in its natural environment. The diploma thesis should highlight the importance and unsubstitutability of families caring for a child with combined handicaps. This thesis may serve to professionals and students focusing on this issue, but also the parents of children with combined handicaps as their feedback.
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Integration of children with multiple handicap
VRÁBLIKOVÁ, Andrea
In my assignment ``Integration of children with multiple handicap{\crqq} I focused on the findings what problems parents of children with combined disability within school integration have to face, especially primary schools in the region Karlovy Vary. I also focused on teachers with these children integrated in their class. Performing the research, the main methods I used were questioning and analyses of documents. As to the questioning, I chose the form {\clqq}interview``. Collecting data from analyses of documents, I used the form {\clqq}secondary data analysis``. The research has revealed many hypotheses. My assignment should serve as a valuable source of information on this issue that has been discussed very often in the last time.
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Application of Mediumistic Ways when Working with Disabled Children in the Centre of Early Care
KOUBOVÁ, Petra
The work is engaged in the care of children with some disabilities of sight the centres of early care. The theorical part characterizes the children with these disabilities, it gives a survey about the most fregnently occured disabilities in the centre of early care. There is some information about working of the centre mentioned ebove. The work a also describes the metodology used there. The profil of centre activities is involved as well. The theoretical part includes the chapter about the families of children with disabilities of sight. The practical part involves e case study with casuistry of a client from the Centre of Early Care in ČB. There is described the Metod wich makes use of the ais called {\clqq}Little Room".
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