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The role of primary care nurse for children with enuresis
VYSTRČILOVÁ, Kateřina
The research has shown that the need to empty urine with the wetting problem, the need for certainty and security with the feeling of shame not only among enuretic children but also their parents, the need for liquid intake with the problem of not meeting the sufficient intake during morning and early afternoon hours and subsequent feeling of thirst are the most frequently unmet needs of enuretic children. According to nurses their role is based on education of parents and their enuretic children in the field of liquid intake regime and emptying the urine, and basic urine examination. The nursing care provided by nurses in surgeries of paediatric practitioners to enuretic children is sufficient; nurses are aware of the problems with the needs of enuretic children and try to solve them. However they educate enuretic children and their parents badly in the treatment regime principles, they do not require a feedback and are not interested in adherence on the rules they recommend. The nurses? knowledge is particularly poor in terms of the correct drinking regime rules the principles of the correct hygienic regime and application of hygienic aids to older children, the rules of waking children up for urination by their parents and particularly the knowledge of physiologic development of a child in urination regulation and its upbringing in 7 steps. Knowledge of the treatment regime is quite sufficient among parents. They probably gain correct information from practitioners, nephrologists and further sources, like the Internet. However the knowledge in the field of enuresis problems (the term, causes, age limit of wetting pathology) and of the child development in urination regulation and its upbringing in 7 steps is insufficient. Parents sit their children on the potty early, mostly before 1 year of age which contributes to the occurrence of enuresis. The parents unfortunately consider their knowledge insufficient.
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Effect of peritoneal dialysis on everyday activities of people
BOŘILOVÁ, Lucie
The Paper investigates the effects that peritoneal dialysis may have on everyday lives of patients. Clients suffering the chronic renal failure multiply, and the peritoneal dialysis is the first option in line to treat the condition. Since the numbers of clients treated by peritoneal dialysis grow, nurses meet such people increasingly also outside the Dialysis Centers. The method heavily relies on nursing care. Peritoneal dialysis is a treatment intended to do the duty of kidneys instead of kidneys. It works on the principle of swapping substances between the blood and the dialyzing solution through the patient's own peritoneum. The technique of peritoneal dialysis works for patients of all ages. The clients opt for this procedure appreciating its minimal requirements for technical skills, the possibility of home treatment, and the avoidance of commuting and the stress of frequent visits to health-care facilities. The method makes the patients feel more independent, self-reliant, and gives them elbowroom for adjustments to their daily blood-cleaning schedule and other activities. The "cure" itself is applied by the clients, and the clients have to demonstrate a degree of responsibility. The Paper was to make an inquiry into the issues of peritoneal dialysis. It should communicate the main information on peritoneal dialysis to nurses, and help the clients make a decision on the method of treatment.
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Prevention of malignant melanoma of derm
ŠŤASTNOVÁ, Lenka
The occurrence of malignant melanoma is rising. This thesis deals with malignant melanoma and its prevention. The quantitative analysis is based on a questionnaire survey. The purpose of this thesis was to detect the differences in the malignant melanoma prevention approach of the medical personnel and the ``ordinary{\crqq} people, and to detect the differences in approach of the people without personal experience with malignant melanoma and the patients with this experience. All the hypotheses were proved. The medical personnel focus more on the prevention than the ``ordinary{\crqq} people (H1). The ``ordinary{\crqq} people sunbathe excessively (H2). Patients are more protective than ``ordinary{\crqq} people (H3). Patients avoid the sunbathing and sunburn (H4). People with personal experience with malignant melanoma visit regularly a dermatologist (H5). Conclusions demonstrate that the approach to the malignant melanoma prevention is influenced by the medical personnel qualification and the patients{\crq} personal experience. Nurses informed only 2 % of the ``ordinary{\crqq} people and 4 % of the patients. It is important to promote the prevention and to raise the importance of nurses.
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