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Alzheimer's Disease and Family Caregiver Burden. Impact of Alzheimer's Disease on Family Caregiver Psychosocial Health.
Zvěřová, Martina ; Jirák, Roman (advisor) ; Holmerová, Iva (referee) ; Zvolský, Petr (referee)
Alzheimer's Disease is a progressive, irreversible neurodegenerative illness and the most common of the dementing disorders. Only few diseases disrupt patients and their relatives so completely or for so long a period of time as Alzheimer 's. Caring is held to be very demanding and emotionally involving. Caregiver burden has been defined as a multidimensional response to emotional, social, physical, psychological, and financial stressors associated with the caregiving experience. The objective of the 1st study was to assess the degree of burden and its possible change in family caregivers of the long-term sick family member with progressive Alzheimer's disease during eight-month monitoring. In addition to the common psychiatric examination the Mini- Mental State Examination (MMSE) was administered in patients to indicate the severity of the dementia and the Zarit Burden Interview was administered in caregivers to assessed degree of burden. The total of 60 people have been examined - 30 patients with AD and 30 their caregivers (24 females, 6 males) were recruited from the Department of Psychiatry, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague. At the beginning of the study there were 18 patients with mild stage of AD (60%), 11 patients suffered...
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Nursing care for patients with Alzheimer's disease
Kritznerová, Tereza ; Marková, Eva (advisor) ; Hrdličková, Renáta (referee)
The thesis deals on nursing care of patients with Alzheimer's disease. The work consists of two parts. The theoretical part is focused on Alzheimer's disease, diagnostic methods, symptoms, therapy, care for the patient and patient's family members and organizations that help patients and relatives, such as the Czech Alzheimer Society. Qualitative research method, case study by Marjory Gordon model is used in the empiric part. The aim of the research was to understand the individuality of the nursing process of patients with Alzheimer's disease in a real hospital environment and compare public health nursing care for patients selected for a case study using functional health patterns Marjory Gordon Keywords: Alzheimer's disease, dementia, cognitive function, communication, nursing care, case study
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The Views of Family Members on Taking Care of Seniors with Alzheimers
ŠOURKOVÁ, Kamila
The bachelor thesis deals with the views of family members on the care of the senior, who suffers with Alzheimer's disease. The thesis is divided into the theoretical and empirical part. The theoretical part of the bachelor thesis deals with concepts related to the subject of bachelor thesis. The first chapter focuses on age and types of dementia. The second chapter describes Alzheimer's disease. In the third chapter there are a characteristic of home care provided by family members and several essential advice for carers. The fourth chapter focuses on care in a special home, caregivers, and activities that can take place in the home. The aim of this work was to compare the views of selected family members on various types of senior care with Alzheimer's disease. The aim of the thesis is to answer the identified research questions. The first research question focuses on which of Alzheimer's manifestations are most complicated for family members. The second research question examines how the views of family members differ on care when a senior is in their home care or in special-purpose homes. In the empirical part of the bachelor thesis is used the method of qualitative research in the form of questioning in a semi-structured interview. The research group consists of 8 respondents caring for their family member with Alzheimer's dementia. Results are analyzed using open encoding. Research shows that the views of family members are not very different. Caregivers agree that they want to get the best care for their family member, whether in the home or in a home with a special regime. As far as prospects for the future are concerned, only minor differences can be found in the respondents' opinions. The answers to the first research question are almost identical. Respondents report that the most complicated manifestations of illness include non-recognition, loss of memory, disorientation and aggression.
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Social work with people with Alzheimer's disease
Otavová, Anna ; Krahulcová, Beáta (advisor) ; Ondrušová, Jiřina (referee)
Bachelor's work on the topic ,,Social work with people with Alzheimer's dinase is devoted to problems with Alzhemer's dementia, her dignosis. This work devote care especially to therapy of Alzheimer's disease and social work with klient, who suffer from this dinase. In the introduction are defined some important conceptios for social work. This work is devoted to another sorts of dementia for better understanding this problems. Practical part is devoted to test MMSE, by means of this is dementia diagnosed.
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Use of memory tests in the differential diagnosis of early stages of dementia
Málková, Lenka ; Šivicová, Gabriela (advisor) ; Kulišťák, Petr (referee)
The theoretical part deals with issues of dementia, memory, primacy effect, recency effect, and the Auditory-Verbal Learning Test. The empirical part consists of quantitative research. The research sample consists of patients with dementia who were tested for their performance in the Auditory-Verbal Learning Test in which I focused on the primacy and recency effects. The aim was to determine the differences between the primacy and recency effects among different groups of patients, as well as to detect the presence or absence of a primacy or recency effect in various populations. This study tries to describe a potential tool that focuses on how individuals with dementia remember new informations. This tool can serve to understand how people diagnosed with memory disorders of different etiology remember new infomation. Key words: Dementia, Alzheimer's Disease, vascular dementia, frontotemporal dementia, Auditory-Verbal Learning Test , primacy effect, recency effect
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Alzheimer's dementia in the family - use of services of a day care and a week care centre
KOVAŘÍKOVÁ, Jaroslava
The thesis focuses on care of clients with Alzheimer's, including the burden of family members and possible options of using services of a day care and a week care centre. The theoretical part of the thesis deals with Alzheimer's disease together with nursing care, health care system in the Czech Republic and possibility to use services of day care and week care centres. In the empirical part of the thesis the method of qualitative research was used. A non standardized interview was applied as a method of questioning. The results of the qualitative research clearly show that the care for clients with Alzheimer's dementia represents a major burden for family members who care for the ill and in connection with the care provided they have to tackle following problems. They have to cope with the gradual deterioration of memory of the ill, which is associated with occasional forgetfulness, disorientation, wandering around. Another problem is to handle in an acceptable way the change of behaviour of their loved ones who often attack them both verbally and physically. Family members help patients with feeding, emptying, hygiene and grooming. They must solve the difficulties with activation of patients including memory exercises, they watch whether the patients swallow the medication. The conclusions of the thesis show that family members have to deal with many above mentioned problems when providing care for their loved ones. They themselves are tired and exhausted due to the care they provide, which is related to the incidents of their own health problems. They neglect themselves and their families, it is difficult for them to coordinate the care with their job and often come to work sleepy. For these reasons they would like to use services of day care and week care centres. It eases them of the burden of care, which they see as a benefit. The research revealed the expected services of the day care centre including expected nursing care. The research results were presented to the management of the Aftercare Hospital in Humpolec as it had planned to open a day care centre for patients with Alzheimer's dementia. Furthermore, the results served as a basis for the seminar for potential applicants, who would like to work in the centre. Based on information obtained in the course of writing of the thesis, a draft of the brochure was created which would serve as information material for family members of clients with Alzheimer's including the patients themselves.
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The significance of self-helping groups in caregiving for clients with the Alzheimer's disease
KOUŘILOVÁ, Milena
Alzheimer´s dementia is a neurodegenerative disease which leads to a decline of some populations of neurons and as a result of this to brain atrophy. This results in the formation of dementia syndrome. With respect to the aging population, the issue of neurodegenerative diseases is also more and more important. The objective of the thesis was to monitor if carers for the person with Alzheimer´s dementia have information about the self-help group and to monitor the need of carers for the establishment of a self-help group in South Bohemia region. A qualitative method of research was used. The data was gained by a method of semi-standardized interview. From the research is clear that only two carers out of six have certain information about a self-help group.Another part of the research was to monitor the need of carers for people with Alzheimer´s disease for establishing a self-help group in the South-Bohemian region. The gained results inform about the fact that the information of carers about the self-help groups is very low and they would welcome the establishment of a self-help group in South-Bohemian region. The results of this thesis can be used as the information source for the Czech Alzheimer Society and can be a stimulus for opening a self-help group in the South-Bohemian region.
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Formation of Nursing Documentation and its Usage in the Home for Seniors Chýnov
CHAMROVÁ, Anna
Nursing documentation is becoming an important part of the medical documentation and it is an integral part of the nursing process in the homes for seniors too. The theoretical part of the Bachelor thesis ``Formation of Nursing Documentation and its Usage in the Home for Seniors Chýnov{\crqq} contains chapters concerning the nursing process and nursing documentation. Further this part deals with the characteristics of the Home for Seniors Chýnov and with the specific problems and needs of geriatric clients in particular the clients suffering from Alzheimer dementia. The target of the work is to make nursing documentation in the Home for Seniors Chýnov, to apply it in this establishment and to find out whether the availability of this documentation influences the holistic attitude of nurses to the client. The first stage of the research part involved formation of the new documentation and its application in the Home for Seniors. The respondents had an opportunity to work with the documentation in the months of January and February 2010. In the second part we tried to survey opinions of the respondents of the made documentation. Four research questions were preceding the research. Research question number 1: Shall the nurses working in the Home for Seniors Chýnov accept the newly made documentation as a part of the medical documentation? Research question number 2: Shall the nurses working in the Home for Seniors Chýnov refer to time consuming work with the documentation? Research question number 3: Has the new documentation influenced communication among the members of the nursing staff? Research question number 4: Shall the newly made documentation contribute to the change of the nurses´ opinion of the patients from the holistic philosophy point of view? To fulfil the set aims there was carried out the qualitative research using the method of questioning and semi-standardized interview. The research set consisted of 7 respondents (general nurses) working in this establishment. Considering the research results we suppose that the work target has been fulfilled. The research has proved that the newly made documentation has improved communication among the members of the nursing team and the nurses have accepted it as a part of the medical documentation. The aim of the work was making a quality nursing documentation which should be simple, not time consuming and which should be focused on specific needs of the clients of the Home for Seniors Chýnov. The thesis has practical contribution.
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