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Respect for the rights of pediatric patients in pediatric wards
POJEROVÁ, Natálie
Current situation: These days, we try to adapt the daily routine and premises as much as possible to children's patients during hospitalization (playrooms, adequate contact with other children, experienced and trained medical staff ...). These principles were precisely formulated and approved at the 1st European Conference on Hospitalized Children in May 1988 as the Charter of the Rights of Hospitalized Children. The task of medical staff is to respect the rights of pediatric patients. Parents and their children should be involved in treatment and nursing decision-making. Objectives: To map the observance of the rights of pediatric patients in the hospital from the point of view of nursing staff. To map the experience of pediatric patients with the observance of their rights during hospitalization. Methodology: The research used a quantitative research survey using a non-standardized questionnaire and the qualitative research method used semi-structured in-depth interviews. The questionnaire was designed for nurses and contained 27 questions. Interviews were conducted with children aged 10 to 15 years. Research group: It consisted of 74 pedaitrics nurses and 6 children (from 10 to 15 years) with experience in hospitalization. Results: Based on the results obtained from the questionnaires, it can be stated that the education of pediatric nurses does not affect the observance of the rights of hospitalized children. Of the respondents, 44.6 % of pediatric nurses stated that they had the high school education and 55.4 % had a higher vocational school or university education. 94.6 % of pediatric nurses comply with all units of the Charter of the Rights of Hospitalized Children and 5.4 % rather do not comply with it. Hypothesis: There are differences in the observance of rights in pediatric patients in connection with the education of nursing staff has not been confirmed to us. We used Fisher's exact test with a significance level of p = < 0.05. Interviews with the children showed that their rights were respected during hospitalization. Recommendations for practice: Final results will be published in journal called Pediatrie pro praxi.
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Care for patient with infective endocarditis.
MARKOVÁ, Monika
The bachelor thesis deals with nursing care of a patient with infective endocarditis. Infective endocarditis is an inflammatory disease of the heart that affects the heart valves or their replacements. Valves with a defect or calcifications are most often affected, exceptionally also those with short-circuit defects. The patient usually develops a fever, fatigue, weight loss or chest pain. Treatment is with antibiotics and lasts approximately 4 to 6 weeks. In certain cases, patients are indicated for surgery, such as valve implantation. The aim of the empirical part was to find out the specifics of nursing care of patients with infective endocarditis. A qualitative research survey was chosen for processing. Research group A consisted of 11 patients with infective endocarditis and research group B consisted of 9 nurses working in the cardiology department. A semi-structured interview was created for data collection. For nurses, there were prepared questions focusing on information about infective endocarditis, specific care and the patient's needs during hospitalization. This was followed by questions for patients focused on their information about infective endocarditis, needs and feelings during long-term hospitalization. The results were divided into categories and then into subcategories based on the interviews. The results showed that nurses, considering the causes of invective endocarditis, often forget for nosocomial infections, rather they focus only on the causes of the patient him/herself. Patients with infective endocarditis have different care than other patients in the cardiology department. Nurses see a difference in length of hospital stay, antibiotics, rest, and number of examinations. They perceive the relationship formed with the patient during their hospital stay rather individually. Patients tolerate hospitalization itself well, and most often their family helps them to do so. Patients usually mentioned in their needs family and friends who they missed during hospitalization. They also mentioned privacy, pet or exercise. Regarding the patient's needs, the nurses focused more on practical activities such as sleep or hygiene assistance. Based on these results, information material on infective endocarditis was created. The informational material will serve for easier orientation during the disease for all patients with infective endocarditis.
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Working with pre-school children hospitalized with diseases
SKALICKÁ, Jana
This bachelor thesis is dedicated to children with oncologic condition and possible of working with these children during hospitalization. I chose this topic after I had had personal experience with a serious illness of my son. I am looking into the matter as a parent, who zealously fought to keep the spirits of my child up in the depressive hospital environment. The practical part is divided into two explorative probes. In the first one I proceed from my own experience with the progress of my son´s disease and his hospitalization. The second part comprises suggestions of various activities for paediatric patients during hospitalization. The activities, which I describe in my thesis, could be used to promote a happier and more pleasant stay in the environment, in which the child does not feel comfortable.
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Occupational therapy group work in psychiatric hospital
Kotrbová, Kateřina ; Pluhaříková-Pomajzlová, Jana (advisor) ; Kotková, Karla (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Kateřina Kotrbová Supervisor: Mgr. Jana Pluhaříková-Pomajzlová Title: Occupational Therapy Group Work in Psychiatric Hospital Abstract: The bachelor thesis studies occupational therapy group work for patients with mental illness during hospitalization in a psychiatric hospital. It focuses on leading aimed group activity in occupational therapy and offers specific therapeutic units usable in practise that have been designed as a part of this paper and most of them have been verified in practice. Another outcome of the work is a workbook on the topic of time management which occupational therapists may use to manage group therapy and individual therapy as well. It also describes the role of occupational therapy in mental health care, its therapeutic benefits, and recommendations for working with a group. It aims at adult hospitalized patients with serious mental disorders (schizophrenia, bipolar disorder, etc.) who often receive aftercare as a part of their hospitalization. A total of 12 therapies performed in the aim group were described in the form of case reports with their preparation, course, conclusion, and reflection. The conclusion of the work summarizes and evaluates the practical experience with the created follow-up program on a selected topic within...
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Animal Assisted Activities at Children in Hospital
Jakubcová, Šárka ; Procházková, Jana (advisor) ; Valentová, Lidmila (referee)
The thesis titled "Use of animal assisted therapy for the hospitalized children" deals with the theoretical background of animal assisted therapy as a supporting method in complex rehabilitation and its practical use during the visits of volunteers with their dogs and its influence to the health of children in hospital care. In the available literature are often described the positive effects of the animal assisted therapy onto the mental and physical condition of the person, the impact on improving communication as well as other factors in the social life of the client. The main focuse of my work is whether these effects can be observed (noticed) even in the short term or even after a single visit of the dog. Using quantitative and qualitative methods, I have tried to describe this impact and possibly uncover additional benefits that can be attributed to the visits of the volunteers with a dog at pediatric hospital.
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Role of social worker in hospitals in contact with homeless.
Dohnalová, Tereza ; Vodáčková, Daniela (advisor) ; Pěnkava, Pavel (referee)
The aim of this thesis is to describe and investigate the problem of the target group - the homeless, particularly when such a person gets to the hospital and the role of social worker in this situation. Then, this work describe the overall health of homeless people in the Czech Republic. The base of the practical part, are interviews and questionnaires with the homeless and interviews with the expert in the field - social workers in the hospitals and probation officers. Another important topic is the processing of the graphs, statistics and analysis of the data obtained from questionnaire
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Experiencing of schizophrenia and staying at department of psychiatry
Podstavková, Cecílie ; Goldmann, Petr (advisor) ; Soukupová, Tereza (referee)
This bachelor thesis deals with a subjective experiencing of four respondents at acute stage of paranoid schizophrenia and their satisfaction with a treatment and content of time during hospitalization at one of the departments of psychiatry in the Bohnice hospital. It was found out that patients were most satisfied with a care of department's staff. However, a moderate criticism of different departments appeared as well. It was especially criticism of departments with restricted access. As far as experiencing the acute stage of the disorder is concerned, various existential problems, fears, chaotic and odd thinking as well as problems concerning relationships with close people appeared to be related to the disorder itself. The contribution of the thesis is that it points out a possibility of better integration of patients into a cooperation during the treatment through their own understanding of their disease and understanding of their experience. The first part of the thesis defines a concept of schizophrenia from different theoretical points of view which complement one another rather than being in opposition. There are basics of psychiatric knowledge about the illness mentioned in the thesis as well as psychological aspects from psychodynamic theorists' and practitioners' points of view, neuro-...
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Options preventing catheter-related sepsis during hospitalization
Slavkovská, Jana ; Heczková, Jana (advisor) ; Mrákava, Vlastimil (referee)
The thesis is focused on the assessment of nurse's knowledge in the prevention of catheter sepsis. The aim of the study was to expertise knowledge in the prevention of catheter sepsis among nurses working in intensive care units. Map out the latest theoretical and practical possibilities of nurses working in intensive care units in the prevention of catheter-related sepsis of hospitalized patients. The work is divided into theoretical and practical part. The theoretical part consists of three chapters. In the first chapter, we focused on a theoretical overview of nosocomial and bloodstream infections. The second chapter is focused on an overview of invasive inputs. The third chapter focuses on prevention of catheter sepsis. Practical part was divided into two chapters. In the first section of the empirical part of the diploma thesis, which is the fourth chapter, we characterized the survey sample, the evaluation of the survey data that have been collected through the questionnaire. Practical part was divided into two chapters. The fifth chapter consists of discussion and suggestions. Key words: sepsis, prevention, nursing, catheter, nurse, hospitalization.
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LCD a VLCD diet during hospitalization
Zajíčková, Jana ; Matoulek, Martin (advisor) ; Kytnarová, Jitka (referee)
Objective: LCD and VLCD diets are short-term indicated (days to weeks) low caloric and very low caloric diets, which should be supervised by a doctor - e. g. by means a weight loss hospitalization (WLH). LCD and VLCD diets are used in preoperative preparation of obese patients and to break insulin resistance in patients with type 2 diabetes mellitus (DM II). The theoretical part of the bachelor"s thesis is focused on LCD and VLCD in obesity and diabetes mellitus treatment - the two most common diseases that can be found in the medical history of patients indicated for WLH. The aim of the theoretical part is to compare obesity treatment in medical care and commercial weight loss programs (for commercial weight loss programs the term "obesity management" is used). The study evaluate the most common indications for WLH, determine weight changes during the hospitalization and compare the weight of patients with DM II and without DM II (nDM II) one year after the WLH. Methods: The input data were obtained from the Medea database. These are the anamnestic data of patients hospitalized for the purpose of losing weight on the Third Medical Department of First Faculty of Medicine Charles University and General University Hospital in Prague in the period of January 2014 - January 2015. There were 93 WLHs...
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