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Rehabilitative nursing of patients in department after-care
VOJČOVÁ, Lucie
Following batchelor´s thesis focuses on rehabilitative nursing of patients in department after-care and it is divided into two parts. In a theory part of the thesis elementary terms such as rehabilitation, nursing, and department after-care are briefly described. Close attention is paid to rehab treatment elements carried out within the frame of rehabilitative nursing. Individual elements are described in detail in individual chapters. The end of the theory part focuses on the issue of immobilization and on immobilizing syndrome. The practical part describes experimental research leading to verification of defined hypothesis. A quantitative method aided by questionnaire technique was used for the research. This research was carried out with nurses in department after-care in following hospitals: Nemocnice České Budějovice, a.s.; Nemocnice Prachatice a.s.; Nemocnice Český Krumlov, a.s. where 120 questionnaires were held out with 83,3% questionnaires returned. 100 questionnaires, made 100% were used for the final research. The aim of this thesis was to find out what rehab treatment elements are applied with patients in department after-care. The other aim was to verify knowledge of nurses in rehab care. To set targets hypothesis H1, H2 and H3 were made. H1: Nurses in department after-care apply especially elements of positioning. H1 was proved. H2: Nurses in department after-care more frequetly practice self service and self sufficiency with patients rather than practicing motoric skills. H2 was not proved. H3: Nurses have got the knowledge of rehab care. H3 was proved. Findings of this thesis will be provided to management of Nemocnice České Budějovice, a.s. who may use it as a base for lecture for nurses from department after- care. As a part of this lecture a practical illustration of individual rehab care elements would be appropriate to demonstrate. Hospital management will hereby support improval of quality of provided care in department after-care and also will support the nurses in this field.
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The role of the nurse in the prevention of immobilization syndrome after stroke at the department of neurology.
HOLUBCOVÁ, Eliška
Bachelor?s thesis The Role of a nurse in prevention of immobilization syndrom after stroke at the Deprartment of Neurology dwells on the problem of nursing care and prevention of immobilization syndrom of the patients after stroke. The theoretical part of the thesis is aimed at prevention, treatment and examination, which the patient has to go through after stroke and the role of the nurse during these performances. The immobilization syndrom is also described in detail at the thesis. At the conclusion of the theoretical part the author concentrates on the treatment which ought to be performed as a prevention of the immobilization syndrom of the patient after stroke. One of the chapters deals with health care, nutrition, defecation, skin care, mental state and communication with the patient after stroke. The practical part of the bachelor?s thesis focuses especially on qualitative research performed just at the Department of Neurology. The aim of the above mentioned research was to evaluate the role of the nurse in the care of the patient after stroke at the Department of Neurology. In the research the author stated the following question: What is the role of the nurse in the prevention of immobilization syndrom of the patient after stroke? This part also includes interviews with nurses conducted just at the Department of Neurology and the same nurses were also observed during nursing care. The results of the research show that the nurse plays crucial role in the care of the patient after stroke, either as a provider of nursing care or as a communicator, and to a smaller extent as an educator. The thesis also contains a map of nursing care, which describes the correct process during the care of cavity. The nurse can influence the course of disease by correctly performed nursing performances, such as dehydration, malnutrition and dekubital ulcer.
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The dangers in the treatment of old age patients hospitalized in the long-term disease department in the hospital České Budějovice a.s.
FALUŠIOVÁ, Helena
Abstract In the thesis the course of nursing care for seniors with the focus on malnutrition, falls, immobilization syndrome and the decubitus ulcers development is studied. For the quantitative part of the research two aims were stated: Aim 1: To find out whether nurses know the precautionary mechanisms to prevent risks in taking care for seniors and Aim 2: To find out whether nurses comply with precautionary mechanisms to prevent risks in taking care of seniors. The following hypotheses were stated: Hypothesis 1: Nurses know the precautionary measures to prevent risks in taking care of seniors and Hypothesis 2: Nurses comply with the precautionary measures to prevent risks in taking care of seniors. To confirm the hypotheses, the method of an anonymous questionnaire for nurses, which was supplemented by the method of participant observation of nurses in providing nursing care, was used. After evaluating the results of the quantitative part of the research we have come to the conclusion that nurses, although aware of preventive measures, do not always follow the standard procedures. We believe that aim 1 and aim 2 were met. Hypothesis 1 was confirmed. Hypothesis 2 Hypothesis 1 wasn?t confirmed. Another part of the thesis was a qualitative survey that was conducted by interviews with seniors. For the qualitative part of the survey aim 3 was stated: To identify the views of seniors on the ways how to avert certain risks in their hospital. The following research questions were stated: Question 1: According to the senior´s view, how do nurses in the after-care department use possibilities to prevent malnutrition? Question 2: What are the seniors´ opinions on nursing care aimed at preventing falls during their hospitalization in the after-care department? Question 3: What are the seniors´ opinions on nursing care aimed at preventing immobilization syndrome and the decubitus ulcers development? Question 4: How do nurses manage the care of the seniors´ psychological well-being that is important to their recovery? The objective 3 was met. The survey has shown the areas in which changes would be appreciated by seniors, where and how nurses should improve their approach to patients. The purpose of the thesis was to help identify bottlenecks in nursing care for seniors, to find out whether nurses are active at their work, if they have a human approach and provide quality care. We believe that the results of the thesis can serve as an educational material for nurses working not only at the after-care beds, but also in the acute beds wards because seniors are present in all clinical wards. To be able to prevent the risks in taking care of seniors effectively, it is necessary for nurses to be aware of the risks and to pay adequate attention to them.
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Nursing Care in Patients Placed on the Clinitron Beds
PINCOVÁ, Dana
The functional principle of the air bed is ``fluidization{\crqq} which is a technological procedure keeping a layer of grainy material floating by an ascending stream of air. On the dry floating pillow, the patient feels as if he were in the state of zero gravity. At the points of increased pressure, the circulation is not affected and, at the same time, the stream of dry air prevents maceration. The weight of the body is reduced and spread more effectively which decreases the risk of decubites development. Further, it helps the hygienic upkeep, dries up the burnt areas and by doing so it prevents gramnegative ifection from developing. An in-built thermostat maintains the set temperature of the bed, which can be changed according to the need of the patient. The advantages (especially theurapeutical) of the air bed are incontestable, but the bed has also its disadvantages. However, in spite of these drawbacks it brings an efficient help to the nursing staff who cannot imagine providing care without these beds anymore.
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Prevention of immobilization syndrome in patients with extension.
POSPÍŠILOVÁ, Eva
Abstract More and more up-to date equipment in the health-care sector makes the treatment of fractures possible, especially by means of surgery. However, not every patient is indicated for surgery. Even today, we can see a patient with the extension at the standard and intensit care units. Therefore, nurses must know how to take care of this patient and how to prevent the risk of immobilization syndrome in patient with extension that may cause many serious complications. The aims of this study were to identify the negative factors affecting a development of the immobilization syndrome in a patient with the extension, to compare the differences in the use of immobilization devices to prevent the immobilization syndrome in a patient with the extension at the standard and intensive care unit and to determine whether patients with extension are familiar with possibility of the immobilization syndrome. Four hypotheses have been defined. In the first hypothesis we assumed that inconveniently selected positioning affected the emergence of the immobilization syndrome. This hypothesis was confirmed. Inconveniently selected positioning is most often involved in the immobilization syndrome. In the second hypothesis we assumed that inconvenient hygienic care affected the emergence of the immobilization syndrome. This hypothesis was also confirmed. The insufficient hygienic care affects a development of the immobilization syndrome. In the third hypothesis we assumed that the intensive care unit used more up-to-date equipment to take care of a patinet with the extension compared to the standard unit. This hypothesis was also confirmed. The intensive care units used more up-to-date equipment to take care of a patinet with the extension compared to the standard unit. In the fourth hypothesis we assumed that patients with extension had no information about the possibility of the imobilization syndrome. This hypothesis was disproved. The patients with the extension are informed about the possibility of the immobilization syndrome. The nurses at the standard and intensive care units in Hospital České Budějovice, a.s. (PLC) and Military Hospital Olomouc were asked to be a research sample. Data were collected by the quantitative exploration method using anonymous questionnaires. In total 110 questionnaires were distributed of which 68 were used for the final evalution. The remainig questionnaires had to be withdrawn from the investigation because they were completed insufficiently by the nurses. This study could help to supplement the educational material for patients with the extension and to increase the knowledge of the nurses in the area of care of such patient.
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