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Prevention of immobilization syndrome in elderly hospitalized at the Department of aftercare in the context of the multidisciplinary approach.
KRÁLOVÁ SOMMEROVÁ, Jana
This bachelor thesis focuses on an actual topic in the care of the elderly. It is prevention of immobilization syndrome of the elderly in context of a multidisciplinary approach. The thesis is focused on the elderly hospitalized at an after-care unit. In the introduction to the theoretical part the current state of a quality of an elderly life is assessed. Subsequently particular terms related to old age and senescence are defined. An inseparable part of the assessment of the quality of the elderly life is the classification of self-sufficiency and efficiency. Here the International Classification of Functioning, Disability and Health is mentioned as a meaningful tool for the availability of social services, but also as a clinical tool. The definition of immobilization syndrome emphasizes that this is a geriatric syndrome, which is closely connected to hypomobility, decondition, instability, falls, sarcopenia and other geriatric symptoms and syndromes. The main topic of the thesis - the multidisciplinary approach - is summarized in seventh subchapter and its sections. Individual team members and their basic activities while working with the client are defined here. The research part of the thesis is divided into several chapters. It is processed in a form of qualitative research. It follows the theoretical observations and assesses the work of particular members of the multidisciplinary team in practice. The analysis of personal documents was used on purpose, medical records of selected clients were used as source. Case reports were created afterwards. Case reports are processed using the medical records of clients from the after-care unit. They are also supplemented by the client's point of view, using questions within a semi-structured interview. In the course of case studies, commentary from involved observation is inserted. The conclusion consists of evaluation tables. Detailed expression , comparison of the results and overall summary are in chapter "Discussion". The research question should be answered whether the attitude to clients of the after-care unit is multidisciplinary and whether it corresponds with the needs of clients. The most important finding of this bachelor thesis is that a major factor is the client's diagnosis, and the individual team member's approach to the client. In "Discussion" chapter a comparison based on specialized literature is provided, discussing the long-term care in the international context. Research may be used as feedback to organizations providing long-term care to ensure better conditions of quality of elderly life. It can also be used as a basis for the realization of specific preventive measures. It would definitely be useful to chart the basic research situation in other healthcare facilities or private facilities providing health and social services.
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