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Moist wound healing in a confrontation with the classical method of wound dressing
DVOŘÁKOVÁ, Vendula
The main focus of this thesis is the comparison of the classical wound healing method and the wet healing method. The latter method is being widely used nowadays but there are still departments healing wounds the classical way. And while the wet method is by far the more favourite one there are nurses who adamantly promote the classical one. The combination of both is also being used very often. The bachelor's thesis is divided in to two parts theoretical and empiric. First part is focusing on the anatomy of skin, wounds in general and the history of their categorization as well as the healing of wounds its phases and influencing factors. Furthermore, there are dressing options, evaluation and documentations of wounds, materials used for wet healing and education of nurses described. Second part contains the case study. Two goals were set in the empiric section. The first is to find a time difference in healing wounds using the classical and the wet method. The second one is to set a difference in the caretaking the methods demand. There were four research questions stated to support the goals. They are as follows: What issues are the nurses facing while using the classical wound healing method? What issues are the nurses facing while using the wet wound healing method? What kind of a dressing the nurses prefer? What is the time difference in healing while using these methods? Qualitative survey was used in processing the research part of the thesis. To collect data semi structured interviews were held with nurses dealing with wound dressing and chronical wound patient's case histories. There were 16 questions in the interview (Attachment 2) that were spontaneously extended by sub-questions. The resulting findings were categorized and further processed. The case studies focused on patients with chronic wounds, hospitalized in the aftercare unit and were extended by photo documentation. The results state that nurses prefer wet wound healing. This method was judged faster andmore comfortable for the patient as well as more efficient from the economical point of view. To be able to adequately work with the materials used for wet wound healing it is very important for the nurses to study the topic continuously. Further findings also show that the classical method or its elements are still being used to treat wounds and even there are positive aspects to be found. The nurses are still fond of certain classical wound healing materials therefore they keep coming back to this method. The research also shows that by combining both methods excellent results can be reached. This thesis is capable of functioning as informational material for those, who are interested in the topic of wound healing. Readers will find basic information about both methods of wound healing accompanied by opinions on this matter provided by professional nurses tasked with wound dressings. The case study part talks about the procedure of healing and the photos provided are suitable for comparing both wound healing methods.
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Influence of compression therapy on wound healing
NOSKOVÁ, Pavlína
Theory background Compression therapy (CT) is an efficient, easily accessible and simple nursing treatment most frequently used in patient with chronic venous insufficiency and the consequently occurring venous leg ulcers. These occur often in still mobile elderly. In CT an elastic garment is applied around the leg causing increased blood circulation which helps to decrease swelling, improve venous return, narrow enlarged blood-vessels, contradict insufficient function of venous valves and promotes wound healing. Every nurse should possess the skill of correctly applying the bandage and suitably explaining the significance of the treatment to the patient. All depends on the mutual collaboration between doctor, nurse and patient. It is necessary for the nurse to be manually skilful and have sufficient knowledge on the topic of CT. Unfortunately this treatment is often underestimated by health care practitioners, especially in connection to chronic wound healing. Aim of thesis The first research aim consists of mapping the effectivity of compressional therapy for treatment of chronic wounds, where we focus on the degree to which CT helps the process. The second aim is to find out about the influence on correctly conducted technical approach to CT regarding wound healing, where the question is how correct technique of CT influences wound healing. Used methods Qualitative research was used for this thesis in the form of in-depth interviews. The majority of the interviews were recorded and subsequently transcribed; the rest was transcribed directly by hand and paraphrased. First research group consisted of respondents with chronic wounds undergoing compression therapy. Second research group was comprised of nurses who treat wounds and use compression therapy as a part of treatment. Results Answers obtained during the interviews were analysed by the pen and paper method by open coding. Nine categories resulted from this analysis. The important finding are: education, its content and the way it is conducted as well as the instruction the nurse gives on applying the bandage are most significant together with positive reaction from the patient regarding protecting the wound and releasing pain. Materials for wound treatment are selected according to necessary criteria from a wide offer of products. The technique is conducted according to individual given steps based on the condition of the wound and with suitably chosen materials. The procedure steps must be correctly followed from beginning to end. The positive influence on wound healing is manifested by increased blood supply to the limb, better blood circulation, decrease of swelling and faster wound healing. The results show that nurses agree CT is an irreplaceable supporting treatment of venous insufficiency and leg ulcers. The patient learns about the effect of CT seeing the improvement in wound healing, feeling swelling decrease and by having the wound treated and bandaged by the nurse. The influence of CT on quality of life is connected to bio-psycho-social side with both positive and negative effects on the patient. . Conclusion Due to the time demanding treatment of wound healing, compression therapy method is very beneficial for the patient. It is beneficial also for the nurse as if conducted correctly and consistently, it gives very good results over which both the patient and the nurse can feel satisfaction.
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Wound care in Namibia, Ireland and the Czech republic
FRANKOVÁ, Šárka
Wound care is an important part of the daily work of nurses in all facilities like hospitals, institutes for long-term patients, social care institutions, or ambulances. In recent years, the treatment of wounds puts more and more emphasis on modern methods, mainly in the Czech Republic (CR) and Ireland. As already mentioned, nursing is constantly evolving, and possibilities for wound treatment are wide. Our aim will be to compare the ways and methods of wound treatment in three different countries. We will focus on the General Nurse, as a nursing care provider. In the theoretical part, the work was focused on characteristic of wounds, their distribution, general healing as well as concrete treatment in the countries concerned, specifically according to the competence of nurses. A major part was devoted to the education of nurses The main purpose of the research was focused on the way nurses treat wounds in Namibia, Ireland and the Czech Republic. Based on the research subject the following research questions and goals were set: Identify and describe how nurses treat wounds in the selected countries. How are wounds healed in Namibia, Ireland and the Czech Republic? How is the wound care in Namibia, Ireland and the Czech Republic? What kind of education does a nurse have to have in the countries concerned, in connection with the wound care? For the empirical part of the thesis, a qualitative approach was selected. A semi-structured interview with nurses from the selected countries was used. Further records of the wound treatment were used. These were obtained during the internship in Namibia, a personal visit to Ireland and my experience during my studies in the Czech Republic. Respondents were recruited by purposive sampling, the condition of which was wound care requiring hospital treatment. The interviews were conducted using a range of questions addressing nurses in those countries during their working hours and if needed, supplementing the required information via Skype. The research sample consisted of nine respondents - nurses from Namibia, Ireland and the Czech Republic and then records of the wound treatment of 9 patients from Namibia, the Czech Republic and Ireland were drawn. The countries have their competencies relating to this issue. In Ireland, Czech Republic there is a re-bandaging nurse, who creates a nursing plan and, if needed, consults everything with the physician. In Namibia, due to lack of nurses and physicians, only competences of local nurses which they acquired during their university studies, are sufficient. These competences lead to decisions and choice of care and wound treatment. In the Czech Republic, nurses shall consult the healing process and the course of treatment with the physician. In the area of education of nurses from the surveyed countries in connection with wound care the research investigation showed that university education is required in Namibia, in the Czech Republic as well as in Ireland. The third mentioned research question related to methods of care with clients suffering from acute or chronic wounds. Wound care in Namibia, Ireland, and in the Czech Republic does not differ in some specific procedures; however, in most cases it is very different. In severe cases of wounds, for many patients it is an unforgettable memory, which requires a professional approach, consisting of knowledge and experience. The nurse provides a unique support to the patient, education is therefore very important and unconditional in order to enable the patient coping with the situation. The results of this thesis can serve as information and study material to other grades of the surgical block and for further research on a similar topic.
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The usage of modern methods of moist healing in practice
TETALOVÁ, Veronika
ABSTRACT The usage of modern methods of moist healing in practice Introduction: The method of moist healing has been reintroduced in practice during the last years. This revolutionary change does not only concern the usage of specific materials and a complex approach to solving the problem, but also doctors, medical staff and even patients have started to be more interested in this specific topic. The development of modern way how to heal wounds in practice has divided medical staff into two groups; the ones who specialize in this method and the ones who respect new possibilities, however, have little experience with the issue. Objective: The aim of my bachelor thesis is to find out whether nurses make a choice in kinds of material used for moist wound healing according to the phase of wound healing (TIME system), if the materials are used more preventively or therapeutically and finally, whether nurses cooperate with doctors on the choice of material. The research sample was formed by 89 nurses working in standard departments (e.g. department of surgery, department of internal medicine, department of subsequent care) in Hospital Ceske Budejovice, JSC and Hospital Prachatice JSC. Results: I have discovered that my hypothesis (H3) ? nurses cooperate with doctors on the choice of material used for moist healing is confirmed. Hypothesis (H2) said that the materials used for moist healing are used mostly therapeutically in practice. According to the survey, I have discovered that nowadays these materials are mostly used either therapeutically or preventively. The result is presented in graph 15. As it was found out, materials used for moist wound healing are used in 57 % therapeutically as well as preventively in hospital care and only in 43% therapeutically. Hypothesis H2 is not confirmed. My hypothesis (H1) said: ?The choice of material used for moist healing is performed according to the phase of wound healing?. The results surprised me hence the hypothesis is not confirmed. Only 48 % of the respondents use TIME system. The difference between the usage and no usage of TIME system is only 4 %, which amounts to 3 people out of the total number of 75 respondents (100 %). Conclusion: The results of my research could be used for an extended research, as a source for standards and seminars for nurses and also for an article published in a specialized magazine.
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Specifics of nursing care for patients with diabetic foot syndrome undergoing larvae Lucilia sericata treatment - from the perspective of the patient
POLÁKOVÁ, Daniela
Abstract The bachelor thesis titled Specific Aspect of Nursing Care of Patients with Diabetic Foot Syndrome Undergoing Treatment with Lucilia Sericata Larvae ? From Patients? Perspective is divided into a theoretical part and a practical part. The theoretical part focuses on the historical development of Lucilia sericata larvae in medicine, the present use of larvae in medicine, and the analysis of the standard surgical treatment procedure and the larval therapy. The following section of the theoretical part describes the role of nurses in the standard surgical treatment and the larval therapy. The thesis also analyses diabetes mellitus and its complications, and especially the diabetic foot syndrome. The first objective of the thesis has been to determine how much information patients have about the treatment with Lucilia sericata larvae. The second objective has been to present the specific aspects of the care of patiens undergoing treatment with Lucilia sericata larvae. The third objektive has been to determine patients? needs when undergoing the treatment with Lucilia sericata larvae. The fourth objective has been to find out the awareness of nurses of the procedure of nursing care during the treatment with Lucilia sericata. The last, fifth, objektive has been to Compaq the surgical treatment and the alternative treatment from the perspective of patients. In order to find out the results, four patients and four nurses in the surgical ward at the hospital in Slaný were contacted. The research part includes four case reports and four transcribed interviews with the patients who undewent the treatment with Lucilia sericata larvae. The patients answered the prepared sets of questions in inteeviews. Afterwads, interview with four sisters who work in the surgical ward at the hospital in Slaný were conducted. All the patients included in our research group were satisfied with the alternative treatment with Lucilia sericata larvae, although the outcome of the treament of one of them was not satisfactory. Our research suggests that treament with Lucilia sericata larvae has a positive effect on patients and,in addition,according to the findings, the alternative treatment is cheaper and shorter than the traditional surgical procedure. In practice, the thesis could be used as an information and educational material for the method of treatment with Lucilia sericata larvae for patients as well medical staff.
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The nursing care for the patients with "diabetic leg" after using SONOCA 180 in combination with the damp healing technic
VÍTÁMVÁSOVÁ, Kateřina
Abstract The Bachelor Thesis ?Treatment for ?diabetic foot? after application of SONOCA 180 apparatus in combination with wet healing technique? is divided into a theoretical and a practical part. The theoretical part analyses the development of wound healing from history to present. It also describes diabetes mellitus disease, its classification and complications. The issue of diabetic foot syndrome we are dealing with in the Thesis is related to diabetes mellitus. The disease may be treated traditionally or applying modern methods, which include the ultrasound apparatus SONOCA 180 and wet healing of wounds. This ultrasound technique combined with wet healing of wounds is the main topic of our thesis. The practical part involved a qualitative research method ? semi-controlled interview and case studies of patients with diabetic angiopathy, who were treated by the SONOCA 180 apparatus combined with wet healing of wounds. We applied the method to a patient with diabetic angiopathy, who had been treated traditionally. We first prepared the case studies and then we talked to them about selected topics. We prepared 14 questions that directed our interviews. Patients hospitalized at the surgery ward or visiting the surgery outpatient room of České Budějovice Hospital were the respondents; we spoke to 4 patients A semi-controlled interview was conducted with 5 nurses of the surgery ward of České Budějovice Hospital. The interview consisted of 10 questions and dealt with the topics of diabetic foot syndrome treatment, SONOCA 180 ultrasound method combined with wet healing of wounds. The aim of the work was to discover the effect of SONOCA 180 application in combination with wet healing on treatment of wounds. The second goal was to find out the differences in healing after standard treatment and after application of this technique and to find out the opinion of patients on the technique. The research among the respondents showed that SONOCA 180 greatly contributes to healing of wounds, but it has individual effect on each patient. SONOCA 180 provided quicker healing of wounds than the traditional method, but the treatment as a whole also depends on the patient?s health condition, the appearance of the treated defect and the phase of healing. Our Thesis might serve in practice as a guide for closer familiarization with the SONOCA 180 apparatus in combination with wet healing of wounds and thus provide the clients with the diabetic foot syndrome with more information on this method, and medical staff with wider knowledge of this new technique. This is why a brochure (Annex 15) was prepared to inform patients and medical staff on the SONOCA 180 apparatus and wet healing of wounds.
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Therapeutic bandages and their aplication in nursing care
PÁLKOVÁ, Hana
Abstract The topic of the bachelor thesis is ``Therapeutic Bandages and Their Utilization in Nursing Care{\crqq}. Therapeutic bandages have currently been one of the options how to treat wounds. Wound treatment by means of these bandages is faster and more efficient, provided that the bandages are correctly selected. The theoretical part of the bachelor thesis contains a brief description of skin, wounds and wound healing process, including documentation, wound debridement, division of rinsing solutions, therapeutic bandages, re-bandaging of wounds, a psychological approach of a nurse to a patient, and an article on the Česká společnost pro léčbu chronické rány (Czech Association for Chronic Wound Treatment). The bachelor thesis has two objectives and four hypotheses. Objective 1: To ascertain practical utilization of the methods using therapeutic bandages. Three hypotheses were raised in this respect. Hypothesis 1: Nurses prefer conservative methods to therapeutic bandages. Hypothesis 2: Nurses apply therapeutic bandages inappropriately. Hypothesis 3: Wet healing is used more in hospitals than in consulting rooms of general practitioners and home-care agencies. Objective 2: To ascertain awareness of nurses in healthcare facilities of wet healing. One hypothesis was raised in order to attain this objective. Hypothesis 4: Nurses are not sufficiently informed about wet healing. The objectives have been attained by means of a quantitative research using the technique of questionnaires. The research set consisted of 108 nurses from the selected wards in Nemocnice České Budějovice, a.s. (Hospital of České Budějovice) and Fakultní nemocnice Královské Vinohrady (Královské Vinohrady University Hospital), nurses from consulting rooms of general practitioners and nurses from home-care agencies in České Budějovice. The research has provided answers to the hypotheses. Hypothesis 1 has not been confirmed; nurses prefer therapeutic bandages. Hypothesis 2 has not been confirmed; nurses apply the bandages correctly. Hypothesis 3 has been confirmed; wet healing is used more in hospitals. Hypothesis 4 has not been confirmed; nurses are sufficiently informed about wet healing of wounds. This thesis may be used as an informational or educational material aimed at improving the quality of provision of nursing care with regard to usage of therapeutic bandages.
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Using services of the Centres of wet healing of wounds by primary care nurses
POLNICKÁ, Ludmila
Treatment of chronic wounds is a complicated multidisciplinary problem. Modern therapeutic dressings which are permeable and keep the wound wet play an important role in the treatment. At present many professionals strive for support and wider spread of wet wound healing in the Czech Republic. They are mostly nurse organisations, journals, pharmaceutical firms and ``Centres of wet wound healing``. The Centre of Vysočina region is in Jihlava. Centre staff help nurses, doctors and patients to improve the care of wounds. As seen from the results, in spite of all obstacles which nurses have to face while using modern therapeutical dressings the method of wet wound healing in the treatment is spreading. More and more nurses use this method. The Centre of wet wound healing and departments for chronic wounds help towards this effort.
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Primary care nurses experience with wound treatment
ČEJKOVÁ, Jana
In this work study ``Experiences of nurses of primary care with wounds healing{\crqq} there are two main relevant questions {--} primary care of patients and wounds healing. Process of wounds healing has been for many years in significant attention of some medical branches. According to this interest many useful studies, discoveries and researches have been done. Wounds healing is not according to only affected locality, but also to the whole organism, immune system, metabolism, nourishment and many other aspects referential to this question. Patients with wounds can have more comfortable health care due to interests for tissue defects. However lots of experts try to implement new methods of wounds healing, majority of clients meet still the out of date therapies. Some kinds of primary health care have been used for a long time, other ones used to be used a long time ago and now are again renovating. All providers of primary health care are under capacity, financial and legislative pressure and so are not able to provide this health care in full extent. The aim of this study was to find ``Experiences of nurses of primary care with different materials for wounds healing{\crqq}. For this aim the hypothesis ``Nurses of primary care have not enough experiences with modern methods of wounds healing{\crqq} was settled. The second aim was ``To discover the interests of nurses of primary care for new experiences of wounds healing{\crqq}. This aim was encouraged by hypothesis ``Nurses have interests about new experiences of wounds healing{\crqq}. The information needed for this research were taken by questionnaires given to nurses working by general practitioners in České Budějovice and Benešov. Answers of 50 nurses were used for data processing. The hypothesis that nurses do not have enough experiences with wounds healing was confirmed. The second hypothesis was also confirmed. My work study could be useful for nurses of primary health care as summary of actual situation and so could improve the health care for clients.
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