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Nursing process and its significance to seniors according the perspective of retirement home nurses
FRÜHAUFOVÁ, Hana
Modern nursing care is characterized by seeking, planning and satisfying needs of a healthy or an ill person. All this is performed by means of the nursing care process. The nursing care process is considered the basic scientific method of advanced nursing care leading to solution of problems. It has already become an inherent form of individual care planning. Thanks to the nursing care process a nurse has a holistic view of a patient and is able to provide quality care. Nursing care is provided in compliance with the nursing care process principles with regard to the specifics of geriatric care in senior homes. A senior home nurse takes into consideration the specifics of the individual phases of nursing care process in seniors. Senior homes provide residential services to people with lower self-sufficiency particularly caused by higher age and to those who need regular care in the field of self-sufficiency and personal care. Unfavourable social situation does not allow these people to live in their domestic environment. Complex care provided in senior homes substitutes for domestic environment. Seniors are also given health care provided by general nurses. The aim of the thesis was to examine nursing care process application in a senior home and the importance of the nursing care process from the point of view of senior home nurses. The following research questions were set: Which nursing care process phases are applied by nurses taking care about seniors in the senior home? How do senior home nurses feel the importance of nursing care process? Qualitative research by means of in-depth interview and questioning of nurses in a selected senior home in South Bohemia was chosen for collection of necessary information. The interviews were recorded and subsequently literally transcribed. The transcribed interviews were deeply analyzed by means of paper and pencil method by open coding. Four categories were created from the data analysis: Nursing care process, Nursing care process in practice, Nursing care process phases and Compilation of nursing care diagnosis and maintenance of nursing care documentation. Subcategories, where the core data are coded, are assigned to the individual categories, everything is illustrated by clear diagrams of the individual categories. The research shows that nurses have general knowledge of nursing care process. They were able to define nursing care process, to name its phases and to express their attitude to this method. They actively apply the process, but they say it is demanding for them from time and administration point of view. The fact that the knowledge of nursing care diagnosis is very poor among nurses is surprising. With regard to the limited awareness of nursing care diagnoses I propose a seminar explaining this issue.
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The possibilities of free-time activities for people living in senior homes or homes with special regime in Pilsen
ŠOTOVÁ PŘÍVĚTIVÁ, Tereza
In my bachelor thesis I dealt with the current state of activation activities offered in retirement homes and homes with special regime in the city of Pilsen and changing trends within five years. Especially, my interest was focused on getting to know the difference of the socially therapeutic and activation activities among the homes, but I also wanted to find out whether the official offer of each home, which is mentioned in publicly available documents and sources, differs from the leisure activities provided in reality. The target of my work was the mutual comparison of offers of leisure activities, which are provided by Pilsner homes, and the survey of interest in these activation activities of the users of social service. The method of quality survey was used for accomplishing the thesis. An analysis of socially therapeutic and leisure activities was carried out as well as a secondary analysis of activity materials. The information was collected from a survey company in the form of questioning with the help of regulated individual interviews prepared in advance and followingly described in situational tretises.
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The care of seniors in the field day care of the Regional charity Třeboň
BROŽOVÁ, Alena
Our population is aging, people are living longer. There are a growing number of seniors who are non self-sufficient due to their age and need help from others. Since their families may not always be able to take care of them, these people need adequate social services. This thesis deals with two groups of seniors that use two social services available in a small town. The first group contains seniors living in their homes ? in-home care clients, the second group are Senior Home residents. The thesis is divided into two parts. The theoretical part consists of four sections, the first deals with the aging of population in the Czech Republic, the second deals with the care for seniors, the third describes aspects of seniors´ lives and the fourth section defines the Home Care for seniors and the Senior Home in Třeboň. The objective of the thesis was to compare aspects of life of these two services users. To collect data, the strategy of qualitative research was used and the following techniques were chosen: participant observation, semi-conducted interview and personal documents analysis. In the discussion, the author compares the results of her work with the views of other authors dealing with senior issues. This thesis can be used as information material for both the mentioned workplaces, as well as for students and, last but not least, for seniors who are deciding which service to choose.
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Leisure activities as an important form of keeping seniors in the aktive full - value live
JANDOVÁ, Pavla
This Bachelor?s Thesis maps the situation in the area of activation and social activities of Czech seniors. The theoretical part deals with the problems of the aging population and with the prospects of their active social lives. The research part includes the results of the qualitative research and reflects real lives of five respondents living in southern Moravian countryside. The thesis is focused on the area of their interests, relationships to children, activity impulses, relationship to new technologies and socialization.
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Communication as a tool for helping seniors in senior care providing institutions to an active life
KLIMKOVÁ, Lenka
Communication is one of the most important needs of man whatever his age. A good communication is the basis of relation between the nursing staff and clients. By means of good communication an agreeable atmosphere is created in senior homes, mental state of clients can be influenced and physical hardships are relieved. My paper aimed at describing principles of successful communication with seniors applied within complex care for clients in social and health institutions, including free time activities in the Senior Home Máj in České Budějovice and in Senior Home of Mistr Křišťan in Prachatice. The first one presuming that one of the general principles of effective communication with seniors applied in complex care for clients of health and social institutions is an interested, personal relation of the staff towards the client, accepting his/her personality, empathy and listening to him/her, creation of a friendly and optimistic atmosphere, recognition and encouragement of the client's efforts. This hypothesis was confirmed. The second hypothesis presumed an important role in encouragement of activity in seniors, the clients of health and social institutions, is played by communication methods applied in free time activities, entertaining therapeutical techniques and animation games aiming at encouragement, motivation and empowerment of clients. This hypothesis was confirmed as both institutions offer many free time activities encouraging communication, encouragement and motivation of clients. The staff realize that existing communication is not ideal as it is nurses who communicate most often with seniors when providing nursing and medical care and they would need more time. However, seniors realize and understand the lack of time on the part of the staff. Information for the practical part of the bachelor thesis was collected by means of a quantitative research in the form of a group structured interview, applying mainly the method of a directed interview and analysis of documents.
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Standards qualities social services in rest home.
KROPÍKOVÁ, Jana
The target of this thesis is to find out from providers of the senior home service the way how they elaborate and introduce the Quality Standards in providing care through their employees. In the thesis, all the Quality standards witch are set by law for social services providers and whitch are also one of the important criteria of social service evalution are characterized.
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Sleep disturbances of clients in old people´s homes
HADAČOVÁ, Jana
Abstract This bachelor work entitled ``Sleep disorders with clients in senior homes{\crqq} has been chosen in order to study the development of sleep in elderly. Sleep is an integral part of our lives, and our need for sleep changes with increasing age. We sleep not only to rest and regenerate our strenth, but also in order to maintain mental and physical health. The need of sleep is very individual and depends among other things on daily activity, age and the overall condition of the organism. The character of sleeping changes with increasing age and it is difficult to decide in individual cases whether the actual problems are normal or already pathological. The quality of sleep is negatively affected by factors such as greef, loneliness, enxiety or change of environment. The elderly generally tend to retire to rest earlier in the day, they however take longer to fall asleep, often wake up during the night, rise early but on the other hand nap during the day. For better classification of sleep disorders, a new version of the International Classification of Sleep Disorders {--} ICSD, was conducted in 1990, in colaboration with several associations and organisations researching these disorders. Sleeping disorders can, according to the international classification, be devided into primary disorders, such as dyssomnia and parasomnia, and secondary disorders connected to somatic or mental ilnesses. The causes of sleep disorder can vary greatly and therefore the diagnostics must be thorough. Here, nurses also greatly participate to the diagnostics. This research was conducted in order to find out what types of sleep disorders clients of senior homes suffer from, whether they are informed about the topics and how suitable their sleeping environment is. The hypothesis that clients in senior homes suffer from sleeping disorders has been proved. The hypothesis that client are informed about the problem has been proved as well, but with a very small difference from the opposite hypothesis. The hypothesis about the lack of knowledge for methods for obtaining quality sleep has been proved, while the hypothesis that client have suitable environment for sleeping has been disproved. The role of nurses is very important here, as they are always close by. They should be involved in the problems the clients have and they should try solving them by other methods than pharmacologically. Nurses should be sufficiently informed about the sleeping disorder problem and know how to use the knowledge in practical situations. Sleep is after all important for a total regeneration of the body and for regaining vitality.
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