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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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The role of the nurse in receiving a patient in the ward
HOUFOVÁ, Tereza
The usual everyday practice in medical devices is consist in reception of the patient for subsequent hospitalisation. The patient admission is a subject to a number of essential steps which has to be secured by the nurse. The nurse should have a full range of skills like to have the ability to organize the work, be patient and select a calm approach. The theoretical part of this bachelor's thesis describes the professional, administrative and the other steps in the admission of a sick patient for its hospitalization. The research part of the work was compiled in the form of a qualitative researching survey using a semi-structured interview. The first goal was to map the role of the nurse in admitting the patient to the A&E. The second goal was to map the communication skills of the nurse with the patient at the reception of A&E. To achieve the goal were set two research questions. What are the nurse's roles in admitting of a patient to the clinic? How can a nurse's communication skills affect a following collaboration with the patient? The research investigation has shown that although it has been conducted in two different departments of the one selected hospital; the results did not differ significantly. The respondents have been identified in individual tasks except of a few specific differences between the two work places. The respondents have been identified in individual tasks except for a few specific differences between the two workplaces. The results have shown that the role of the nurse lies in a wide range of tasks like ensuring blood collection, necessary examinations, etc. The administrative aspect is also provided same as data verification together with information to the anamnesis. Furthermore, the investigation has shown that the correct communication skills of the nurse are based on a correct and patient attitude together with the ability to be able to estimate the individual's behaviour. Nurses have pointed out the fact that this ability is closely connected with the length of a practice. The results of the work can be beneficial for nurses working on the reception of the A&E as well as for nurses newly coming and for students of medical schools. It could be very interesting to represent these results in professional journals because there are just a small amount of publications that comprehensively describe the individual steps.
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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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Possibilities of using occupational therapy in patients with eating disorders
Mandíková, Jana ; Pluhaříková-Pomajzlová, Jana (advisor) ; Rejtarová, Anna (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Jana Mandíková Consultant: Mgr. Jana Pluhaříková Pomajzlová Title of thesis: Possibilities of using occupational therapy in patients with eating disorders Abstract: The bachelor's thesis deals with the topic of eating disorders and the possibilities of using occupational therapy in their treatment. In the theoretical part, I first describe the issue of eating disorders, their etiology and treatment options. I also deal with occupational therapy as a rehabilitation field in psychiatry. The conclusion of the theoretical part is based on the studied Czech and foreign literature and I deal with the use of occupational therapy in patients with eating disorders. In the introduction to the practical part, I present the results of a questionnaire survey on the current use of occupational therapy in patients with eating disorders in the Czech Republic, which I conducted. I also describe my practice and specific therapies that I led at the Psychiatric Clinic of the 1st Faculty of Medicine, Charles University and the General University Hospital. The last part is a proposed procedure of occupational therapy intervention in patients with eating disorders on the basis of the already created foreign manual "Eating Disorders: A Guide for Occupational Therapists", which is based on...
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Needs of persons with disabilities and their close persons during hospitalisation
Andersová, Věra ; Květoňová, Lea (advisor) ; Mrkosová, Eva (referee)
Experience of patients with disabilities and their close persons during hospitalisation demonstrates insufficient understanding to the needs of such people. This issue is also discussed in foreign literature, wherein the need to establish the position of a specialized worker who knows very well the conditions of the health care facility and the needs of people with disabilities is emphasized. The objective of this thesis is to point out the complex issue of the needs of people with learning disability and their close persons during hospitalisation. Hospitalisation itself is a difficult and demanding situation in any person's life. For persons with learning disability, this situation is even more serious. The thesis aims at describing the experience of persons with learning disability so that it may serve as the basis for improving their health care.
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Early mobilization in critically ill patient
Veberová, Marta ; Pucholtová, Romana (advisor) ; Hocková, Jana (referee)
Introduction: The most of critical ill patients is immobilised for short or longer period of time. This depends on the character of their illness, medication or another organ support. As it has been proved during critical illness and forced immobilisation there is an significant reducing in muscle strength, exactly in 3 to 11 percent with every another day of immobilisation (46.) It is necessary to say that early mobilisation is not standardised approach in Czech medical environment. Aim of tthe work: The main target of this diploma is to figure out whether early mobilisation in critical ill patients means any significant difference in their functional status in comparison to those given standardised physiotherapy. Another target of this research is to set up safe and structured protocol for leading early mobilisation and to determine whether exercising with cyclo ergometer is linked to higher risk of side effects and to state the most probable reasons for delayed or not performed rehabilitation. Research methods: This diploma thesis is based on randomised research. Participants in the control group are undergoing standardised rehabilitation, intervention group is undergoing extended rehabilitation with cycle ergometer. The cyclo ergometer exercise will take place at least six times a week with...
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Experiencing of schizophrenia and staying atdepartment of psychiatry
Podstavková, Cecílie ; Goldmann, Petr (advisor) ; Soukupová, Tereza (referee)
A theme of this bachelor thesis is a subjective experience of psychosis and stay at department of psychiatry. The aim of this thesis is to provide a view into psychosis from patients' prism as well as an effort to map their experiences in a certain way by searching for common features. A theoretical part of the thesis outlines a concept of psychosis or more precisely mainly a concept of schizophrenia from several points of view - psychiatric, psychological theories of S. Freud and C. G. Jung, socially developmental, cognitive, constructivist and also alternative point of view. It also briefly deals with issues concerning experience with regard to pathology of psychosis and options of its treatment. An empirical part of the thesis which is based on the author's personal research created using a grounded theory describes experiences of five respondents from psychiatric ward and also experiencing of psychosis focusing on a psychotic episode. The questions in the research are also focused on reasons of hospitalization, individuals' understanding of a situation, influence of psychosis on other people, contribution or disfavour of hospitalization or treatment. Keywords: Psychosis, schizophrenia, experiencing, experience, subjectivity, department of psychiatry, hospitalization, treatment.
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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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