|
Role of the nurse in screening for depression in the elderly.
VRZALOVÁ, Monika
The diploma thesis deals with problems of depression in older people. Mainly the work is focused on identifying and analyzing the role of nurses in screening for depression in older people in primary care, acute care, long-term care and home care. This thesis was focused on theoretical direction and was used the method of design and demonstration. In this thesis was set one main goals with five research questions. The main goal was to identify and analyze the role of nurses in screening for depression in the elderly. RQ 1: What is the role of the nurse in screening for depression in the elderly? RQ 2: What is the role of the nurse in the primary care in screening for depression in the elderly? RQ 3: What is the role of the nurse in screening for depression in hospitalized patients in acute care? RQ 4: What is the role of the nurse in screening for depression in seniors in long-term and home care? RQ 5: What rating scales and methods are used in screening for depression in the elderly? The thesis introduce the concept of depression. The following are specified the causes of and the important factors that affect depression in the elderly. It also deals the differences in the clinical symptomatology of depression in old age. It explains possibilities and various barriers in the diagnosis of depression. Another chapter introduces complete geriatric examination, diagnostic classification systems, possible screening methods and scales for detection of depression in the elderly population. It also deals methods of pharmacological and non-pharmacological treatment and its possible complications associated with older age. By reason of increased suicide rate caused by depressive disorder the issue of suicidal behavior in the elderly is introduced. The next chapter deals with the nursing process, which is used by nurses in practice. It consists of the evaluation of the patient's health condition, making nursing diagnosis, creating nursing plan and subsequent implementation and evaluation. The nursing process is also needy for providing quality care. The nursing process in the stage of nursing diagnosis, introduces possible nursing diagnosis for a patient suffering from depression, which are based on the latest classification. Finally is described the role of nurses in screening for depression in the elderly in different health facilities and their contribution to the timely evaluation of depression in the elderly. This chapter introduces the role of nurses, nursing screening and collaboration with a physician. The role of nurses in screening for depression in different medical facilities is based on the first phase of the nursing process of assessment. On the basis of objective and subjective information, the nurse will assess the overall health and mental condition of the patient. Primarily, it was investigated what is the role of the nurse in screening for depression. On the basis of content analysis and synthesis it was necessary to used and processed domestic and foreign literature. A number of relevant sources are the results of various studies and Meta-analyzes, mostly from abroad, but also from the Czech Republic. The thesis can serve as a basis for nurses. The result of this thesis is to create e-learning material available for students in the Faculty of Health and Social Sciences of South Bohemia in Ceske Budejovice in the tutorial called Moodle.
|
|
Patients satisfaction with the provided services. An important indicator of the quality of health care facilities.
MALANÍKOVÁ, Jana
My master's thesis which topic is "Satisfaction of patients with the services provided. An important indicator of quality of medical equipment " is mainly focused on satisfaction of patients with the services provided in the Hospital České Budějovice, a.s. Furthermore, the mapping focused on overall satisfaction with care in the already mentioned Hospital České Budějovice and on exploring whether patients evaluate the quality of information provided by a medical doctor in this hospital affirmatively and whether they are satisfied with care of local nurses. The satisfaction of patients is an important indicator of the quality of care provided, which has an impact on their status of basic human needs. One main purpose was determined: Monitoring the satisfaction of patients with the services provided in the Hospital České Budějovice, a.s. and this purpose was fulfilled. Quantitative research was executed, to its realization the interview method was used. By means of the technique of standardized anonymous questionnaires on the basis of the above-mentioned purpose,the 3 following hypothesis were verified: 1) Patients are satisfied with the overall care in the Hospital České Budějovice, a.s. 2) Interviewed patients evaluate the quality of information provided by a medical doctor in the Hospital České Budějovice, a.s. affirmatively 3) Interviewed patients are satisfied with the care of nurses in the Hospital České Budějovice, a.s. I processed the data to confirm or refute the pre-established hypotheses. The evaluation of the data was carried out using statistical nonparametric methods, Chi-square test and the chosen level of significance of p=0.05. The results of the research have been clearly processed into the tables and graphs. The program Microsoft Office Excel 2010 was used to process the results.
|
|
Nové postupy biomonitoringu cizorodých látek ve vodním prostředí
ČERVENÝ, Daniel
Within the presented work, several approaches of biomonitoring were studied. A well-established method for human health risk assessment was applied to evaluate the quality of fish from open waters in the Czech Republic. As this work is targeted on sport fishermen, who frequently consume their own catches, besides the publication in scientific journal, a brochure with results of this study was distributed via the Czech Fishing Union. Health risks for consumers related to the consumption of wild fish were found strongly species and locality dependent. As there is no risks related with the consumption of carp (Cyprinus carpio) at all investigated sites, frequent consumption of predatory fish should be avoided at some fishing grounds. The use of passive samplers has become more and more attractive in the last two decades. As these devices are able to mimic the biological uptake of chemicals, their potential for replacing fish as bioindicators in routine biomonitoring programmes is evident. In our study, the comparison between analysis of fish tissues and POCIS extracts from selected sampling sites confirms this idea about interchangeability of these indicators in the case of PFASs as target pollutants. Moreover, no metabolic transformation of contaminants present in water take place in passive samplers contrary to living organisms, thus these reflect the actual contamination at the locality more precisely. The use of passive samplers completely fulfils the internationally accepted principles of Replacement, Reduction, Refinement (the three R´s). Another promising approach using YOY fish as bioindicators was evaluated within the present study. Multispecies samples of YOY fish homogenate was found as a better indicator for wide range of pollutants than muscle tissue of adult fish within one species from the same locality. As all inner organs and tissues are presented in analysed samples, more target pollutants in higher concentrations are detected compared to the muscle of adults. Besides the higher sensitivity in pollutants detection and quantification, practical and economic benefits are of concern in the case of the YOY fish approach. The YOY fish approach also particularly fulfil the three R´s strategy, as sampling of this age group of fish has a smaller impact on the environment than the sampling of adults. In case of mercury, that was found as a limiting contaminant for the consumption of fish from open waters in the Czech Republic, a nonlethal method of finclips sampling can be used for the monitoring of this compound in aquatic environments. Besides the monitoring, our optimised method for the estimation of muscle tissue concentrations could be used for human health risk assessment as well. The difference between real muscle concentrations and concentrations estimated using our method differs less than 10% in most of the investigated localities. Benthic organisms are an important part of the food web in aquatic environments, but insufficient information about its contamination is available. In another study included in this thesis, first evidence about bioaccumulation of certain pharmaceuticals in benthic organisms was described. Although, pharmaceuticals are generally considered to be not accumulative in organisms, our study proved that certain pharmaceuticals have bioaccumulation potential. From this finding, it is evident that not only the concentrations of pharmaceutical dissolved in water but also the diet represents an important exposure pathway of contamination by these compounds for organisms (fish) inhabiting aquatic environments.
|
|
Comparison of health care in the Czech Republic and Germany
Dutá, Sára ; Kocmánková Menšíková, Lucie (advisor) ; David, David (referee)
This thesis deals with comparing the two health systems, the differences between the quality of medical care in the Czech Republic and the Federal Republic of Germany, and more specifically with the individual physician access to the patient. The thesis explains in the theoretical part the basic concepts relating to the topic of health (the value of health and its determinants, lifestyle, prevention, illness, disease, health care, health care system and health policy) further discusses the Czech and German health care system and compares them basic structure, where the most fundamental difference is the difference of the German health system, which is divided into two levels, national and federal. The thesis also studies the role of the doctor and patient and the relationship between them. Secondary and comparative data analysis of the differences in health care in the Czech Republic and Germany showed that respondents are with care and physician access to the patient rather satisfied in Germany, although there are also drawbacks. Data obtained through semi-structured interviews show that views on health care varies according to the number of years spent in Germany (respondents who lived in Germany for example for 15 years, had with the local health care more experiences). Almost all interviewees seem to agree that the difference in health care in these countries is due to the differences in funds that are spent on health care. Annually put Germany on Health care about 11, 6% of GDP, of which 76.8% are public funds. On health care in the Czech Republic it is 7.5% of GDP. Participation in the payment of health care in the Czech Republic was 15.8%, Germany 23.5%. From the data obtained suggests that the quality of care affects the confidence in it and the need to treat the patient.
|
|
Research of windbreaks in a chosen cadastral area from the point of view of woody plants species´ representation and their health condition
Knoblochová, Martina ; Janeček, Miloslav (advisor) ; David, David (referee)
This thesis evaluates the current state of selected wind breaking types, looking at their species composition, condition and functionality.
One of the most efficient precaution against wind erosion are wind breaking swathes of woodland, windbreakers. These woodlands protect adjoining land against wind erosion of topsoil, blowing away snow cover as well as lowering water evaporation. The right position in the landscape, species composition and a good state are important for windbreakers to fulfil the above mentioned function. In the Czech Republic, 29% of farmland is badly affected by wind erosion. The most affected areas are situated in the South Moravian region. For the purpose of this dissertation work, two areas were chosen. Both of them are situated in the district of Znojmo, where the highest level of wind erosion is found. Area 1 lies in the districts of Břežany, Čejkovice and Božice. Area 2 lies in the districts of Velký Karlov, Hrádek and Křídlůvky. In order to investigate suitability of current windbreakers, the state of potential natural vegetation, climate, geological, paedological and hydrological conditions will be investigated in both of these areas.
For the assessment of the effect of windbreakers, methodology after Podhrázská (2008) was used. This methodology allows assessment of these trees as individual linear elements, but also as a part of a network of these elements. The assessed criteria will be, for example: position in the landscape, species composition, age, functional type, height, width and the number of rows. Furthermore, horizontal and vertical parameters will also be investigated. For the evaluation of the functionality of the network of elements, it is also crucial to look at the tree orientation, their position in relation to the terrain and the direction of the wind. Moreover, the distance between individual woodlands also plays a significant role. The effect of windbreakers on the landscape will be further assessed using classification system after Kolařík (2005).
Over the course of this project, 22 windbreakers were selected for evaluating their functionality and a proposal for their re-establishment in the future was suggested.
|
|
Using of the Czech Warmblood for the Czech Republic Mounted Police
Vlčková, Petra ; Navrátil, Jan (advisor) ; Karel, Karel (referee)
The horse evolution started with Hyracotherium, which was a small animal inhabiting forests of the Eocene. Since then, it evolved into more or less successful forms in which the conditions of the surroundings of its occurrence were reflected. When it comes to the initial usage of horses, they were used as a source of meat. Later, in the period before 4,600 years ago, evidence of the domestication of these animals emerged. Due to the improved system of breeding, horse as a draught animal and a mean of transport gradually became riding horse, which contributed not only in spreading human population, but also in influencing history of many civilizations.
Nowadays, horse is represented through a number of breeds, which are used in equestrian sport, work with cattle, horse races, in forestry labours, or as a good companion.
In addition, horse gained its irreplaceable role in the service of the Mounted Police of Czech Republic where it is daily deployed in diverse actions; for example in city and peripheral guarding, in searching for missing persons or in restoration of disturbed public peace. The most useful breed for these purposes is Czech Warmblood, where the most preferred geldings are in brown or chestnut color. High demands are placed on physiological characteristics; however, the most important criterion is the excellent character of this breed. Quality of these characteristics consists in the length of duty and in the reasons for their release from duty. Some of the most frequent reasons for the release from duty health problems and age. The release due to age is associated with strong and resistant horses.
Regarding the lineage of the police horses on duty, the best evaluated were the descendants of stallions 1154 Quick Lauro Z, Mykonos and 1028 Manillon Rouge. However, there is a correlation between these descendants and their number on active duty. After categorization of all traced stallions into relevant lineages, the lineage 1100 Przedswit became the most numerous lineages (7 stallions). Nevertheless, this lineage is not positively evaluated because of its descendants, which did not perform well on duty. Another numerous lineages were 5500 Pythagoras, 4700 Amour du Bois, Orange Peel xx-Almé Z, 67 Dark Ronald or 4800 Ladykiller XX.
The central purchase system of duty horses should help to unify these horses as well as to prolong the length of duty, via universally established criteria. Results demonstrate the unification of typological characteristics of these horses. However, the average withers height of measured horses fails to meet the requirements. Regarding the length of duty, the results were not conclusive; therefore, the hypothesis was confirmed just partially.
|
|
Economic Impacts of Social Policy on Selected Sectors of the Czech Economy
Kašparová, Kateřina ; Severová, Lucie (advisor)
We live in the 21st century, when more than ever solves finance, economy in terms of both the individual and the state, but also the European Union, which affects every Member State and the Czech Republic is no exception. State economic situation continues to affect both small and large companies, entrepreneurs and individuals who under the influence of the surrounding developments make decisions affecting not only the present but also the future. Economic decisions impinge on the functioning of the state authorities, which is taking steps to support the decision given on the company, such as electronic records of sales, taxation and other laws affecting their business. This impacts directly or indirectly to a particular individual moving in the country's economy. The aim of the dissertation is to express the economic impact in terms of social policy on selected sectors of the Czech economy, both theoretically and practically. The economic impact of social policy affects the financial situation of the economically active population who are hit by unexpected life situations. It is degraded in the social position due to declining economic level, which is then inadequate and social policies often do not sufficiently take into account the economic situation of the individual before and after the establishment of that situation. And the individual is often unable to adequately use the possibilities that social policy allows. The main reason is a lack of awareness, that should act on the individual before the emergence of the situation and create awareness in the people about the possibilities of resolving the situation. Unexpected life situations addressed by social policy, which is also solvable through its tools, job loss or inability to continue to engage in employment. Both options associated with a decrease in working capacity, which addresses social policy through the provision of disability pensions. These covers Czech Social Security Administration through district administrations throughout the country. The State influences the amount of disability pensions minimum the setting of wages, the basis of assessment, determination of the percentage amount of disability pension, including its reduction limits or minimum time required insurance. The aforementioned indicators in the calculation of invalidity pension, which becomes a very individual matter, but is influenced by the rules of 441,000 persons receiving this pension, which in the third. stage reaches an average amount of 10 262 CZK. With this funding slightly higher than the minimum wage, individuals must manage and deal with the new situation. Economic impacts caused by unexpected life situation affects not only the individual himself, but also its surroundings. To eliminate these negative economic impacts serve other instruments of social policy that could improve the financial situation. However, this is a significant administrative burden for which the required knowledge about the possibilities, which include care allowances, mobility allowances, certificate of persons with disabilities, but also the opportunity to appeal against the decision of the Czech Social Security Administration to withdraw and so improve its economic situation.
|
|
The Assessment of Specific Insurance of Foreigners in Public and Commercial Health Insurance Systems in the Czech Republic
Schořovská, Kristýna ; Kukalová, Gabriela (advisor) ; Jaroslav, Jaroslav (referee)
This thesis is focused on insurance for foreigners in the systems of public and commercial health insurance in the Czech Republic. Evaluate the effects that would result from the integration of foreigners into the public health insurance, based on the gross costs of the annual reports of commercial insurers and based on the income statement. Work gives a comprehensive overview of the current health care system in the Czech Republic, and design optimization.
The first part is devoted to health systems, which are used in the world. They are defined by their key characteristics as well as their advantages and disadvantages. The second part is devoted to public and commercial health insurance in the Czech Republic, where the two systems are compared. In the third part we are analyzed the conditions, limitations, exclusions and insurance products offered price between commercial insurers. There are also quantified the costs and revenues associated with the inclusion of commercially insured foreigners in public health insurance. In the final part evaluates the balance of income and expenditure, which would hold a public health insurance, including the formulation of their own opinion on optimizing the system.
|
|
Statistical analysis of changes in nutrition and health of Czech Republic population
Syrová, Věra ; Prášilová, Marie (advisor) ; Dlubalová, Zuzana (referee)
The Bachelor thesis is focused on the statistical analysis of food consumption in years
1994 to 2014 and its prediction. It is also focused on the development of serious civilization diseases in years 2000 to 2014.
The theoretical part describes the basic concepts related to healthy eating, food categories and theirs main components. The theoretical part also describes the nutritional pyramid and dietary guidelines issued by the Nutrition Society. Furthermore, the theoretical part presents demographic indicators and serious civilization diseases associated with a poor diet. The Bachelor thesis also includes demographic characteristics of the Czech Republic population, population consumer expenditure and their health.
In the practical part are, because of the description of the evaluation development analysed indicators, determined their basic fundamental characteristics. The practical part also include the forecasts of analysed food consumption in the next five years. After that are the achieved results discussed with diet recommendations according to whether their consumption is excessive or insufficient. The conclusion contains the results summary of the analysis and defined suggestions and recommendations for change habits of the Czech population regarding proper nutrition and healthy lifestyles.
|
|
Analysis of selected health insurance companies and their comparison
Gdovinová, Jana ; Steininger, Michal (advisor) ; Lucie, Lucie (referee)
The aim of this theses is to create analysis of selected health insurance campenies and theirs comparison under the agreement of chosen criterions between 2010 and 2014. Partial aims - to find which offer (benefits) Czech health insurances provide for insured persons in comparison with Slovac ones.
In the theoretical part of this theses is used the specialist literature which includes the topic of the health insurance , the insurance companies and things related to them. The first part of the analytical work is focused on the analysis of the Czech health insurances. In this part are individual health insurances analysed from the point of view of the number of insured persons, the accessibility of health insurances, the yearly cost of one insured person, the number of the insured persons that falling on one employee, the average expended cost for pharmaceuticals for each insured person, the average income from insurance for one insured person and the offering enlarging health care. In the second part of the analytical work are analysed Slovac health insurances from the same point of view. The last part of the analytical work is focused on the comparative analyses of six Czech and Slovac insurance companies. There are two fictitious families which want to use the benefits from six comparative health insurances. The both fictitious families will find out, which financial amount oh the benefit they could achieve, according to facts that are mentioned about them. Despite discovered differences between explored categories it is possible to say that Czech and Slovac health servicies are almost comparable to each other even 20 years after the division the Czechoslovakia.
|
guest ::
