|
Rehabilitation treatment at the spinal unit. Theoretical basis and practical experience
Punčochářová, Lenka ; Smolíková, Libuše (advisor) ; Špaňhelová, Šárka (referee)
After spinal cord injury occur a lot of complication, with resulting from neurological picture. These can be central, peripheral or mix paresis in some cases even plegie. Often an autonomic nervous system can be demaged, causing complication practice in nearly all body systems. Rehabilitation attend belongs to basic care of paretic patients and is closely connected with basic with basic nursing methods from which the physiotherapy of these patients arise. This survey gives a summary of procedures and methods of physiotherapy , which help the patient to prevent and better respond to the complication treatment e.g. on respiratory and movement apparatus. Complex physiotherapeutic treatment concentrates mainly on prevention of complications. The physiotherapist must anticipate formation of complications and adapt the comlexity of the treatment. Powered by TCPDF (www.tcpdf.org)
|
|
Psychic and physical factors in a nurse profession at home care
IMRAMOVSKÁ, Simona
Homecare is given to people in their natural social environment. It is aimed mainly toward sustaining and supporting health, restoring health and improving possibility of self-care, giving palliative care to incurably ill patients and enabling peaceful dying and death. For the nurses to be able to give quality nursing care they need to be in psychic and physical balance. It is important for the nurses to be aware of the consequences of such imbalance and also of the way it influences the quality of their work especially when handling difficult situations (Misconiová; 1995; Paragraph nr. 96/2004 Col.; Komačeková, 2009). First aim was to map psychic and physical factors influencing the work of a homecare nurse. Second aim was to find differences in psychic and physical factors in the profession of nurses working in homecare and in hospital. This study is based on qualitative research using questioning through in-depth interview. Research was conducted in the beginning of February 2014. Methods of direct transcription and open coding were used for data analysis. Two questionnaires were added to the original research examining Psychic stress and Physical activity according to Baecke, evaluating the amount of psychic and physical stress at work respectively. The research group consisted of 6 nurses aged between 33-55 working for homecare agencies in the south bohemian region. Written agreements were obtained from the nurses prior to them being interviewed or be given the questionnaires. Five categories were identified from the analysed interviews: psychic stress, physical stress, handling of stress, consequences of stress and the differences found regarding psychic and physical factors observed in homecare versus hospital environments. Results obtained from the questionnaire estimating Psychic stress show average value at 3.5 which can be regarded as borderline between decreased and increased risk. The analysis of Physical stress questionnaire gave the average of 3.1 corresponding to medium load. Regarding the first aim of this work the results of the questionnaires and interview are showing greater psychic stress felt by the nurses in homecare environment as compared to physical load. The second aim comparing homecare and hospital environments shows less psychic than physical stress in homecare than in hospital environments. Practical output of this bachelor thesis will be a written recommendation for nurses working in homecare aimed toward improvement of their psychic and physical health in connection to their working experience.
|
|
Children attachment to adult care providers in children homes - analysis of conditions and possibilities
Esterková, Manuela ; Matoušek, Oldřich (advisor) ; Pazlarová, Hana (referee)
The thesis tries to find the answer to the basic question: "What are the possible ways to strengthen attachment between children at the age from 9 to 18 months and their caregivers at the facilities of institutional care, nurses in particular?" The work also aspires to map the external conditions influencing formation of the attachment. In order to explain the topic, some theoretical findings of developmental psychology, attachment theory and information about the system of institutional care in the Czech Republic have been presented here. The answers concerning the strongest factors of attachment behavior and different attachment of one child to various caregivers and vice versa were being sought with the help of the method of an involved observation of the interaction child-caregiver during specific activities of feeding and bathing. Pieces of information about external influences of the attachment behavior and the possibilities to nurture it were being gathered by the method of semi-structural interview with the caregivers and the directors of the visited institutions. The activities of feeding and bathing, which were being observed, have been split into individual elements of attachment behavior (on the side of a child: visual attention, vocal reactions, smile and stretching arms towards the caregiver;...
|
|
Psychological care design concept for cardiocenter
Voldřichová, Ilona ; Kořán, Martin (referee) ; Kebza, Vladimír (referee)
in English My thesis is focused on integration of diagnostic and terapeutic methods of clinical psychology into the concept of contemporary cardiology. Modern medicine consider not only somatic aspects of patient's ilness, but also the aspects of personalitie's diferencies and needs. Psychologist applies the knowledge of psychological theories and psychophysiological mechanisms into the field of clinical diagnostic and treatment thinking about the individual patient. (A) Psychologic treatment of in-patients involves: (1) Crisis intervention (KI), i.e. treatment of the patients with urgent psychological difficulties. Cisis intervention presents the most indicated type of intervention in in-patiet's psychological treatment. (2) Pre-operative psychological care before recent cardiothoracic surgical intervention reduces patient's distress in pre-operational and post-operational period. (3) Individual approach to problematic personalities can significantly improve cooperation with medical staff. (B) Specific psychological problems of cardiac out-patients involves: (1) Depressive disorder developes after the frustating exposure of medical problems. (2) Cardiologists are the most visited professionals by the patients suffering from panic anxiety disorder. The reason is, that the panic anxiety symptoms...
|
| |
| |
| |
| |
|
Ethics of clinical research provided in intensive care by nurses.
Lerchová, Martina ; Haškovcová, Helena (advisor) ; Tošnarová, Hana (referee)
This presented gradual thesis deal with problems connected with research projects provided by nurses in cooperation with doctors on Coronary Intensive Unit in the IKEM hospital Praha. The exact name of this thesis is - Ethics of clinical research provided in intensive care by nurses. This thesis is composed from two parts - theoretical and practical. Theoretical part is divided into the seven parts. The first chapter descripe a develop of relationship between the doctor and patient whitch is very important especially during the research studies. The second chapter is focus on problems of informed consent area. Describe its historical development and process its standardization in big hospitals. The third chapter contain an information about ethicall comitte and its role in medical researchs. Fourth chapter contain some information about development and changes in documents important in research area. Nursing as a area for research is mentioned and discuss in five part of this thesis together with supervision which is very important in research too. Part six try to solve a problems connected with competention of nurses in the Czech republic in research area. The last seven part try to explain the meaning of some research studies, which are actualy running on Coronary Department in the IKEM Praha hospital....
|
|
Present system of nurse's education and nurse's competention in the health education area (in intensive care units).
Povolná, Pavla ; Haškovcová, Helena (advisor) ; Holmerová, Iva (referee)
Autor highlights present situation of health education providing by nurses and thinking about nurse's competentions and knowledges in the education and information area as well. Transmission of information in health care is difficult, irritable, unclearly task, perceiving by nurse's often as potentionally danger. There are descripted different contexts of the problem in each part of theoretical view of the graduation thesis (legal, historical, social, relational, educational). Practice part gives an overview of quantitative research and explanation of some tasks by confirmation or negation of hypothesis generated by qualitative research. Results of questionnaire investigation shows, that nurse's competentions to educate are uncrearly area neither nor nurses, nor for experts in health care or public. Recognizing of present situation is a first step to the future improvement. Frame 0standardization of providing health education by nurses could be a way out of the maze.This way must be announced, consisted, commemorated and continually evaluated on each care unit.
|
guest ::
