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Influence of biological therapy on the level of self-sufficiency in patients with rheumatoid arthritis
JELENOVÁ, Michaela
Rheumatoid arthritis is a chronic autoimmune disease manifested mainly by stiffness and pain in joints. The main trouble of the disease lies in deterioration of patients´ quality of life resulting form painful syndromes and impaired function of joints. This progressive disease often leads to disability and invalidity, therefore rheumatic arthritis is an important therapeutic and social problem due to demanding nursing and social care and financial requirements. Significant changes in rheumatic arthritis treatment have occurred recently. Biological treatment has become a new therapeutic method. Data suggesting that this kind of therapy may slow or even halt the x-ray progression of the disease have been obtained.
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Position of occupational therapy in System of Rehabilitation
PULKERTOVÁ, Jindřiška
Rehabilitation is generally understood as a discipline solving mainly problems connected with motor system. However, the concept of rehabilitation is much larger. In fact, rehabilitation is the all-society system where restoration of moving functions is only one of goals on the way to one{\crq}s reintegration into society. There are a lot of professions within this system participating in the process. Occupational therapy is one of them. The main goal of the dissertation is to introduce occupational therapy as a profession, and highlight its range and position in the system of rehabilitation. The dissertation answers the question on what occupational therapy can offer to the people in need of rehabilitation and investigates wether and how occupational therapy intervention can contribute to the rehabilitation proccess. Further more, the dissertation compares the roles of the profession in Czech Republic and Europe and uses the findings to formulate new hypothesis which can be used for a future research. The main approach of our dissertation is qualitative investigation. We chose the type of case study and participant observation. All that was completed with technique of secondary data analysis. In case studies and according to the experience from the London hospital has been discovered that occupational therapy deals with all components participating in execution of human activities. Occupational therapy assesses and provides interventions to improve sensomotoric, cognitive and psychosocial functions. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. The information obtained from trainee-ship on the Department of Occupational Therapy in London and data has charted and clarified position of occupational therapy. Main difference is in competency of the professionals. In Czech Republic competency are lower and more limited compared to the rest of Europe. Additionally, the number of occupational therapists is lower in our country than is an average in Europe. On the base of obtained information the new hypothesis has been made thereby both goals have been met.
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Physiotherapy after total hip joint replacement
ŠUHÁJKOVÁ, Pavla
Pain in a hip joint can dramatically affect the chance of having active life. The recent years have seen a significant progress in the results achieved while implanting artificial hip joints. This type of operation is simultaneously becoming increasingly more often especially when we take into consideration the increasing age of population. Implanting total hip joint replacement results in improving the quality of life, which can only be achieved through interdisciplinary collaboration of doctors, complex rehabilitation treatment, and positive approach of the subject alone. The aim of this bachelor?s thesis was to process case reports of patients after total hip joint replacements and to put together rehabilitation plans for these subjects. With the established objective in mind, the author summarizes outcomes dealing with the issues relating to total hip joint replacement, physiotherapy, occupational therapy, and spa treatment following such operation. The research part of the bachelor?s thesis was accomplished by qualitative research. Data were collected by observing, interviewing and analysing documents. The data were gathered by individual in-depth interview and using case reports, which included author?s own observations, a draft of rehabilitation plan and implementation of the therapy, and subsequent outcomes from the assessment of therapy. The research corpus comprised of two patients who underwent a planned total hip joint replacement because they had been suffering from advanced primary coxarthrosis. The research was carried out at an in-patient orthopaedic department of the Hospital Pelhřimov in March 2011, when the subjects were being hospitalised. Quality and appropriately managed rehabilitation allows quicker improvement in the patient?s health following the operation. It is used as a prevention of complications, it improves engagement of functional potential in the operated joint and it consolidates appropriate motion stereotypes. The outcomes of the research confirm that such pre-operational and post-operational rehabilitation carried out during the stay in hospital leads to a decrease or complete removal of pain, an increase in joint?s mobility and muscular power, getting used to walking on flat surfaces and up and down staircases, and the level of independency in everyday activities.
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The effects of mastektomie on social life of women with breast cancer
VIKTOROVÁ, Vendula
Breast carcinoma is at present one of the most frequent diseases of women which affects all areas of woman ´s life and becomes all-society problem. It is an oncology disease which brings a woman and her close relatives a huge psychical and physical stress. One of the possibilities to cure the breast cancer is the chirurgical removal of the whole breast (mastectomy), which is a huge change not only in woman ´s social life. The thesis gives information on breast carcinoma, risk factors for the onset of the disease, clinical symptoms, diagnostics and the treatment of breast carcinoma. Further, it describes the possibilities of reconstruction therapy, rehabilitation and psycho- social effects of cancer. The objective of the thesis was to find out if and how mastectomy influences the social life of women. For the data elaboration the method of quantitative research by means of questioning was used. The questionnaires were addressed to women with breast carcinoma after mastectomy. The research group was created by the clients of General Faculty Hospital in Prague. The questionnaires were anonymous and voluntary, in the form of 25 closed and semi-open questions. Hypothesis H1: negative influence of mastectomy depends on the partner ´s attitude and the family support, was proved. Hypothesis H2: mastectomy negatively influences single women and women without children, was also proved. Hypothesis H3: women after mastectomy are of worsened occupational use, was disproved. The research has shown that the question of solving social issue in women after mastectomy is more and more up- to-date. Average age of respondents is 51 - 60 years. In the question concerning the change of life in women after mastectomy were most frequently mentioned the problems with the change in dressing, sport activities and psychical problems. The awareness of women on rehabilitation, reconstruction operations, possibilities of using epithesis and also on the civic partnerships focused on breast diseases should improve.
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Christian principles in social work.
JENŠOVSKÝ, Jiří
JENŠOVSKÝ, JIŘÍ. Bachelor's thesis with the title ?Christian principles in social work? University of South Bohemia in České Budějovice. Faculty of theology. Department for practical theology. Thesis supervisor: Dr. Ing. Křišťan Alois, Th.D. The first part of the thesis is focused on the possibility of decrease of the stress impact on the client after his/her arrival into the stationary social facility. It offers possibilities to believing and not believing employees of the facility how to find the way to the client, to recognize his needs and to try to comply with them. In the second part of the thesis I focus on the activities as basal stimulation, sense activation and ergo-therapy. I present these job activities as an additional possibility how to find out the information about the client and how to develop the relationships of the employee in the social services or a trained therapist to the client. In the third part, I investigate by observing with participation the development of the relationship of two believing clients to the believing and not believing social employees. The research deals with reactions of clients in particular daily situations on employee in social services (believing and not believing). The research examines and records acting of the observed clients in various types of mood, during health problems, depression or also in good mood. It tries to present as real picture of acting the observed clients as possible in contact with belief and non-belief of the social employee.
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Evaluation of Selected Components of Katharina Schroth's Method in the Therapy of Idiopathic Scoliosis
Chmelíková, Jana ; Ryšávková, Andrea (advisor) ; Otáhal, Stanislav (referee)
Summary The objeetive of the work was to deseribe therapy by the method of Katharina Sehroth and earrying out an experiment where eurrent ehanges of the spine shape were evaluated in symmetrie and asymmetrie isommetrie aetivation of upper limbs (element based on the Sehroth method) in people with idiopatie seoliosis. The presented work was earried out in a group of 5 adoleseents (girls with idiopatie seoliosis). For evaluation, the shadow moiré topography was used. The probands were monitored and evaluated in 5 positions: resting posture with both upper limbs lowered, resting posture with abduetion and exterior shoulder rotation and 90 degrees elbow flexion, standing posture with symmetrie eontraetion of upper limbs (leaning against both poles) and standing posture with asymmetrie eontraetion of the right upper limb, left upper limb (leaning against one pole). Changes of lumbar flexure were eompared in all the three basie anatomie levels. Based on the results we ean state that due to muscle eontraetion, the shape ofthe spínal eolumn ehanges (often signifieantly) in all three anatomie levels. The numerieal findings ean be used in physiotherapeutie praetiee in ehoosing the right therapy for a seoliotie patient. Therefore, this therapeutie element of the Sehroth method is stili a good option for the...
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