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Occupational therapy within interprofessional collaboration in community - based rehabilitation for people after brain damage
Ptaková, Silvie ; Krulová, Anna (advisor) ; Rodová, Zuzana (referee)
As a result of rapid development in Emergency Medicine and Intensive Care the patients with brain damage have better chances of surviving than they had in the past. However the survivors need to deal with severe loss of function and consequences resulting from that. An excellent primary care for patients who suffer from strok is provided in Czech Republic, the rehabilitation on the other hand is insufficient. The main problem is an absence of continuity of care which leads to aneffective outcomes and increase of total costs of treatment The purpose of this diploma theses was to evaluate the possibilities of occupational therapist of interprofessional collaboration in community based rehabilitation - in client's home environment. There are several categories of brain damage including acquired brain injury, genetic brain disorders and brain damage acquired during labor. The goal was to detect basic deficient fields. Results of this thesis based on knowledge from foreign literature as well as own experiencis in the team. Results might be used as basis for designed guidelines to improve situation. One client with degenerative brain disorder and five with acquired brain injury which live in home environment were selected. Three months long therapy was provided to them, occupational therapist as case...
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Using Sensor Data to Derive Environment State
Sakin, Martin ; Korček, Pavol (referee) ; Viktorin, Jan (advisor)
This diploma thesis deals with the analysis, description and usage of sensor data from an intelligent home system. This term also describes the intelligent system BeeeOn, which provides a sensor data and the possibility of extending this system to automation tasks. This is followed by the analysis of all the measured physical quantities, their properties and their influence on humans. The results from the measured data were used to create a classifier based on deep neural networks to detect current events at home. Detected events can be used for the following automation system to help improve living conditions. At the end of this thesis are discussed the results and options to continue with this project.
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Summary of Principles and Recommendations for Stroke Patients and their Families after Discharge from Acute Stroke Units
Kovářová, Iveta ; Oktábcová, Alice (advisor) ; Angerová, Yvona (referee)
Name and surname: Bc. Iveta Kovářová Supervisor: Mgr. Alice Oktábcová Thesis title: Summary of Principles and Recommendations for Stroke Patients and their Families after Discharge from Acute Stroke Units Background: Stroke is a very serious and common disease with a high mortality. It is important for patients to start rehabilitation as soon as possible. Early discharge allows stroke patients return home to continue rehabilitation in familiar surroundings. The responsibility for continued rehabilitation is in the hands of patients and their families and the main aim is to adjust to everyday life. Objective: The aim of this work is to create an educational material "Summary of Principles and Recommendations for Stroke Patients and their Families after Discharge from Acute Stroke Units", to help patients in the stroke problematics. This Summary includes information about stroke issues, stroke epidemiology, consequences and risks, practical advices, compensatory aids, possibilities of rehabilitation and information on social counseling, speech therapy and outpatient rehabilitation with relevant contacts. A case report in the practical part of this work tries to summarize possibilities of home occupational therapy and get a feedback on the educational material. Methods: This research work summarizes...
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Ergonomics of Home Environment for Patients after Spinal Cord Injury. Subtitle: Importance of Ergonomics and its Impact on Self-sufficiency of Patients
Veselková, Eliška ; Hradilová, Iva (advisor) ; Krulová, Anna (referee)
The thesis deals with ergonomics of home environment for patients after spinal cord injury. The main aim of the thesis is to highlight the importance of ergonomics and its impact on self-sufficiency of patients. It focuses especially on quadriplegic patients. The first theoretical part of the thesis summarizes general findings about spinal cord injury which are followed by characteristics of quadriplegic patients. The expert knowledge of ergonomics and occupational therapy shows their close interconnection linked with the issues of home environment of patients. The theoretical part is concluded by a list of requirements for wheelchair accessibility in home environment in accordance with Decree No. 398/2009 Coll. on general technical requirements to secure barrier-free usage of buildings. The second practical part of the thesis investigates the problem situations of three quadriplegic patients in detail. The main focus of the thesis is to examine the patients and their home environment. The tool Quadruplegia index of function was modified for this purpose to assess self-sufficiency and the methodology SEMAFOR home: Smart Evaluation Methodology of Accessibility FOR home was used to identify the problem areas of home environment of the patients. The results of the test methods were completed by the...
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The falls of seniors at home environment
DOČEKALOVÁ, Zuzana
This bachelor thesis focuses on one of frequently occuring problems affecting seniors which influence the senior´s and their family´s lives very negatively. It is falls of seniors in the home environment, usually leading to a long-term hospitalization of the seniors, often leading to their health-condition deterioration, or, in the worst cases, to the seniors´ death. That is why it is important for seniors and their families to be sufficiently informed about ways to prevent falling, and what measures to adopt to avoid falling. This thesis consists of two parts. The introducing chapter of the theoretical part describes the scientific fields of gerontology and geriatrics, and defines the terms of aging and old age. Further, the ways of geriatric patients examination are described. Falls, their etiology, phenomenology, their results and prevention are characterized in the following chapters of the theoretical part. The research part of the thesis defines four aims. It was trying to ascertain what specific circumstances to falls of seniors in the home environment there are, what consequences there are from the seniors´ and their family members´ point of view, whether seniors having suffered from a fall in the past have taken any preventive measures to avoid more falls, and what opinion is held by their family to fall prevention. 5 seniors having suffered a fall in the home environment, and 5 of their family members took part in the research. When processing the data obtained via interviewing the respondents, 5 categories and 6 sub-categories were created. The results have proven that the fall usually influences the future life of the given senior negatively. All of the questioned respondents had stated certain fear of fall repetition in the interview, some preventive measures were taken by some of the respondents only. Based on this bachelor thesis, a short educative material has been created, which may be further used as an educative leaflet serving to pass on practical information on preventing falls of seniors.
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Occupational Therapy Interventions for Patients after Stroke in the Acute Stage. Subtitle: Summary of Principles and Recommendations for Stroke Patients after Discharge from Inpatient Care
Kovářová, Iveta ; Oktábcová, Alice (advisor) ; Svobodová, Tereza (referee)
Name and surname: Iveta Kovářová Supervisor: Bc. Alice Oktábcová Opponent: ……………………………. Thesis title: Occupational Therapy Interventions for Patients after Stroke in the Acute Stage Summary of Principles and Recommendations for Stroke Patients after Discharge from Inpatient Care Abstract: Stroke is a very serious and common disease with a high mortality. Prevalence and incidence of stroke has been monitored for a long time. Currently, there are continual advances in the understanding of the issue of Stroke, assessment and medical intervention. The aim of the rehabilitation is to restore ADL (Activities of Daily Living) and reduce patient's dependence. An integral part of rehabilitation is an Occupational Therapy. This thesis draws attention to the consequences of stroke and represents the possibility of Occupational Therapy intervention to restore the patient's home environment. The practical part describes the survey, which was conducted with patients after stroke. Evaluation of the Survey detects lack of awareness among patients about the possibilities of subsequently rehabilitation and the outcome is "Summary of Principles and Recommendations for Stroke Patients after Discharge from Inpatient Care." The list contains practical advices and recommendations that patients after stroke should make...
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Family coexistence with a disabled person
TOBOLKOVÁ, Barbora
This bachelor thesis deals with the family coexistence with a disabled person. I chose this subject intentionally since I have a very positive relationship with disabled people, especially with mentally handicapped people. The main objective of my thesis is to chart the factors that influence the coexistence with a disabled person. The thesis is divided into a theoretical and explorative part. The theoretical part is divided into four chapters. The first chapter of the theoretical part deals with the problems of disability and its division. The second chapter is focused on mentally handicapped people, in concrete terms on the causes and origins of this disability, classification of each degree of this disability and on the education and training. The third chapter is concentrated on the family that cares for a mentally handicapped person. The parents´ reactions to the birth of a mentally handicapped person, relations between brothers and sisters and the care for a mentally handicapped person are also described here. The last chapter describes the fundamentals and forms of social services. Furthermore, I mentioned the basic social services of which the mentally handicapped people might take advantage. In the research part the goal of the thesis was set and the main research question was formed: "How does the family coexistence influence the care for a disabled person?" In order to answer it one had to use four partial research questions. The strategy of qualitative research containing the method of inquiries and the technique of semi-structured dialogue was selected so that the necessary data could be acquired. From the research it followed that caregivers cope well with the care for a disabled person. Interviewees concur in most cases that they often feel the mental strain. The day care centre for elderly people is the most used social service by the interviewees. The majority of interviewees don´t think that the care for a disabled person will change in the future. The research also established that all the interviewees spend their leisure time with a disabled person. The acquired information might be used as an information material for the lay and professional public.
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The Intergenerational family solidarity eyes of caregivers
TUŠEROVÁ, Tereza
This bachelor thesis deals with the problems of intergenerational family solidarity from the viewpoint of the caregivers. The main objective consists in charting factors that influence the living together of caregivers and old age pensioners in one household. The thesis is comprised of a theoretical and explorative part. The theoretical part is focused on assessing the current state of intergenerational living together, use of social services, care for an old age pensioner in a home environment, needs ensuing from the old age and last but not least on the mental health of the caregiver. The chapter of my thesis called current state is concentrated on the intergenerational relations. I mentioned the concepts of the so-called "sandwich family" and family solidarity. The following part has been devoted to the old age, its needs and physiological changes that occur at this age. In the subsequent chapter called the care for an old age pensioner in a home environment I was trying to define both the form of the care for the pensioner which is provided by the family member, risks arising from this situation and the importance of the care for the person who provides care for the pensioner. Last part is devoted to the mental health of caregivers. The objective of my thesis can be found in the explorative part. I charted the factors of living together of pensioners and caregivers in one household. I asked a main explorative question: "How do caregivers see the intergenerational living together in one household?" The main explorative question was devided further into five partial explorative questions. "How does a caregiver see the pros and cons of the living together with the pensioner?" "How does the caregiver view the situation in the future when there is a real threat of deterioration?" "How does the caregiver use the social services while caring for the pensioner?" "How is the mental health of caregivers going?" "What other resources does the family use?" I decided to select the strategy of qualitative research in order to detect the information. The data were collected by means of making inquiries and by leading a semi-structured interview. The research team was intentionally chosen of quotas and it consisted of seven caregivers who care for the pensioner in a home environment. The research continued by stages, first of all there was a pre-research. Then the actual research followed. All the interviews were recorded on the dictaphon and copied word for word. The collected information was processed through the method of clustering. Consequently, the data were processsed and interpreted through common components. The final data were structured into the separate partial questions. The study follows that partners in the interview lay stress on the high-quality care for their relatives and expect their children to care for them in a similar manner. They´d welcome a certain kind of relief in order to relax and to practise hobbies. Other factors that might influence the living together with the pensioner in one household might be, for example, lack of interest, low awareness of social services, little leisure time, high psychical strenuousness. However, the feelings of satisfaction, certainty and support also played an important role in caring for old people in their home environment. The results may be useful both for students who occupy themselves with problems of intergenerational living together and the old age and also for the general public so that it may realize the difficult situation of caregivers. And last but not least it may be useful for caregivers themselves so that they might be better acquainted with the social services and acquire information about the prevention in the area of mental health.
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The psychosocial burden of people caring for persons dependent on the assistance of another person in the home environment
ŠRÁMKOVÁ, Jana
This diploma thesis deals about the points at issue of the psycho-social strain with people taking care of the person dependant on the care of other physical person in the home background. The problems of family home helps in the natural millieu of an individual dependant on the care are getting more and more actual. The aim of this diploma thesis lies in defining the decisive factors of the psycho-social strain on the persons caring of persons dependant on the assistence of other physical person in the home background. The partial aim is to find out in which areas the persons taking care of persons dependant on the asistence of other physical person in the home background feel the increased strain. Another partial aim is to find out whether the persons taking care of persons dependant on the assistence of other physical person in the home background know and apply the principles of mental hygiene. Following the aims of the diploma thesis, there are postulated two research questions. The research question 1: Which kind of stress do the caring persons consider the most relevant in their job? The research question 2: Which possible symptoms of burnt-out effect do the caring persons observe on themselves? The practical part of the diploma thesis is worked out in the form of qualitative research. The method of inquiry and the technique of semi-structuralized interview were used for the purposes of the research. Furthermore, the technique of observation was applied. The research was implemented with the Inventory of symptoms of burnt-out effect adapted for the purpose of this research. The selected file is formed of eight persons taking care of persons dependant on the assistence of other physical person in the home background who complied with the pre-set criteria; the method of so-called "snowball" was chosen. The gained data were evaluated by the method of open coding. The research pointed out the facts and risks that the realization of the care of a person dependant on the care of other physical person in the home background is carrying out. The research pointed out the areas in which these persons feel the increased strain. The area of physical exertion in caring, the consciousness of responsibility in connection with caring, the area of communication and understanding a person dependant on the care and facing up to the fate and watching helplessness are demanding the most for the caring persons. It was found out from the evidences that caring persons consider this activity stressful; they feel both acute and chronical stress during the execution of the care, they feel it in connection with the lack of time and with the responsibility, in connection with the fears of future, but also in connection with not coping with the past. Family and friends, that provide both psychical support and assistence in the realization of the care, help most the persons caring of persons dependant on the care to deal with the demands of this care. As well as solitude and rest, sport activities and culture help them. In connection with caring the engaged persons have the feeling of doing a good thing, but also the feelings of sorrow, doubts and despairs. Those caring persons who perceive the risky factor of burnt-out effect can observe its symptoms on the emotional, rational, physical and social level on themselves. This thesis can contribute to understanding the importance of work of caring persons in the home background. It will deliver the information about the relevant factors of psycho-social strain on the persons taking care of persons dependant on the assistence of other physical person in the home background. Moreover, it can contribute to the eventual development of services corresponding to the needs of the persons taking care of persons dependant on the assistence of other physical person in the home background.
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