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Qualitative research into management of challenging situations by workers in the Long Term Care facility with a special regime for clients diagnosed with Alzheimer's disease and dementia.
EFFENBERGEROVÁ, Lenka
This work deals with the origin and the solutions of difficult situations between clients diagnosed with Alzheimer disease and dementia and workers of the residential social service with special regime home and their interactions. The theoretical part will concentrate on clarification of the diagnosis, including symptoms, the associated memory and its disorders and communication. The work describes challenging situations encountered in the care of affected clients, the theory of frustration and stress, and also mentions a coping strategy. In the conclusion to the theoretical part, the work portrays the worker in relation to the client. The methods used for research are explained in the methodology section, that is the grounded theory, participating observation and the semi-structured interview. A social service institution was introduced in the research section, as well as an analysis of participating observations and individual semi-structured interviews according to the principle of grounded theory. The conclusion contains a summary of challenging situations encountered when working with the clients of the social service with special regime home, the specifics of aggressive situations, as well as the summary of emotions of the assisting staff and an overview of the control mechanisms of individual workers.
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Domestic violence on the senior patients suffering from mental disease.
KŮROVÁ, Hana
Home violence on senior patients suffering from mental disorder is often problematic in nowadays-modern society and its line of incidence is on increase. Home violence occurs in many forms {--} economical, physical, psychical violence, but also neglecting of seniors. This violence is difficult to reveal from more reasons. Seniors take this reality as their personal life{\crq}s failure, as the mistake in upbringing and so they quietly bear the violence from their children. Another reason of the increasing latency is their age, present medical condition, limited social contacts. The research was made on the gerontological ward of the psychiatric clinic and in the senior house. Seniors suffering from mental disorder created the searching sample. Acquired information was refilled by semi-operated dialogues with medical staff and by no-operated dialogues with other clients of these institutions. After the research we can say that the most often form of violence committed on seniors is the financial blackmailing. It was also found out that seniors on whom the violence was committed react strongly on the presence of family members by worse mood, by expression of face or by completely change of body position. The home violence can attach everybody, each age, each education, each social status, each religion, both sex. It is important to pay attention to this problem and to try to help to victims of home violence. A lot of seniors suffering from mental disease don{\crq}t stay at home with their family care but they are often moved to a special institution against their will. People who work there in these institutions have positive relation to seniors with mental disorder. They must be empathetic and very patient. This work is very exacting and just these people working in helping professions often suffer from burnout syndrome. It is important to behave to seniors with respect and to people who work with them too.
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Specification of nurses work with the desorientated client
VAŇKOVÁ, Soňa
The objective of my work was to find out how the client´ s disorientation changes the attitude of the nurse regarding the saturation of his needs. Another objective was to find out if the nurses are provided with enough information in the field of the saturation of needs of the disoriented client. I have made two hypotheses. Nursing care of a disoriented client makes higher demands on nurses (H1) and nurses do not have enough information in the field of saturation of needs of the disoriented client (H2). Based on the results H1 was confirmed, while H2 was not. The results show that the disorientation makes higher demands on nurses in the field of saturation of the disoriented client´ s needs in all respects while the communication with such clients did not prove difficult for nurses. The results further show that nurses are sufficiently familiar with this issue but the observations showed that some nurses do not satisfy these needs. In particular as far as are higher needs concerned.
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Aspect of quality of life of seniors with dementia in senior homes
ŠVOJGROVÁ, Hana
The thesis deals with the quality of life of seniors suffering from dementia, living in homes for seniors. The aim was to determine whether the quality of life of seniors depends on the intensity of the contact with close people and if this phenomenon is more evident in men than in women. The thesis is divided into two sections. In the theoretical section the issues concerning dementia conditions, the social services provision and the quality of life are described using articles in professional books, journals and web-published resources. In the practical part the quantitative research, conducted by the standardized questionnaire SF-36, identifying the health-conditioned quality of life, and the questionnaire "CONTACT" identifying the frequency of four types of contact, is presented.
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Alzheimer's disease as a European priority
Tomsová, Tereza ; Langhamrová, Jitka (advisor) ; Durdisová, Jaroslava (referee)
The aim of the thesis is to provide insight look into the problems of Alz-heimer's disease, which doesn't mean a problem of individuals and individual families only, but pose a serious problem of the society as whole. It is a matter not only of the present days but also of the future, particularly in the view of the pro-jected demographic trends of the population aging the number of the people af-fected by neurodegenerative disease is going to increase.
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Heftiness of work nurses for patient with Alzheimer's disease
SALOTOVÁ, Jana
This diploma work focuses on demanding and important task of nurses care of patients suffering from Alzheimer's disease. The problems of Alzheimer's disease represent socially serious and very important subject at present due to the fact that our generation is growing old, which will obviously result in increasing frequency of Alzheimer?s disease occurrence. This diploma work is divided in two parts: theoretical part and practical part. In the theoretical part there are causes, signs and symptoms, diagnosis and therapy of Alzheimer?s disease. Furthermore there is a conceptual framework of nursing care applied to the patients suffering from Alzheimer?s disease according to nursing model by Virginia Henderson. In addition to it burn out syndrome is mentioned here because due to the syndrome the nursing personnel is exposed to extreme psychic and physical load. The Alzheimer Programme Plan in the Czech Republic is presented in order to get better idea about activities in our country. In the practical part of this diploma work we laid down the following three objectives. The first objective was to ascertain exacting character of nursing work of the nurses taking care of the patients suffering from Alzheimer?s disease. The second objective was to ascertain what is considered by nurses to be the most problematic area within the range of nursing care of the aforementioned patients suffering from Alzheimer?s disease and the third objective of our research was to ascertain the contribution of specialised Alzheimer centres. The above-specified objectives have been fulfilled. In addition to it another research questions have been defined as follows: what is the level of exacting character of nursing work of the nurses taking care of the patients suffering from Alzheimer?s disease, what do the nurses see as the most problematic area within the range of nursing care of the aforementioned patients suffering from Alzheimer?s disease within the range of nursing care, what is the contribution of specialised Alzheimer centres and what nursing care should be provided in the specialised Alzheimer centres. The research questions have been answered. For the purpose of the development of this diploma work a qualitative examination has been used. Data acquisition and collection have been performed by applying the method of non-standard structured interview. The research work took place in Psychiatric Ward of the Hospital of České Budějovice a.s. (Joint stock company), in Alzheimer Centre named Loucký Mlýn near the town of Vodňany and in Alzheimer Centre in the town of Písek, and in Home of Old People in the village of Dobrá Voda. The answers of the interviewed nurses have been worked out in the form of sixteen case reports and subsequently category matrices (tables) containing the most important data were created from the aforementioned reports. The examination took place in the time period from March 2011 to June 2011. The results of our work could serve as a feedback for hospitals and sanatoria first of all for those where the examinations took place. Furthermore the results may be used for keeping public informed about the possibilities of helping patients suffering from Alzheimer?s disease e.g. in the form of information booklet.
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"Experiencing of aggressive symptoms at people with dementia by the patients´ relatives{\crq}q"
KRZOKOVÁ, Silvie
I chose the given topic not only because I consider this issue to be important and serious, but also because the majority of lay family caregivers, taking care of people with dementia and meeting their signs of inappropriate behaviour including an aggression, experience predominantly negative emotions. In term of the caregivers it is important how they perceive their care for an aggressive member of the family, how they experience it and what are treatment effects and impacts on their psychological stress. In an introductory part of the thesis there is summarized a current knowledge on the given issue. I deal with a definition of the dementia in individual chapters, by its epidemiology, diagnostics and examination methods, by therapies of the dementia, its classification, stages of the dementia and its clinical symptoms. In the next chapter I describe aggressive behaviours at the dementia syndrome, in this context then I pay an attention to caregivers´ emotions, their experience and finally I deal with the caregivers´ role and potential risks and impacts on their increased psychological stress. The following chapters bring research results, whose aim was to find out, how relatives of the people with the dementia diagnosis experience the aggressive behaviour of their closest. I chose a quantitative research combining qualitative and quantitative methodologies in the thesis. To obtain the necessary data I used a method of the questioning; a technique of the data collection was an anonymous questionnaire, which was used to determine hypotheses. The acquired data were processed and evaluated in a graphic form and the defined hypotheses were verified by it. At the end of this thesis there were carried out a summary and an evaluation of the survey results.
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Activation use of dogs in the care of the elderly
FUJDLOVÁ, Radka
The objective of my thesis is to find out about the activating potential of the use of dogs in the care of elderly people with dementia. Dementia in the population is mainly found in elderly people. The theoretical part focuses on aging, dementia and canistherapy. It defines the basic characteristics of the dementia syndrome, treatment and care of clients affected by dementia, and the possibility of their activation. It also explains the term ``canistherapy{\crq}q, and the forms and methods of canistherapy are presented here. The practical part deals with the application of canistherapy in the Home for the Elderly at Hluboká nad Vltavou. To collect data, the strategy of qualitative research was used applying the methods of case studies, interviewing, document analysis, and a complementary technique of photographs. The objective of the thesis is to find out about the activating potential of the use of dogs in the care of elderly people with dementia. The research results can be used in the practical application of canistherapy in the given clients and as informative material and educational material for those interested in the issue of canistherapy.
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Health and Social Problems of Alzheimers Disease in the District Jihlava
VESELÁ, Hana
A theoretical part of the thesis is focused on Alzheimer´s disease (hereinafter only AD), its development, diagnosis and treatment. It describes communication problems with a person with dementia. It is also focused on a family caregiver and social services which are available for persons with AD. One objective was defined for the practical part. The aim of the thesis was to describe health and social care of people with AD in the district of Jihlava. A partial objective was to chart problems which lay caregivers, caring of a person with AD at home, fumble with. To realize the research I used an interviewing method and a technique of a semi-structured interview at six caregivers who care of a person with AD in the district of Jihlava and a method of a document analysis, a technique of a secondary data analysis. The research was carried out in the period from 20th January to 4th March, 2011 in caregivers´ households from the district of Jihlava. During interviews with respondents their anonymity was preserved. There was found out that 4 of 6 caregivers live in a common household with the person with AD from the analysed and evaluated interviews. All interviewed caregivers underestimated early symptoms of AD and confused them with symptoms of physiologic ageing. 5 of 6 caregivers do not know the Czech Alzheimer Society. All interviewed caregivers indicate the caregiver´s mental stress as the most difficult thing in the care of the person with AD. There was created a table of facilities providing residential health and social services for persons with AD in the region of Vysočina within the secondary data analysis. The bachelor thesis will serve as a basis for Diaconate ECBB in Myslibořice for a consultancy provided in an area of the residential health and social services in the region of Vysočina. The thesis could be used as a basis for a preparation of a community plan of the social services in the region of Vysočina.
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Psychological distress of the nursing staff at the Residential Care Home {--} Nursing Home Dobrá Voda at České Budějovice.
PAŤHOVÁ, Eva
The bachelor thesis deals with the issue of psychological distress of the nursing staff at the Residential Care Home {--} Nursing Home Dobrá Voda at České Budějovice. A nursing home is a facility providing its clients who are partially self-sufficient due to organic brain damage or dementia with social and residential services. A nursing team (consisting of medical staff and staff providing direct care) provides its clients with 24-hour-a-day nursing care. There are a number of specifications associated with the nursing care due to the mental health of clients. Two goals were defined in the bachelor thesis {--} to depict factors causing distress of the nursing staff at the Nursing Home Dobrá Voda at České Budějovice when providing the clients suffering from dementia with nursing care and to find out how the nursing staff at the Nursing Home Dobrá Voda at České Budějovice perceives the psychological distress. A qualitative method of data collection {--} a semi-conducted interview {--} was used as the main technique in the research part. A quantitative method of data collection using a scale questionnaire {--} ``Inventář projevů syndromu vyhoření`` by T. and J. Tošnerovi {--} was used only as a supplementary technique. The research set consisted of 12 members of the nursing team at the Nursing Home Dobrá Voda at České Budějovice. The goals of the thesis were met.
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