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Physiotherapy in patients after stabilization of the fracture of proximal part of femur using the dynamic hip screw
Posejpalová, Klára ; Molnár, Petr (advisor) ; Horká, Bohumila (referee)
The theoretical part of my bachelor thesis is processed anatomy, kinesiology and biomechanics of the hip joint and the proximal femur. Another chapter consists of the distribution of fractures of the proximal femur, prevention, diagnosis, treatment and socio-economic aspects. The final chapter provides physiotherapy and their use in the postoperative period. The practical part consists of two case study of patients with a fracture of the proximal end of the femur treated by osteosynthesis DHS. These patients were hospitalized after the surgery department of traumatology surgery clinic in Hradec Králové. Both case studies include input and output kinesiology examination, determination of short-and long-term treatment plan, record progress and evaluation of treatment outcomes.
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Peripherally Inserted Central Catheter - a role of nurse
Rosypalová, Marta ; Michálek, Pavel (advisor) ; Hocková, Jana (referee)
This diploma thesis is related to peripherally inserted central venous catheters (PICC), the role of nursing staff in inserting and care of these systems. The aim of the work, which is partly based on PICC project organized by the Department of Anaesthesiology and Intensive Care Medicine, 1st Faculty of Medicine of the Charles University and General University Hospital in Prague, was to investigate the quality of life in patients with PICC after their insertion, to evaluate the incidence of complications (venous thrombosis, bacteraemia, sepsis, local infections, decubitus, disconnection of the system, mechanical complications, etc.) and compare the economic efficiency of PICC systems with other available methods. The aim of the second part of the thesis, which is unrelated to the previously mentioned project, was to reveal the awareness of nurses/paramedics on PICC catheter. This thesis has two traditional parts - theoretical and empirical. The theoretical part deals initially with the central venous catheter in general and then it describes main features of the PICC systems. The following part reviews indications, insertion techniques and potential complications associated with the PICC systems. The role of nursing staff in the insertion and maintenance of these systems is also highlighted. The...
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Problems of Administration of Blood Transfusions
Hájková, Lenka ; Pavlíková, Pavla (advisor) ; Brixiová, Simona (referee)
v AJ Topics of my study, its evaluation and final report for my bachelor's degree cover special topics and problems of blood transfusion administration. The literaty outfit of this study is dividend into a theoretical and a practical part. Theoretical chapters deal directly with basic problems of the subject and with principles of administration of blood transfusions in hospitalized patients. Description of anatomy and physiology of blood and its components, medical terminology of blood transfusions, their history, composition of blood products, guidelines for transfusion administration, adverse effects and complications form the introduction of the entire issue. Following practical part and chapters cover the background, aim and hypotheses considering the research - its methods and results. Data from MCQ - multiple choice questionnaires are presented in tables and graphs and discussed. Several interviews and experts' opinions and commentaries are added. Main data on administration of transfusions cover knowledge, practical realization of guidelines and standards in transfusion medicine in healt care providers, especially nurses, their clinical sense for patients' status and signs, cooperation with physicians, their immediate steps when confronted with transfusion adverse events and complications,...
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The nurse's role in patient care elimination methods
Ondrůšková, Monika ; Marková, Eva (advisor) ; Landerová, Jana (referee) ; Maňasová, Taťána (referee)
The aim of thesis was to map the care of nurses and paramedics for patients on continuous renal replecemant therapy. Find out what nurses/paramedics have difficulty taking care of the patients and what would have welcomed into practice to improve care. The theoretical part focuses on the description of the method of elimination, nursing care and competence of health professionals in the care of patients on elimination method. The research was compiled by the method of quantitative research, for whose realization was used a questionnaire. The questionnaire was intended for nurses and paramedics caring for patients on continuous elimination method. For statistical data processing was used responses from 105 respondents working in the Institute of Clinical and Experimental Medicine. The results of the survey indicate that nurses and paramedic extensively involved in the specialized care of patient with continuous elimination method. Medical staff perceived as the most difficult managing a large number of skills associated with the preparation and handling of elimination device in this area. On the basis of these findings was prepared brochure focusing on continuous elimination method, which is the output of this work. Key words: nurse, continuous renal replecemat threrapy, hemodialysis, intensive...
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Ostomy Devices Utilization in Practice
Štroblová, Martina ; Hošťálková, Monika (advisor) ; Otradovcová, Iva (referee)
The thesis is focused on the use of stoma care in practice. The work consists of two parts. The first part is theoretical. This section is devoted to the anatomy and physiology of the gastrointestinal tract, additional chapters are devoted to the main theme, which is colostomy. There is history and development of stoma care, indications for the colostomy performance and possible complications. Another large part of the total is the nursing part where I attend nursing care of the patient with colostomy, this includes stoma care, peristomal area care, mental health care, nutrition and hydration care. There is also included a chapter about education of the patient and family members. The empirical part focuses on the research, where the method of the data collection is an anonymous questionnaire. The survey was conducted in the surgical clinic with 48 patients with colostomy. The aim of the research was to objectively evaluate and to highlight the advantages and disadvantages of stoma care, find out in which areas of daily activities the largest problem with colostomy patients occurred in terms of the adaptation process, and to improve the lives of the patients with ostomy as well.I found out how much needed a qualified stoma nurse is. I see her importance in the care of stoma patients.
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Long-term vascular access for home parenteral nutrition and their complications
Králová, Petra ; Novák, František (advisor) ; Hocková, Jana (referee)
Home parenteral nutrition is a treatment enabling the patients with intestinal failure to live their lifes in their home environment. The possibility to commence and practise home parenteral nutrition requires not only a medical and pharmaceutical team, but also paramedical staff, which plays a signifiant part mainly in education of the patient and his close relatives. The study's aim was to characterize the patients involved in the home parenteral nutrition programme (HPN) and catheters used for this purpose and as well to analyze complication rate of the long term catheters related to their use and subsequent care. Into the retrospective quantitative study were included patiens treated with home parenteral nutrition since january 2009 to september 2015 within one nutrition care center. Data collection was realized by research in medical documentation. Altogether 135 patients were included in the study (93 female and 42 male), who have hade 227 catheters inserted in total (114 portcatheters, 73 Broviac catheters and 40 PICC) with 86 187 catheter days. The most frequent basic disease was cancer (36%) and the most prevalent indication to HPN was a short bowel syndrome (50%). Overall complication rate was 2,12/1000 catheter days (1,62 catheter sepsis, identically local infections and thrombotic...
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: Diabetes mellitus 1. type and physical activity
Prouza, Michal ; Bunc, Václav (advisor) ; Skalská, Marie (referee)
1 Abstrakt Name of thesis Diabetes mellitus I. type and physical activity Aim of thesis The bachelor's thesis deals with diabetes mellitus I. type, the opportunity of compensation by adequate physical aktivity and diet and consecutive complications of diabetes. Methodology Collecting of the data from available literature and internet's resources. There is no personal interviews in this work. Results General description of the diabetes mellitus I. type, question of the physical aktivity with the proper diet for people who has diabetes I. type and consecutive complications of diabetes mellitus I. type. Key words Diabetes mellitus, physical activity, complications, diet, blood glucose
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Kinesiotherapy after the fracture of distalis part of radial - surgical and conservative treatment
Slavíková, Věra ; Vondráková, Ivana (advisor) ; Němeček, Ondřej (referee)
125 Anotace (aj) Author: Věra Slavíková Institucion: Departement of Rehabilitation medicine Title of Bachelor's thesis: Kinesiotherapy after the fracture of distalis part of radial bone - surgical and conservative treatment Supervisor: Mgr. Ivana Vondráková Number of pages: 142 Number of attachments: 8 Year defense: 2014 Keywords: kinesiotherapy, fracture, radial bone, treatment, complications In the theoretical part of this thesis is processed anatomy of distalis part of radial bone, kinesiology of the wrist, traumatology, methods of diagnosis and treatment of fracture distal part of radial bone and complitcations. The last part includes physiotherapeutic methods and possibility of physical therapy which can be used in therapy. The practical part includes a case study of two pacients with fracture of distal part of radial bone who attended the outpatient rehabilitation. Both pacients were treated conservative. Input and output kinesiology examination short - term and long - term treatment plan is created for each patient, the course of their treatment is noted and the success of therapy is evaluated.
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The distribution of medicaments by the nursing sister in the social wealfare institutes
Havlínová, Petra ; Hošťálková, Monika (advisor) ; Marková, Iva (referee)
This bachelor's thesis focuses on the distribution of medication in the social welfare health institution. The objectives of the thesis were to focus on procedures of distributing medication by nurses and to introduce the most frequent complications when distributing the medication in the social care institute. The thesis is composed of two parts, theoretical and practical. The theoretical part describes social and health care services, a health and social care system, a general pharmacology, medicaments' distribution and the complications during the distribution, and the competency of nurses. The research part concentrates on individual study and describes a methodology of research and its organization. This research was done via survey, and the results are analyzed and discussed. Key words: social service, health service, healt-social care, distribution of medicaments, pharmacology, competence of nursis, complication
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