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Role of social worker in hospitals in contact with homeless.
Dohnalová, Tereza ; Vodáčková, Daniela (advisor) ; Pěnkava, Pavel (referee)
The aim of this thesis is to describe and investigate the problem of the target group - the homeless, particularly when such a person gets to the hospital and the role of social worker in this situation. Then, this work describe the overall health of homeless people in the Czech Republic. The base of the practical part, are interviews and questionnaires with the homeless and interviews with the expert in the field - social workers in the hospitals and probation officers. Another important topic is the processing of the graphs, statistics and analysis of the data obtained from questionnaire
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Experiencing of schizophrenia and staying at department of psychiatry
Podstavková, Cecílie ; Goldmann, Petr (advisor) ; Soukupová, Tereza (referee)
This bachelor thesis deals with a subjective experiencing of four respondents at acute stage of paranoid schizophrenia and their satisfaction with a treatment and content of time during hospitalization at one of the departments of psychiatry in the Bohnice hospital. It was found out that patients were most satisfied with a care of department's staff. However, a moderate criticism of different departments appeared as well. It was especially criticism of departments with restricted access. As far as experiencing the acute stage of the disorder is concerned, various existential problems, fears, chaotic and odd thinking as well as problems concerning relationships with close people appeared to be related to the disorder itself. The contribution of the thesis is that it points out a possibility of better integration of patients into a cooperation during the treatment through their own understanding of their disease and understanding of their experience. The first part of the thesis defines a concept of schizophrenia from different theoretical points of view which complement one another rather than being in opposition. There are basics of psychiatric knowledge about the illness mentioned in the thesis as well as psychological aspects from psychodynamic theorists' and practitioners' points of view, neuro-...
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Options preventing catheter-related sepsis during hospitalization
Slavkovská, Jana ; Heczková, Jana (advisor) ; Mrákava, Vlastimil (referee)
The thesis is focused on the assessment of nurse's knowledge in the prevention of catheter sepsis. The aim of the study was to expertise knowledge in the prevention of catheter sepsis among nurses working in intensive care units. Map out the latest theoretical and practical possibilities of nurses working in intensive care units in the prevention of catheter-related sepsis of hospitalized patients. The work is divided into theoretical and practical part. The theoretical part consists of three chapters. In the first chapter, we focused on a theoretical overview of nosocomial and bloodstream infections. The second chapter is focused on an overview of invasive inputs. The third chapter focuses on prevention of catheter sepsis. Practical part was divided into two chapters. In the first section of the empirical part of the diploma thesis, which is the fourth chapter, we characterized the survey sample, the evaluation of the survey data that have been collected through the questionnaire. Practical part was divided into two chapters. The fifth chapter consists of discussion and suggestions. Key words: sepsis, prevention, nursing, catheter, nurse, hospitalization.
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LCD a VLCD diet during hospitalization
Zajíčková, Jana ; Matoulek, Martin (advisor) ; Kytnarová, Jitka (referee)
Objective: LCD and VLCD diets are short-term indicated (days to weeks) low caloric and very low caloric diets, which should be supervised by a doctor - e. g. by means a weight loss hospitalization (WLH). LCD and VLCD diets are used in preoperative preparation of obese patients and to break insulin resistance in patients with type 2 diabetes mellitus (DM II). The theoretical part of the bachelor"s thesis is focused on LCD and VLCD in obesity and diabetes mellitus treatment - the two most common diseases that can be found in the medical history of patients indicated for WLH. The aim of the theoretical part is to compare obesity treatment in medical care and commercial weight loss programs (for commercial weight loss programs the term "obesity management" is used). The study evaluate the most common indications for WLH, determine weight changes during the hospitalization and compare the weight of patients with DM II and without DM II (nDM II) one year after the WLH. Methods: The input data were obtained from the Medea database. These are the anamnestic data of patients hospitalized for the purpose of losing weight on the Third Medical Department of First Faculty of Medicine Charles University and General University Hospital in Prague in the period of January 2014 - January 2015. There were 93 WLHs...
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Analysis of drug-drug interactions in patients admitted to hospital (I.)
Kukrálová, Kateřina ; Vlček, Jiří (advisor) ; Doseděl, Martin (referee)
Candidate: Kateřina Kukrálová1 Supervisor: prof. RNDr. Jiří Vlček, CSc.1 Consultant: PharmDr. Zuzana Očovská1 1 Department Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Title of the master thesis: The analysis of drug-drug interactions in patients admitted to hospital (I.) The presence of potential drug-drug interactions (DDIs) is common in daily practice and only a small proportion of potential DDIs results in hospitalization of the patients. Nevertheless, DDIs represent a significant cause of hospital admissions. This study aims to identify DDIs in the medication history of the patients admitted to University Hospital Hradec Králové via the emergency department in August-November 2018. The objectives of this study are a) to determine the prevalence of potential DDIs; b) to categorize identified potential DDIs with respect to their mechanism, severity, risk rating, level of documentation and potential outcomes and c) to determine the prevalence of manifest DDIs. This study has a cross-sectional design. The following data were obtained retrospectively from electronic medical records: demographic data, medication history, past medical history, laboratory and clinical findings, and information about hospital admission. The identification of potential DDI was...
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Self-efficacy in Patients with Dual Diagnose in the Final Phase of Psychiatric Hospitalization
Kyzeková, Michaela ; Kučera, Miloš (advisor) ; Goldmann, Petr (referee)
The aim of this work was to explore the nature of self-efficacy construct in patients with dual diagnose in the final phase of psychiatric hospitalisation. In the theoretical part, three topics are discussed: the self-efficacy construct, hospitalisation, and specific mental disorders. In the empirical part a qualitative methodology, based on the elements of interpretative phenomenological analysis, was used. The research sample consists of 5 patients with dual diagnoses, and a psychologist treating these patients in the Department of Dual Diagnoses in Bohnice hospital. Semi-structured interviews were conducted with all participants. The presented results include a separate analysis of key topics for each participant, as well as an overall analysis of all data. A new perspective of self-efficacy is emerging, spreading through three distinct levels - intrapersonal, interpersonal, and systemic. The discussion consists of the results linked to existing literature, as well as answers to research questions. KEYWORDS Self-efficacy - dual diagnose - hospitalisation - mental disorder
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The nursing profession through the eyes of child
Spilková, Šárka ; Mareš, Jiří (advisor) ; Štefančíková, Mariana (referee)
Author: Šárka Spilková Institution: Charles University Faculty of Medicine in Hradec Králové Institute of Social Medicine, Department of Nursing Title: The Nursing profession through the eyes of child Supervisor: prof. PhDr.Jiří Mareš, CSc. Number of pages: 113 Number of appendices: 18 Year of defense: 2020 Keywords: children's drawing, children, profession of a nurse, hospitalization, psychology of drawing, pediatric care The bachelor's thesis research children's view of the nurse and her profession using children's kinetic drawings. It is divided into two parts - theoretical and empirical part. The theoretical part concerns with children's kinematic drawing, one origin, developtment, diagnosis and evalution. It also describes children's drawing in healthcare, professional nurses and forms of pediatric care in the Czech Republic. Finally, selected research works are presented. The empirical part is based on a quantitative - qualitave survey, which was carried out through a child's kinetic drawing supplemented by a written or oral commentary of the child. The research sample formed by 52 children at age 7-12 years, which were divided into two groups - chilren, who were never hospitalized and children, who are now hospitalized. The research performs in primary school and in children's department in...
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Autism spectrum disorderčs in the education system of the secondary nursing schools
Niederlová, Veronika ; Zemková, Jaroslava (advisor) ; Němec, Zbyněk (referee)
Autism spectrum disorders (ASD) are characterized by deficits in the areas of communication and social interaction, stereotypic behaviour and changes in the sensory processing. These symptoms pose challenges to everyday situations such as visits to the doctor's office, which are more stressful for children with ASD and their parents than for the general population. Furthermore, more than one-third of parents have encountered refusal to provide medical care for their child because of ASD. In our diploma project, we combined the parent's reports with an analysis of international sources to create a project called AutFriendly which aims to increase the knowledge of the Czech healthcare practitioners about ASD. In the presented thesis, we summarize the theoretical background in the field of healthcare provision for people with ASD and we review current Czech and international literature to show how the topic of ASD is addressed in the education of healthcare practitioners. In the practical part of the thesis, we summarize our two-year experience with the AutFriendly project. First, we created a two- hour AutFriendly workshop for the students of secondary schools of nursing and we put it into practice with more than 250 participating students of the Czech secondary schools of nursing. Second, we...
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Early mobilization in critically ill patient
Veberová, Marta ; Pucholtová, Romana (advisor) ; Hocková, Jana (referee)
Introduction: The most of critical ill patients is immobilised for short or longer period of time. This depends on the character of their illness, medication or another organ support. As it has been proved during critical illness and forced immobilisation there is an significant reducing in muscle strength, exactly in 3 to 11 percent with every another day of immobilisation (46.) It is necessary to say that early mobilisation is not standardised approach in Czech medical environment. Aim of tthe work: The main target of this diploma is to figure out whether early mobilisation in critical ill patients means any significant difference in their functional status in comparison to those given standardised physiotherapy. Another target of this research is to set up safe and structured protocol for leading early mobilisation and to determine whether exercising with cyclo ergometer is linked to higher risk of side effects and to state the most probable reasons for delayed or not performed rehabilitation. Research methods: This diploma thesis is based on randomised research. Participants in the control group are undergoing standardised rehabilitation, intervention group is undergoing extended rehabilitation with cycle ergometer. The cyclo ergometer exercise will take place at least six times a week with...
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