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Pick´s disease and the specifics of the nursing care of a patient with this disease
KOPKAŠOVÁ, Lenka
Pick's disease is a degenerative-atrophic process that primarily affects the frontal and temporal lobes of the brain. Besides Alzheimer's disease, it is a lesser known form of dementia which affects people of younger age. Although the exact range of Pick's disease occurrence varies in the literature, the average reported age is between 50-60 years. The disease can change eating habits, cause emotional swings, inappropriate behaviour and sloppy appearance of the patients. The behaviour to others is often selfish, the patients are unable to listen to others and ignore their surroundings. Pick's disease is also characterized by inappropriate sexual behaviour. Globally, the number of dementia patients is still growing and according to expert guesses the increase will continue. Nursing care for patients with dementia is therefore becoming a very actual topic as dementia is called a quiet epidemic of our century. Nurses in their departments quite frequently encounter patients suffering from dementia of various origins at different stages of disability and the staff at healthcare facilities often regard these people as a burden. The aim of this thesis, which is called Pick's Disease and Specifics of Nursing Care for Patients with this Disease, is, based on the theoretical knowledge, to map definitions and diagnosis of Pick's disease, to define the needs of such a patient, and to list the most common problems in the nursing care. It focuses on people with dementia within medical facilities. For proper understanding of the problem, the thesis starts with the anatomy and physiology of the brain and the description of cognitive functions which are affected by the dementia syndrome and the definition of dementia. Based on the studied literature, dementia is divided according to various criteria. It has been found out that dividing dementia is not entirely uniform, but the essential facts and overall opinions of the authors do not diverge. Pick's disease belongs to a group of frontotemporal dementia and its position in this group has changed over time, as it is recorded in the literature. The thesis includes recommendations resulting from the studied literature in the approach to patients with dementia and emphasizes personal communication with the patients and empathetic and humane approach. Although medicine cannot prevent dementia, an early diagnosis of a specific type of dementia and correctly targeted treatment can increase the quality of life not only of the patients but also of their families. I have chosen this topic because I find it very current and interesting. During my nursing practice at the Surgery Department and Aftercare Department, I have met patients suffering from dementia and I did not know how to properly and efficiently communicate with them. For the theoretical part of my work, the methods of explanation, synthesis and induction on the basis of Czech and foreign information sources have been used. The most frequently quoted Czech authors in my thesis are doc. MD. Roman Jirák, PhD., the head of the center for diagnosis and therapy of Alzheimer's disease at the psychiatric clinic of the General University Hospital in Prague, the 1st Medical Faculty of Charles University. This thesis can serve as an informational and educational source both for nurses and the general public who may experience the disease within their families. It would be considered a great success if it helped nurses or family members to diagnose Pick's disease or other dementia at an early stage.
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Thermophysical properties of ordinary water substance /KKE-20-2001/
Mareš, R. ; Šifner, Oldřich
The necessity of the replacement of IAPS-84 formulation with the new formulation IAPWS-IF97 is stressed in our report. Sources of the IF97 formulation, Steam Tables and software based on the new formulation are summarized. A proposal of Statement on t**computation of thermodynamic properties of ordinary (light) water substance is presented We presume that the Statement will be attached to the Report IAERA-TECDOC-949 or separately published in the data base of IAEA. News from the 2001 Annual IAPWS Me
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Nursing process in patiens undergoing endoscopic examination methods.
FORŠTOVÁ, Eliška
In recent decades the endoscopy plays an important role in detection and subsequent treatment of diseases, through which the pathological changes in all hollow organs can be viewed and controlled either by physiological or artificial pathway. A great emphasis is put on care which is provided by the medical personal during the endoscopy. The first aim of the thesis was to find out how patients are prepared for the selected endoscopy and how they tolerate this preparation as well as the course and care after the examination and what information patients have about the steps after the endoscopy. The second aim was to find out how nurses prepare patients for the selected endoscopy and take care of them during and after those examinations. The research part of this thesis was processed as a form of qualitative research, a half-designed interview was chosen as a technique of data collection. There were two groups of researched ? patients who have undergone some of the selected endoscopy and nurses who took care of patients before, during and after the examination. The main results, which are summarized in the tables, include findings about the care which was provided to patients and nurser´s activities associated with the correct preparation before, during and after the examination. These tables are based on results of both reports. The results present that the patients are very well prepared by the nurses for selected endoscopy although these examinations are very stressful for the patients. That relates with their perception of care during the nursing process. Neither patients nor nurses can remember the complete set of acts associated with the preparation, the course and the nursing process after the endoscopy. In conclusion, nothing was neglected during the nursing process, including an information guideline after the endoscopy. Based on these results, an information booklet has been prepared which could have great benefits for patients undergoing selected endoscopy ? especially colonoscopy which is the most common endoscopy. The information booklet contains information about a suitable diet (without any left-overs) and food selection that the patient should follow before colonoscopy.
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