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My new room-mate: The Epilepsy+
Mívaltová, Markéta ; Veit, Jakub (referee) ; Mléčka, Jan (advisor)
Each of us has been dealt different cards in life. Some better, some worse. Some rich, some poor. Some healthier, some less so. Some happier, some less so. Each of us faces different challenges and opportunities. But that's life; no person in the world gets the same cards. However, in the end, it doesn't matter whether you drew an ace or not. It doesn't matter what cards you were dealt, but how you handle them. It matters whether you exchange them for others and better ones, or whether you keep them until the end of your life. Life is like a game, and nobody knows how it will turn out. Some are better players, others worse. But what if you draw a card with epilepsy? Could you still play a quality game with this card? How much will it affect your life? Undoubtedly, it will impact life much more than anyone who hasn't experienced something similar can imagine. Epilepsy is a chronic condition that means living with constant uncertainty. Uncertainty about when and where a seizure will strike. Uncertainty about how others will react to you. Uncertainty about how to cope with physical and psychological consequences. People with epilepsy often feel lonely, misunderstood, or rejected. However, housing is just as crucial for them as it is for anyone else. Because it's a space where they seek refuge and safety. A space where they should have the opportunity to live fully and with dignity. Unfortunately, many of them don't have the option to choose suitable housing that would meet their specific needs and financial means. So, how to design housing for people with epilepsy that would enable them to live contentedly and happily? This work attempts to find an answer to this question. The goal is to explore the relationship between epilepsy and spatial organization and to propose various typologies of housing that would respect the individual needs and preferences of this group of people. The work also utilizes modern technologies that can help improve the daily functioning of people with epilepsy, while also providing them with greater independence and control over their lives. The aim of the work is to show that people with epilepsy also have the right to quality housing that would help them realize their dreams and goals. To help them play their life game a little easier with an additional card. The theoretical part of the project, besides the disease itself, also addressed possible connections with the positive or negative effects of the surrounding environment on epileptics. Considerations were given to factors such as the impact of color, materials, sound, smell, temperature, as well as the safety of the space, which is undoubtedly a primary requirement in design. Following the theoretical research part of this project, I decided to propose suitable housing for epileptics in the practical part, adapted to their specific needs, both spatially and, for example, in the associated functions of the building, while still meeting the requirements of full-fledged urban living. The primary function in the design will be housing, to which additional functions will logically be added, such as accessible healthcare or leisure activities for residents.
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Nursing care for patients after varicose vein surgery.
ZAJÍCOVÁ, Eva
The bachelor's thesis deals with the issue of diseases of the lower limbs and focuses on nursing care of patients after varicose vein surgery. It tries to evaluate the awareness of patients who have undergone surgical removal of varicose veins, about postoperative regimen measures and describes post-procedure care. The theoretical part consists of the anatomy and physiology of the veins of the lower limbs. It continues with the characteristics of chronic venous insufficiency, which is followed by the main topic, varicose veins of the lower limbs. Etiology, symptoms, risk factors, and diagnosis are discussed here. The work presents treatment options, preoperative and postoperative care In the research part, we focused mainly on postoperative care in patients after varicose vein surgery, where we tried to evaluate the patient's awareness of postoperative regimen. Then, after assessing the sawareness, we tried to describe the spefifics of nursing care in these patients. Aim of the study: to evaluate the awareness of patients after varicose vein surgery and to describe the specifics of nursing care. The research was conducted using a semi-structured interview. Twelve nurses from three surgical departments of different hospitals participated in the data collection. In the conclusion, the specifics of nursing care are presented and the patients' awareness of postoperative measures is evaluated. The results show that the specifics of care and education are individual and depend on the range of performance, condition and age of the patient. In selected hospitals, different procedures were found in the care of patients after these operations.
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Nursing care for alcohol-intoxicated patients in the traumatology unit
VRCHLAVSKÁ, Aneta
The thesis addresses the issue of nursing care for patients intoxicated with alcohol in the trauma centre, while being divided into two parts, meaning theoretical and practical. The theoretical part focused on defining the field of traumatology, injuries, ethyl alcohol, and the connection between injuries and alcohol. It also provided a description of patient care in traumatology, the specifics of nursing care for alcohol-intoxicated patients, and communication with intoxicated patients, including communication with aggressive patients. The aim of the research part of the thesis was to describe the specifics of nursing care for alcohol-intoxicated patients and to evaluate the communication between the patient and the nurse. Qualitative research was chosen for the research part. Data collection took place through written and verbal methods in the form of semi-structured interviews in early April. Data analysis was conducted using the pen-and-paper method. Subsequently, the data were organized into a system of open coding, comprising three categories and twelve subcategories. The research sample consisted of ten general nurses working in the trauma centre, six in the standard ward, and four nurses in the intensive care unit. The results indicated that except for one nurse, the surveyed nurses regularly encounter patients intoxicated with alcohol in their workplaces. According to the statements of the informants, the most common types of traumas associated with alcohol intoxication include falls, traffic accidents, suicides, assaults, visits to catering establishments or work in construction. Furthermore, the interviews revealed that the surveyed nurses perceive differences in nursing care and communication with patients who have trauma unrelated to intoxication and vice versa. They find the approach to intoxicated patients more demanding in this regard. In the interviews, the nurses mentioned the frequent practice of dealing with aggressive, uncooperative patients. Some nurses admitted that their personal attitudes towards intoxicated patients often influence their approach to these patients. It also emerged from the interviews that the surveyed nurses are not offered any further education in this area. The obtained results provided insights into the specifics of the issue, indicating potential communication shortcomings with patients for correction. The thesis will serve as a resource for creating simulation training scenarios (Appendix 1) to educate general nurses working in the trauma centre.
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The importance of basal stimulation in patient care in the Department of Anaesthesiology and Resuscitation
MARKOVÁ, Aneta
The bachelor thesis includes the use of the concept of basal stimulation at the Anesthesiology and resuscitation ward and the specifics of nursing care of the patient in this ward. It deals with the application of the concept of basal stimulation in the Department of Anaesthesiology and Resuscitation. The concept of basal stimulation was developed by educator Andreas Fröhlich in the 20th century during his research project as a doctoral student. He proved that the most important thing is the stimulation of the so-called basal senses. This concept serves to support human perception and communication. It is based on scientific knowledge of the neurophysiological development of the child. The concept was first applied in the care of children with severe congenital disabilities. It is now being applied in palliative and intensive care, social services and psychiatric nursing. The aim of this study is to find out what elements of basal Stimulation are used in different hospitals in the ARO in the nursing care of the patient. For the research investigation, the ARO at the Pelhřimov Hospital and the České Budějovice Hospital were selected. For the practical part, two research questions were set. The first one describes the importance of basal stimulation in patient care in ARO and the second question deals with the applied elements of BS in Hospital Pelhřimov and Hospital České Budějovice. According to the data analysis, two categories and seven subcategories were created. From the research survey it was found that all respondents perceived the importance of basal stimulation applied in ARO very positively, and they try to apply this concept in their nursing care of patients. In the research investigation, it was found that the respondents agree on most of the applied elements and the most used element is the initiating touch.
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Adherence to medical regimens by hypertensive patients
KUBÁTOVÁ, Veronika
Introduction: The bachelor thesis deals with an adherence of regime measures by patients with hypertension. Hypertension is one of the most common diseases of the cardiovascular system. Regime measures are the basis of treatment, which include weight loss, regular exercise, limiting salt in the diet, quitting smoking, abstinence from alcohol and reducing stress. The aim of the bachelor thesis was to find out whether patients over the age of 50 with hypertension are informed about the regime measures and whether they comply them. Methodology: A quantitative method was chosen for the research part of the thesis. The data was collected by using a self-constructed questionnaire that included 25 questions. The research group consisted of patients older than 50 years suffering from hypertension who were hospitalized in a medical facility in the South Bohemian Region. Results: It was found out that respondents' knowledge of lifestyle measures related to the treatment of hypertension differs statistically significantly by gender (p = 2%), but does not differ by age (p = 72%). The data shows that women have more knowledge than men. Compliance of regime measures also differs statistically significantly by gender (p = 1.8%), but does not vary by age (30.5%). Women follow the measures more consistently than men. Respondents aged between 61 and 70 showed the best results, both in knowledge and compliance, but the difference was not statistically significant. Conclusion: Although the results have provided a fairly satisfactory picture of patients' knowledge, it is still important that people with hypertension are regularly educated. The thesis can serve as a source of information for both laymen and paramedics. An educational leaflet has been created for hypertensive patients with basic information that every hypertensive patient should know.
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Perception of patient privacy
HOFREITEROVÁ, Anna
The bachelor's thesis dealt with the issue of patient privacy in hospital facilities. The aim of this work was to find out how patients hospitalized in the inpatient ward perceive privacy, how nurses perceived patient privacy and in what ways nurses ensured the privacy of patients in the inpatient ward. Three research questions were set to investigate how patients hospitalized in an inpatient ward perceive privacy. Furthermore, they focused on the nurses' view of the perception of patient privacy and the ways in which nurses ensure the privacy of patients hospitalized in the inpatient ward. In the theoretical part, the work defines basic terms related to patient privacy, such as the duty of confidentiality, providing information with the patient's consent, providing information without the patient's consent, patients' rights, medical documentation, human needs and ensuring the privacy of patients during selected nursing procedures. In order to achieve the goal, the qualitative research method, the interview method and the semi-structured interview technique were used for patients hospitalized in the internal inpatient ward and for the nurses caring for these patients, as well as for patients hospitalized in the surgical inpatient ward and for the nurses caring for these patients. The research sample consisted of 6 patients and 5 nurses. The results of the obtained data led to the finding that the nurses had adequate knowledge regarding the issue of dealing with sensitive patient information. Nurses had adequate knowledge of procedures to protect patient privacy, although not all nurses used these procedures in practice. The research investigation further revealed that patients hospitalized in inpatient wards often did not think about their own privacy in the hospital environment, and the issue of privacy was a problematic and difficult topic for them to talk about. If the management of the investigated hospital is interested in the results of the investigation, they will be provided with them.
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The needs of transplanted patients after a re-enrollment in a long-term dialysis program
DUŠKOVÁ, Denisa
Introduction: In this bachelor thesis, the needs of transplanted patients re-entering a long-term dialysis program were examined. The unsatisfied needs of such patients may lead to a deterioration in their health. It is therefore important to perceive the patient's desires and wishes. The issues addressed in this thesis can contribute to a better understanding of the patient´s needs not only by the nursing staff, but also by the patient's family and his surroundings. Objective and research questions: The main objective of this study was to identify the specific needs of these patients. Answers were sought to the questions such as what the specific needs are, how the needs changed before transplantation and after re-entering the dialysis, which needs are not met adequately, and which ones are the most important for the patients. Methods: The data were obtained through qualitative research in the form of a semi structured interview at a selected dialysis center in the South Bohemian Region. The data were processed by the coding method using the ATLAS.ti statistical program. Subsequently, 5 categories were identified with their subcategories. Results: From the resulting data it was found that patients most desire the need for sleep and rest, being pain-free, leading a normal life, and receiving sufficient support from family. However, inadequate satisfaction in the area of sleep does not prevent patients from engaging in a form of physical activity, which positively affects their mental well being. It was also noted that the most important aspect for patients during dialysis is a calm and uncomplicated process. Conclusion: Despite the results of this research, it is necessary to consider a person as an individual being whose needs may differ from the majority.
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Care of pressure ulcers in retretirement home as a nursing problem
ČERNÁ, Eliška
This paper describes the implementation of care for a client with decubitus in a nursing home, how the nursing team works together, and what barriers the nursing team experiences throughout the process. The theoretical part focuses on the issue of decubitus and its classification, examines different methods of treatment depending on the degree of disability and also deals with the prevention of decubitus. Furthermore, this part of the thesis deals with homes for the elderly and focuses on the roles of the staff in these facilities and analyses in detail the nursing care provided. The aim of the bachelor thesis was to map the specifics of nursing care for clients with decubitus. Another aim was to find out the collaboration between the nursing team and the last aim was to find out what barriers in the care of clients with decubitus were perceived by the members of the nursing team. In order to achieve the objectives, answers to the research questions were obtained using qualitative research using interview technique. The research sample consisted of nurses working in a home for the elderly who care for a client with decubitus. The results of the research showed that the nurses carry out care for the client with decubitus by other means. The research showed a varied frequency of decubitus dressings. It was also found that collaboration between members should be more consistent in informing other members of the nursing team. The research investigation further revealed barriers in the lack of medication, positioning aids and nutrition
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The issue of permanent urinary catheter exchange in men - outpatient care vs. home health care
CAHOVÁ, Veronika
This bachelor's thesis addresses the issue of exchanging a permanent urinary catheter in men - outpatient care vs. home health care. The theoretical part of this work focuses on the catheterization process, proper nursing care of the urinary catheter, and also mentions the most common complications arising from catheter insertion. A significant portion also focuses on home care and education. The objective was to map the exchange of the permanent urinary catheter and to identify differences in the exchange process between a urological clinic and home care, and lastly, to compare patient experiences with both forms of exchange. A qualitative research method was used, employing semi-structured interviews. Four nurses from home care and four from a urological clinic were interviewed, as well as four patients from home care and four from the urological clinic. Three objectives were set, each associated with one research question. The research questions investigated specifics in catheter exchange and nursing care for the urinary catheter both in the urological clinic and in home care. The last research question examined the roles of nurses in this procedure. The research results show a difference in the thoroughness of nurses. Nurses from the urological clinic do not adhere to the proper guidelines during catheterization of the bladder. Patient education occurs in both the urological clinic and home care, but nurses from home care educate patients better and more frequently than nurses from urology. Education should focus more on catheter movement to prevent complications. Patients are satisfied with both forms of exchange, but it is clear that home care is not only more advantageous for the patients but also easier for hospitals. The output of the work is a basis for improving deficiencies in performance, but can also serve as motivation for expanding collaboration between hospitals and home care.
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Chronic constipation in the elderly as a nursing problem
BRÁVKOVÁ, Sabina
The aim of the bachelor's thesis titled "Chronic Constipation in the Elderly as a Nursing Problem" was to explore the methods chosen by patients with chronic constipation for bowel evacuation and where they seek information regarding prevention and treatment of chronic constipation. Additionally, the study investigated who educates patients in this regard. The research objectives were achieved through formulated research questions and semi-structured interviews. In the theoretical part of the bachelor's thesis, we focused on describing constipation, its classification, causes, risk factors, and common symptoms. I also discussed proper diagnosis of chronic constipation and the selection of suitable therapies, which can be either non-pharmacological or pharmacological. Currently, alternative approaches for treating and preventing chronic constipation are well-known. The final section of the thesis is dedicated to geriatrics and gerontology. The practical part of the bachelor's thesis involved qualitative research investigations and interviews with nine clients. The interviews were transcribed, and data has been categorised. The research investigation provided information into methods for preventing and treating chronic constipation. Notably, there were contributions in both pharmacological and non-pharmacological treatments. Clients often employ their own alternative methods to aid with bowel evacuation. The research concludes that clients lack sufficient information, and they struggle to find reliable sources. Furthermore, there is a shortage of healthcare professionals who can adequately educate them. Based on the results of the bachelor thesis, a leaflet for patients suffering from chronic constipation was created.
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