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Needs of a patient after vitrectomy in ophthalmologist unit
CHIMIAKOVÁ, Soňa
The principle of a quality nursing care is a detection and satisfaction of biological, mental, social and spiritual needs which are altered by the illness. The mission of nurses is to help individuals, families and groups meet their current needs and achieve their maximum physical, mental and social satisfaction in accordance with the environment they live and work in. The objective of the thesis was to find out what kind of needs the patients after vitrectomy in ophtalmologist unit have and how are these needs satisfied. Another objective was to find out in which ways are the patients educated by the nurses. Before the research itself the questions were selected. The first question was to identify needs of patients after surgery in the opthalmologist unit in hospital in Kyjov and the second question was enquiry about meeting these needs. Third question raised was about education of patients after vitrectomy. The fourth question was to find out if the nurse can, by suitable education, prevent the patient from fear of returning home. The last fifth question was to find out if the nurses recommend cooperation with multidisciplinary team. The thesis consists of a theoretical and a practical part. The objective of the theoretical part was to give sufficient information on the patient´s needs. I also summarize problems which the patients may encounter when they are discharged from hospital and during subsequent socialization. In the practical part I used qualitative research using the method of case studies and in depth interviews with the use of dictaphone. The research sample consisted of patients in the ophtalmologic unit in hospital in Kyjov. Altogether, 10 patients were interviewed. The second part of research sample consisted of 5 nurses from the opthalmologist unit who were being observed while educating patients. In the discussion individual findings were discussed and reseach questions were evalutated. With regard to qualitative research the resulting hypotheses are stated in the last part of the thesis. The results show that the most frequent needs indicated by the patients were: absence of pain, security and safety, sleep and rest, food and drink and defecation. Furthermore, the needs of patients are being satisfied by suitable interventions. The nurse does help patients by suitable education to reduce the fear of returning home and the nurses do recommend cooperation with multidisciplinary team. The objective of the thesis was accomplished. The findings of the thesis can be used for training of nurses and medical staff who may encounter people with visual impairment also in other hospital units. They can contribute to improved care for these patients.
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Nursing care of a patient with a diagnosis of decompensated diabetes mellitus
Hrdinová, Michaela ; Heřmanová, Jana (advisor)
Jako téma své bakalářské práce jsem si vybrala diabetes mellitus, úplavice cukrová, lidově řečeno cukrovka. Je to jedna z nejstarších nemocí které lidstvo poznalo. První známky o diabetes mellitus se objevily již v době 1500 před naším letopočtem v egyptských papyrusových svitcích. Diabetes mellitus je nemoc, která provází lidstvo, až do dnešní doby a jejíž incidence a prevalence každoročně narůstá. K zajištění optimální léčebné péče přispělo vytvoření ,, Diabetologického programu'' v naší republice. Edukační programy jsou zaměřeny na vysvětlení podstaty onemocnění, na výuku režimových opatření, na získání dovedností a diabetika by měl tento edukační program naučit jak samostatně pečovat o svůj zdravotní stav. Cílem mé bakalářské práce je zpracování případové studie ošetřovatelské péče o pacientce N.J. ve věku 66let, která byla hospitalizována na jednotce intenzivní péče s diagnózou dekompenzovaný diabetes mellitus 1. typu. Pacientku jsem sledovala celou dobu její hospitalizace, která trvala 2 dny a poté byla pacientka přeložena na standardní interní oddělení. Pacientka souhlasí s poskytováním osobních dat pro využití této práce. Při zpracování bakalářské práce jsem se snažila uplatnit své zkušenosti z výkonu vlastního povolání.
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Migration of doctors and health workers in selected countries of Europe since 1990
Panczaková, Kateřina ; Kotýnková, Magdalena (advisor) ; Loužek, Marek (referee)
The main objective of this thesis is the comparison of the position of the healthcare personnel on the labor market and migration in selected countries - Czech Republic, Germany, France and the United Kingdom. In the theoretical introduction it describes concepts such as brain drain, remittances, emigration and others subjects associated with the migration of the workforce. It analyzes the differences in labor market of healthcare personnel in selected countries and the activities of doctors for change of working conditions. The practical part presents and analyzes data from publicly available statistical sources (OECD, Eurostat, IHIS CR etc.) regarding the number of healthcare personnel, the number of migrating doctors and nurses and their destination countries, salary and wage conditions of health professionals. Expenses on health and quality of the health care are compared between selected countries. Finally, recommendations for Czech Republic, that could help prevent excessive drain of medical personnel abroad, are given - an increase in wages and health expenditures, increasing the number of medical personnel and reduction of administrative burdens.
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