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Care for a Client with Alzheimers Dementia
ŠTEFLOVÁ, Zdeňka
The title of this bachelor thesis is Care for a Client with Alzheimers Dementia. Alzheimers dementia is characterised as a progressive neurodegenerative process. This disease is known as the fourth major cause of death, just after ischemic heart disease, tumours and cerebrovascular accidents. Alzheimers dementia affects most often people above 65 and it is a demanding disease from medical, social, economic and psychological point of view. It is called Silent Epidemic. The theoretical part is focused on Alzheimers disease, its causes and symptoms, medical examination methods and treatment. Then this part describes the role of a nurse and the specifics of the treatment in the areas of nutrition, safety, communication, rehabilitation, hygiene, dressing, evacuating and cooperation with the family. In the practical part the quantitative and qualitative research was carried out. The aim of the research was to find out about the knowledge of nursing staff regarding the specifics of the nursing care for a client suffering from Alzheimes dementia in the hospital of Jihlava. To collect data from the nursing staff, an anonymous questionnaire was used. The research was carried out from February to March 2012. The objective of the qualitative research was to find out what the relatives expect from the nurses caring for clients with Alzheimers dementia in the hospital of Jihlava. To achieve the above mentioned objective, the method of questioning was applied together with the technique of an unstandardized interview. 6 nurses were interviewed. The research was carried out during February and March 2012. Based on the questionnaires I found out that the nursing staff is familiar with the issue of the specifics of the care for a client suffering from Alzheimes dementia. The research also revealed that the nurses who work at the Department of shut-ins have a frequent contact with clients with Alzheimes dementia and thus, they have experience in caring for them. The assessed interviews have shown that caregivers let the client hospitalized in case they are overloaded, not able to provide proper care and also in case the clients flat is being adjusted or if a caregiver goes on holiday. If a client is not able to do something or needs help, families expect the nurse to help the client. It is evident the caregivers do not expect the nursing staff to do miracles. They only wish that the clients health state did not get worse during the clients stay in hospital. Persons, who look after the client for a short time, do not have enough information about the disease, its progress and essential care and they expect from the nursing staff too much. The bachelors thesis will become the basis for the lectures within the colloquium in the hospital of Jihlava and also for elaborating of standards in the procedure of care for a client with Alzheimers dementia. I have created the information material which contains ten basis points in each of the areas of care.
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Ethical aspects of care about diing person in psychiatri
Frühbauerová, Iva ; Kutnohorská, Jana (advisor) ; Šlaisová, Ivana (referee) ; Strnadová, Jolana (referee)
The bachelors work is all about ethics like science, death and dieing with view to psychiatrics probléms. Ethics and moral acts seem to be necessary part of verbal and nonverbal communication in medical work. There are some pacients in psychiatric profession,for example with advanced demencion , which are certainly in hands of ethics and moral principles of medical staff . The theoretic part describes the pacient with mental illnes, behind the gates of psychiatric clinic. It describes the moments concern him and his illnes. The live ends of some pacients are situated to this clinic, the very end of my work is about that. The empiric part investigates perceiving the close of death between middle-medical personnel and their approach to diing, mental ill pacient. The target of my bachelors work is to outline the difficult moments of mental ill lives, when their psychic become wrong and the lives ended in psychiatric clinic. There we can find the large space for ethics like science, because the ill and menthal ill people have rights to be nursed with moral overlook. The nurse would heave allways on mind, that the mental ill pacient is still one of us,is still the human being.
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The level of the adaptation process in general at intensive care units
Aksteinerová, Monika ; Marsová, Jana (advisor) ; Svobodová, Lucie (referee)
The Graduation Thesis deals with the topic of the adaptation process of general nurses at intensive coronary care units. Through the research, we ask whether the level of the adaptation process and its duration is long enough to get nurses fully involved in the procedure. In the theoretical part, we work with the essence of the adaptation process. In particular, we analyse the nurse training process in the course of their adaptation in a new workplace. We look into issues related to the integration process management, from the view of the object and the subject as well. In addition, we pay attention to clinical practice tutors, their education and their roles - to teach, to convey and to assist. As regards the practical part of the Thesis, we have applied a quantitative research methodology. In the empirical part, we have set partial objectives and hypotheses to be confirmed or rejected through inquiry. The aim of the distribution of non-standardised questionnaires among new nurses in intensive coronary care units is to find out how their adaptation process is running, and to what degree they are satisfied with the adaptation process within the selected medical centres in Prague. We had chosen intensive coronary care units of the same type of nursing to avoid inaccuracy in terms of the interpretation of the...
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Physical and psychological stress for nurses in intensive care
Hroudová, Šárka ; Eislerová, Iva (advisor) ; Marunová, Alice (referee)
A profession as a nurse is one of the most responsible and the most hazardous jobs. According to the statistic data a discipline of health care has the great number of "occupational diseases" cases and they are caused by overdone physical load and mental stress. The thesis targets are the assessments of the load related to the type of work, the awareness of nurses about the prevention against the undue physical load and the mental stress, the motivation and the satisfaction for the nurses at their work. The important parts are the options for a prevention and a reduction of the load and the methods of relaxation and rest. I used two types of questionnaires for my research, the first one was non standard which was focused on the individual targets and the other one was the standard Maslach Burnout Inventory questionnaire focused on finding a degree of burnout in individual cases. The research was carried out in General University Hospital and in Thomayer University Hospital in Prague. There were compared two departments- a department of internal medicine and a department of surgery in intensive care. The conclusions of my research are: H1: the increased level of load was found in both cases, in the department of internal medicine is dominant the mental stress and in the department of surgery it is...
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Issues associated with hospitalization of children with parents staying with them
ŽÁKOVÁ, Lucie
I chose the topic of my thesis-the problems of child´s hospitalization with parents at children´s ward, because ill children and in hospital should not stay alone. The care should be focused on their psychic and also on their parents who are afraid and worried about their child. In the theoretical part of my work the branch paediatrics is mentioned first, followed partly by history of children medicine and nursing. Contemporary system of children´s care is described and developmental periods of children are mentioned in short. Then concepts like health, illness, coping with illness in different age periods continue. Further chapters are devoted to the family of ill child, preparation for hospitalization and nursing process in child at the ward. Practical part is focused on parent´s and nurses´ opinion on the problems, their opinions whether they prefer hospitalization together with parent or just short-time visits of a child who is hospitalized. The data were investigated with the help of two kinds of questionnaires. The first one was established for nurses working at the ward, the other one was for parents or company of hospitalized children. It was found out that Hypothesis I:{\crqq}Parents prefer hospitalization with the child{\crqq} was confirmed. But Hypothesis II:``Nurses prefer in child´s hospitalization just short visits of parents{\crqq} was not confirmed because nurses prefer common hospitalization of parents and their children to short-time visits. The results of this thesis can be used both by children stations and other people who are interested in the problems.
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