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Family Needs of Patients after Cerebral Impairment
BÁRTOVÁ, Marie
The thesis is a part of the project called Coordinated rehabilitation of the patients with the brain injury (reg. n. GAJU 138/20146/S). The objective of this work is to find out what needs the families of patients with the brain injury have. This thesis has a theoretical and a practical part. According to research set consisting of 14 caregivers of patients after cerebrovascular accident and only one that cares about a patient after cranial trauma, the theoretical part describes a CMP characteristic, coordinated rehabilitation, the basic terms about family and the chosen concepts of needs. Based on the objective of the thesis, the research question was stated: What are the needs of family members who care about the patients with the brain injury in the home environment? The research was made by the qualitative strategy and the semi-structured interviews with the family members in South Bohemia region who cares about the people with the brain injury in the home environment. It was important that people with the brain injury have already been joined to the project. The interviews were done in the application called Atlas.ti. According to the analysis of the collected data, there are 9 main needs that are connected to each other. Concretely, it is a need of a care about the patient, about the house, the need of a family help, the need of professional and social services, economic security and quicker help by the social service, furthermore the need of free time, psychological well-being and being in touch with the society. The results of this thesis are a part of the complex results of the project GAJU called Coordinated rehabilitation of patients with the brain injury (ref. n. GAJU 138/20146/S). The analysis of the needs of family members was used to propose the solutions/saturation of the needs in order to influence the real life of interviewers.
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Comparison of therapies of children with multiple disabilities and mental disabilities in the ARPIDA centre nurseryschool and Nurseryschool Demlova in Jihlava and Special
NOVÁKOVÁ, Pavla
This thesis focuses on possibilities of therapies for individuals with combined disabilities in facilities devoted to coordinated rehabilitation. The goalis to learn which aktivity is the most suitable for each child, which they enjoy the most. The paper is composed of two parts, theoretical and practical. The first part is devoted to the development of a child from the time of birth until the preschool age. The second chapter studies frequent disabilities. Further, therapies used in treating patients with combined disabilities are described. A method of structured interviews with nursery teachers at theArpida c.i.s. and Nursery and SEC Jihlava, Demlova 28 and parents of selected children. The results show teachers possible ways a child can be affected and provide a feedback for further work with children with a similar condition.
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The Needs Of Patients After Brain Damage
PECHOUŠKOVÁ, Kateřina
This diploma thesis is a part of the GAJU project entitled "Coordinated rehabilitation of patients with brain injury (reg. number GAJU 128/2016/S)". At the time when the thesis was elaborated, only the patients who suffered the cerebrovascular accident were engaged in the project, since in the hospital, no suitable patient after brain injury who would need a multidisciplinary team in home care had ever been sought. The selection of the patients was based on the communicative skills criteria e.g. if the skills to participate in the directed conversation based on the Functional Independence Measure Questionnaire (FIM), WHO Disability Assessment Schedule 2.0 and the follow-up questions concerning social issues, physiotherapeutic methods and techniques were preserved. Within the framework of the project, the research has not been finished yet. Given the above mentioned reasons, this thesis is therefore mainly focused on the identification of patients' needs after the cerebrovascular accident (CVA), on the period starting from its first incidence during the first three months period after the discharge from the hospital to home care. The complex results will be presented as a part of the publication activity of the project. The thesis comprises a theoretical and a practical part. The theoretical part presents a comprehensive view on the care for the patients who suffered the cerebrovascular accident. I addressed both the basic characteristics of the cerebrovascular accident and the organisation of the care for the patients in the Czech Republic; furthermore, the coordinated rehabilitation team, the role of a social worker, possibilities of social help provided by the welfare system to patients and their families, and the psychical condition of the patient. In the last chapter, I outline the general concept of human needs according to A. Maslow and describe important needs of the sick people. As far as the research part is concerned, my goal is to identify the needs of patients in home care after the brain injury. In connection with the aim of the thesis, two research questions were defined. The first question is: "What are the needs of the patients after brain injury?". The second question is: "What is the role of a social worker in meeting the needs of a patient with brain injury?" The qualitative research strategy was used; the instructional dialogue technique with patients after brain injury in the South Bohemia Region within the project. When analyzing the data collected from the patients during the first three months after the discharge from the hospital to the home care, seven major patient needs emerged need of help, need of psychical equilibrium, need of self-reliance, need of being without paint, need of recovering to the condition before CVA incidence, and need of establishing a new system of activities. Two of these needs, the need of recovering to the condition before CVA incidence and the need of establishing a new system of activities could be considered as principal, because the other needs are in general heading towards them. Furthermore, the analysis of the results showed the role of a social worker by means of which these needs can be saturated The results of the present thesis are used as a partial part from which the complex results of coordinated rehabilitation of patients after brain injury of the GAJU project are complied. The needs analysis of patients brought the proposals of dealing with/saturation of these needs and therefore had a direct impact on the lives of the respondents. The results of the research will become a part of the publication outputs of the above-mentioned projects.
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The Interconnection of Components of the Coordinated Rehabilitation to Individuals after the Cerebrovascular Accident.
HEJZLAROVÁ, Petra
Cerebrovascular accident (CVA, stroke) is a disease that affects the central nervous system. Many people, even younger in age, have suffered the stroke, and especially in developed countries. For adults it falls into the most common causes of disability. Greater attention is now focused on medical rehabilitation, but all the elements of rehabilitation are important. The status after stroke results in physical, psychological and social consequences. Therefore, early and coordinated rehabilitation is important, since it increases the possibility of the person´s integration. The diploma thesis aims to describe particular components of coordinated rehabilitation granted to the patients after the CVA in the treatment and rehabilitation centre Chvaly. More specifically, the author tries to analyse the coherence of the individual components of coordinated rehabilitation. In the theoretical part, the author focuses at first on the definition of the CVA, follows up with a general treatise about the coordinated rehabilitation, and then she specifies coordinated rehabilitation for patients after the CVA, and briefly describes the facility under examination. To achieve the objective there has been used qualitative research, the method of questioning, the technique of a semistructured interview. The research sample includes people after the CVA, and the staff of the treatment and rehabilitation centre Chvaly, applying specific elements of rehabilitation. Research indicates that in the examined centre they use therapeutic and social elements, where the treatment dominates. The treatment center puts emphasis on self-sufficiency of a person after the CVA, working with the family and a multidisciplinary team, which is also perceived by the clients after the CVA. The results of the diploma thesis can serve as a feedback for the examined treatment centre, they can be used to improve the quality of coordinated rehabilitation. This work can be used as a source of information for people after the CVA and their families.
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Social Worker´s Role in a Comprehensive Care for Autistic People
NOVÁKOVÁ, Vendula
The bachelor´s thesis deals with the role of a social worker in a complex care of autistic people. The main goal of the thesis is to describe some methods, techniques and attitudes used in a context of social work and the role of a social worker. The intermediate objective is to map some worker´s experience concerning the complex care of autistic people. The role of a social worker within the framework of a multidisciplinary team, some methods, techniques and attitudes used in a complex care of autistic people have been found via the research questions. The bachelor´s thesis is divided into a theoretical and a practical part. There are defined some basic terms: autism, social worker, social work and a multidisciplinary team in the theoretical part. Autism and its diagnostics is more specified for better understanding. That gives us opportunity to familiarise with the contributory organisation Domov Kopretina Černovice where the research strategy is placed. There are also introduced and described some techniques and methods used in a complex care of autistic people in the theoretical part. The practical part consists of a research using a qualitative research strategy, methods of questioning and semi-structured interview techniques. The research group consists of ten communicative partners who belong to the multidisciplinary team taking care of the autistic children in the contributory organisation Domov Kopretina, Černovice. Within the framework of the research we´ll learn about an educational programme in a special primary school and practical school applying in Domov Kopretina, Černovice. The research has shown that the job description of a social worker consists of social agenda tackling in Domov Kopretina, Černovice. Also the other members of the multidisciplinary team see the role of a social worker in the administrative sphere instead of immediate social care of autistic people. The social worker is also regarded as an important member of the team because he/she has the earliest opportunity to get in touch with the client and consequential coordinated rehabilitation that means the acceptance the client to join the organisation. Key
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Rehabilitation of patients with spastic form of Infantile Cerebral Palsy from the perspective of physiotherapy
Bitman, Martin ; Muchová, Renáta (advisor) ; Táborská, Silvie (referee)
Title: Rehabilitation of patients with spastic form of Infantile Cerebral Palsy from the perspective of physiotherapy Abstract: The thesis deals with the rehabilitation of persons with cerebral palsy, physiotherapy intervention for appropriate regular exercise and the impact on quality of life of people with cerebral palsy. The theoretical part describes the introduction to the issue - the definition of the correct terminology, and problems of cerebral palsy - its characteristics, prevalence, classification, diagnosis, etiology and appropriate intervention. The practical part is focused on physiotherapy intervention. The aim of the thesis is to determine the impact of selected interventions on quality of life of people with cerebral palsy. KEYWORDS: cerebral palsy, coordinated rehabilitation, quality of life
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The experiences of adults with disabilities with the provision of coordinated rehabilitation in the institutionally care and in their natural environment.
MIHALÍK, Petr
The diploma thesis deals with the issue of providing all elements of the comprehensive rehabilitation of handicapped people. The goal of this thesis was to determine, what experiences adult handicapped people have in terms of being taken care of in their home environment and in an institution. Another goal was to try and find out what criteria are important for the way they evaluate these. And, the last goal of the thesis was to propose an effective model of taking care of these people given obtained results and given financial capacities of the state and today's regulations. The theoretical part shows the section and development of care provided to handicapped people from the beginning of humanity until today including valid legal regulations. The following part describes briefly the issue of a coordinated rehabilitation and the efforts to ensure the legal regulation thereof in the Czech Republic. The last chapter of the theoretical part is devoted to the D.R.A.K. Association, the clients of which are the relevant research set. For the research itself the qualitative research strategy was chosen. The data were acquired using semi-structured interviews with clients, their family members and those who care for them in the D. R. A. K. Association. Acquired data were processed using the qualitative contents analysis of interviews. The set of participants included nine clients, members of the D.R.A.K. Association, the target group of which are adult handicapped people. Next, I spoke with five family members and three experts from D. R. A. K. Results are divided into three chapters according to research questions. The first chapter contains answers of clients, how they perceive the difference when being taken care of in an institution (D.R.A.K. Association) and in the natural environment (at home). The second chapter of results describes criteria, which are decisive and important for clients and have emerged during interviews.
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Coordinated rehabilitation segments used in a selected group of individuals with DMO (combined disability) in center ARPIDA in České Budějovice
PYKALOVÁ, Jana
The thesis focuses on coordinated rehabilitation components, which are used at individuals with cerebral palsy (combined disability) in a concrete non state medical institution in České Budějovice. Cerebral palsy is the most frequent neurodevelopmental disease, wherein the health disability may occur in one or more fields. We can find crucial factor in care of individuals with handicap in coordinated rehabilitation, which is currently perceived as an interdisciplinary field seeking the fastest and widest participation of personal with disabilities in all usual activies of society with the use of medical, educational, social and labour resources. A prerequisite for success is a multidisciplinary team (circular support), which consists of experts and parents of individuals with disabilities. The thesis contains theoretical background, where health disbility, coordinated rehabilitation and cerebral palsy is mentioned, at which the occurrence, forms, associated disorders and treatment are described. A separate chapter is devoted to families of individuals with health disability, where I mentioned the reaction of parents on the birth of a child with a disability, the impact of disability on the family and family support. Furthermore I focus on social services for handicapped people and to ARPIDA centre, where my research took place. In the research section there is defined the aim of the thesis, which was to chart a coordinated rehabilitation components, which are used at individuals with cerebral palsy (combined disability) in ARPIDA centre in České Budějovice. The partial target of my thesis was also to compare the usage of coordinated rehabilitation components at individuals under 15 years of age and at individuals over 15 years. According to target of the work there were developed three hypotheses. Thesis research was conducted through quantitative research. To obtain the data, I used the method of questioning. The sample was comprised of individuals with cerebral palsy (combined disability), who attend the centre ARPIDA, while the questionnaires were filled out by their parents. The research undertaken within the thesis, which was supported by rehearsed literature, confirmed the third hypothesis of more often usuage of Vojta reflex locomotion method at individuals with cerebral palsy in the centre ARPIDA compared to individual therapeutic physical training. The remaining two hypotheses were disproved. Statistical survey also shows that care for people with cerebral palsy is a long-term care, where interconnection of services within the coordinated rehabilitation is needed. In the group of individuals under 15 years of age and over 15 years it has been used different coordinated rehabilitation components, this is associated with cerebral palsy, disorders, age and other factors. Problematic remains the job placement of individuals with disabilities, who remain at home without further stimulation possibility. Care and services in the centre ARPIDA were assessed positively. The results and conclusions of the thesis will be used as a feedback centre ARPIDA to map the coordinated rehabilitation components and further to the clearing of needs of single coordinated rehabilitation components in a group of individuals under 15 years of age and over 15 years.
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Coordinated rehabilitation for clients of Institution of social care Domečky
JIROUTOVÁ, Pavla
The diploma thesis deals with the coordinated rehabilitation. Coordinated rehabilitation is a coherent process of medical, educational, vocational and social rehabilitation, whose main objective is to minimalize the consequences, based on the individual's disability. Successful rehabilitation consists in ensuring early, continuous and coordinated efforts of the fastest and widest participation of persons with disabilities in the usual activities of life.The theoretical part consists of six basic chapters. The first one is devoted to the International Classification of Functioning, Disability and Health, which is followed by the subchapter dealing with disabilities and consequently mental disabilities. I have focused on people with mental disabilities, as an organization where research was conducted, providing services to these people. The second chapter contains information about coordinated rehabilitation. The remaining chapters deal with the individual components of a coordinated rehabilitation, which are medical, educational, vocational and social rehabilitation. The aims of this thesis is to determine how the system of coordinated rehabilitation is used in the Institute of social care Domečky. A partial aim is to determine the importance of a system of coordinated rehabilitation for clients of the Institute of social care Domečky. There are two research questions in the connection with the thesis aims. The main research question is: How are the individual components of a coordinated rehabilitation applied in the Institute of social care Domečky? The particular research question finds positives provides system of coordinated rehabilitation for clients of the Institute of social care Domečky.Qualitative research was chosen for the practical section of the thesis. I have used the questioning method and the technique of the semi-controlled dialoque, Results were evaluated using the method of make the clusters. The selected group consisted of 11 employees of the Institute of social care Domečky. The respondents have been chosen intentionally, according to the criterion of willingness to participate in research. The results are divided into two sections according to the research questions. The first section deals with the way the use of individual components of the coordinated rehabilitation in the Institute of social care Domečky. These results are also divided by the individual components of coordinated rehabilitation for greater clarity. The first part contains the identification of the respondents. Following parts: medical rehabilitation, educational rehabilitation, vocational rehabilitation and social rehabilitation.The second part of results includes the subjective opinions of the respondents on the benefits of coordinated rehabilitation and its benefit to the clients of the organization.The research has shown ignorance of the concept of coordinated rehabilitation. Within medical rehabilitation it was found that health care is provided by nurses and practical doctor. The organization also works with hospitals and polyclinics, which are next to the organization. The research, which is devoted to educational rehabilitation, results divided terminology used in special education. Vocational rehabilitation can be used by clients within a job in the kitchen and the laundry in the organization or employment in the civic association Pferda which offer a job in a cafe, a cleaning company and a bakery.Within the social rehabilitation it was described the relationship of key worker and client and the creation of individual planning. It was clarified the issue of social security benefits when clients receive invalidity pensions, care allowance, alternatively child benefit. From the perspective of respondents the benefit of coordinated rehabilitation is in complex care for clients that is devoted them.
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Methods of coordinated rehabilitation provided to individuals with physical disabilities
VÁCHOVÁ, Vendula
This bachelor thesis called Methods of coordinated rehabilitation provided to individuals with physical disabilities focuses on school-age children. The thesis is divided into two parts. The theoretical part deals with the system of coordinated rehabilitation, its development and meaning. Means of rehabilitation namely remedies, educational, social and working resources with regard to their interconnection and mutual continuity are closely defined in particular subcategories. Therapeutic methods are closely specified in the subcategory regarding rehabilitation remedies. The subcategory concerning social rehabilitation resources concentrates on social services. Second chapter pinpoints physical disability, its etymology and classification. Specific types of physical disability are cerebral palsy and neuromuscular disease. The last chapter of theoretical part is devoted to methods of coordinated rehabilitation that can be used for children with physical disabilities. The research took place in Primary school and nursery school and provider of social services, Kaňka social purpose society in Tábor. The aim of the practical part was to find out the methods that this centre under the system of coordinated rehabilitation provides to its clients. Another aim was to point out whether this system works on case reports of chosen children in such facilities. Qualitative research has been chosen to fulfil the aim of this thesis. The data has been obtained primarily by the content analysis of the data. Semi structured interview with parents served as an additional method. On the basis of the content analysis of the documents three case reports of children with physical disabilities have been created. Informed consent has been acquired from the children's parents. Case reports reflect personal and family history, information in medical reports, psychological examinations and individual plans. Furthermore, attention is paid to particular means of coordinated rehabilitation that are used by the children in Kaňka centre. The research showed that notably thanks to teamwork Kaňka centre works on the basis of comprehensive (coordinated) system of rehabilitation. It is apparent from case reports that continuity of remedies, educational and social resources is good. Working resources are not crucial for this work because attention was paid on school-age children. On the other hand, Kaňka centre provides occupational therapy especially for children with physical disabilities. Occupational therapy represents a practise of daily activities and development of self-sufficiency, which closely relates to working resources of coordinated rehabilitation. Facility interconnects specialist therapies with social services and compulsory school attendance. Children are provided these therapies: physiotherapy, speech therapy, canine therapy, music therapy, art therapy and occupational therapy. As far as the children with physical disabilities are concerned they practise ordinary daily activities, develop fine and gross motor skills, improve mental health and overall wellbeing and promote a positive attitude. In terms of social resources these services are used: personal assistance, day care centre and early care. Children are educated in primary school and special school for primary education. Kaňka also provides special care nursery. Children are also offered leisure activities. Primary school and nursery school and provider of social services, Kaňka social purpose society is one of few centres in southern Bohemia region that provides complex care in the spirit of coordinated rehabilitation that is not only for children with physical disabilities.
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