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Patients' knowledge and experience with nutritional counselling in relation to the occurrence of certain comorbidities of obesity.
Kollerová, Martina ; Svačina, Štěpán (advisor) ; Slabá, Šárka (referee)
The objective of this bachelor thesis was to obtain a comprehensive view on nutrition counselling and confirm or disprove the need to regulate the profession of nutrition consultants. The theoretical part of the thesis explains the relationship of obesity and its comorbidities, confirms the high prevalence of comorbidities as documented by several major studies conducted on large populations, and analyses the relevant legal norms dealing with the conditions on performing a nutrition counselling. As part of this thesis a primary research was conducted, carried out as anonymous survey with patients of Obesity Centre, 3rd Medical Department, 1st Faculty of Medicine Charles University and General Faculty Hospital in Prague, with clients of Recondition Centre VŠTJ Medicina Prague and clients of commercial providers of nutrition counselling. This survey confirmed that knowledge of general nutrition recommendations is satisfactory among respondents, but they tend not to follow the recommendations. The research pointed out clients' high confidence in nutrition consultants. More than three quarters of respondents in both groups labelled weight reduction as the most distinctive service of nutritional consultants. Over ⅓ of respondents said helping patients with chronic diseases as one of the typical services...
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Sense of nutrition care in institutions for the seniors
Husová, Kristýna ; Novák, František (advisor) ; Šnejdrlová, Michaela (referee)
Malnutrition is a common and not fully revealed clinical problem in facilities for the elderly. Despite significant medical advances it remains an important and highly prevalent public health problem in developed countries. An early identification and appropriate nutritional support can help stop malnutrition and the negative consequences associated with poor nutritional condition. The risk of malnutrition increases with age and low levels of proper care. This thesis presents the findings of the situation of nutritional care in selected homes for the elderly through participation on NutritionDay Worldwide 2015 (nDay), which is compared to results in the world. It summarizes the knowledge about the individual organization and provision of nutritional care in selected homes. To the project nDay, held on 11/19 2015, home for the elderly in Kolín, home for the elderly PRAGOM CS, s r. o. in Pňov-Předhradí and a social care home Hagibor in Prague were involved. Respondents of these homes make up 9.4% of respondents in the Czech Republic. The result is that three selected facilities, which are compared with similar ones in the world, have a higher incidence of malnutrition. In the individual comparison of individual homes with other homes in the world, PRAGOM CS, s r. o. in Pňov-Předhradí and home for the elderly...
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Attitudes on solving the problems of the overweight and obesity
Paterová, Zuzana ; Tollarová, Blanka (advisor) ; Vlasáková Brskovská, Soňa (referee)
This diploma thesis deals with the attitudes of clients nutritional counseling company Diet Plan about overweight and obesity. The aim was to find out what are the reasons for preference nutritional counseling before medical facilities and experience of the medical facility. Furthermore how much weight had an education level of a consultant. As well, what is missing information for respondents needed to successfully reducing diet. The result of qualitative research is that respondents think that there is not enough information leading to successful weight loss. This lack of information means, that respondents are not able to evaluate and correct their own eating mistakes. Despite the fact that the respondents perceive some form of education in issues of healthy lifestyle and losing weight, they still lack concretized recommendations. Respondents have had bad experiences and negative images of medical devices. They argue that doctors create a bad atmosphere, they are rude and not helping to weight loss. Indifference and bad conduct can evoke a sense of stigma. In their opinion, the doctor will also give a general and sometimes outdated advice. Respondents favored the nutritional counseling because they expected individual care and specific instructions leading to weight loss. An important factor in...
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Nutritional Consultancy within the Framework of Crafts
Šimončičová, Renáta ; Prošková, Eva (advisor) ; Pírková, Vendula (referee)
Introduction: Bachelor thesis is focused on nutritional consultancy within the framework of crafts and its providing. Further subject is exploration of patients/clients satisfaction with nutritional consultancy. Object: Bachelor thesis target is to familiarize readers with forms of providing nutritional consultancy and regulations in this activity. Practical part is focused on exploration of patients/clients satisfaction with nutritional consultancy and comparison between consultancy provided by dieticians and nutrition counsellors. Methods: Research was in form of anonymous on-line questionnaire. Obtained data is displayed in form of graphs. One thesis part is devoted to data analysis. Results: Theoretical part clearly point to the fact that current legislation regulating activity of nutritional consultancy is not adjusted correctly. As emerged from the questionnaire most of respondents are partly satisfied with process of nutrition research. Greater proportion of respondents mentioned larger satisfaction with work of dieticians compared with nutritional counsellors. Conclusion: Nutritional consultancy within the framework of crafts is important area in health care. Due to the fact that activities of nutrition counsellors/dieticians have impact on overall human health rules who and under what...
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THE USE OF ASSESMENT OF HUMAN BODY CONSTITUTION AND ENERGETIC NEED FOR NUTRITIONAL THERAPIST
HEJNÁ, Věra
The thesis entitled "The use of assesment of human body constitution and energetic need for nutritional therapist" is aiming to clearly and briefly introduce respectiv methods and assess their positives and negatives in common nutritionist's practise. The comparison of each methods is not only about the results, but mainly about the use for nutritionists. Theoretical part of the thesis consists of chapter describing human energy requirements and their asessment methods and chapter about the human body composition and its assessment methods. I atemt to collect the latest information within simple structure. This part is focused mainly on methods which are used in practical part of the thesis. It is not dealing with complicated inaccessible methods, which use is limited to academic purposes, in detail. The practical part of the thesis uses qualitative research method. The corpus consist of 7 respondents. The data are collected in form of questionnare followed by notes from each measurment. The further view expands interview with respondents, whose komfort was examined during different measurments. The assessment of primary human energety requirements is done by using: indirect calorimetry (QuarkRMR), bioimpedance (InBody230, Bodystat 1500), and the calculation using Harris and Benedict equation. The assessment of human body composition is done by using: bioimpedance (InBody230, Bodystat 1500), the conversion tables by Hronek (2013) using Caliper which measures skin kelp on the top of the hip bone, Deurenberg's equation and the use of tape measure for measurment of waist circumference. I am focusing on composition of body fat mass in percentages, because it mirrors the condition of an individual well. (Kutáč, 2009, Stránský and Ryšavá, 2014) The final analysis is done by Excel. There, I am assessing the results of each respondent and to comparing the resoluts of different methods among each other. The work is supplemented by graphs and tables, which ease the comparation. At the end I am evaluating respondent's on all methods and interests in the results. If the possible expectations were fulfilled. In the final part of the thesis I am assesing the methods and thein results for nutritionist's daily practise. The biggest diference in assessment of primary human energy requirements is 427kcal. Despite of that I consider all used methods as useful for nutritionist. The exeption is the most important index is body weight development, which we have to observe regularly. At the end of each chapter I assess the methods and their results for nutritionist's work. The biggest different in assesment of basic energetic need is 472 kcal. In spite of that I consider all of the methods as usefull for nutritionists. The most important is body weight development, which we have to observe reguraly. In assessment of human body composition more precisely the composition of body fat mass I found big differences in results. The biggest one is 15%. This might be caused by bad preparation stage of respondent before the measurment. Despite the big differences I consider all methods, that were used good for nutritionist. Mostly to see the development of the body composition, which can be monitored uses one method, in the long term period.
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The cooperation of a nurse with nutritional therapist during the care of a patient with an ulcerative colitis.
KALMÁROVÁ, Diana
The aim of this bachelor thesis is to examine the cooperation of a nurse and nutritional therapist while taking care of the client with diagnosed ulcerative colitis. The paper is divided into a theoretical and practical part. In the theoretical part the author deals with the anatomy and physiology of the colon, the characteristics of ulcerative colitis, its etiology and pathogenesis, clinical picture, complications, diagnosis, treatment and special measures regime. Here, it discusses nursing care for clients with ulcerative colitis, preparation of a client for an endoscopic examination and client´s informative education. The final chapter of the theoretical part focuses on the multidisciplinary team, workplace relationships and after that nurse and/or nutritional therapist competences. The qualitative research was carried out for the empirical part of the thesis. The selected method of data collection was semi-structured interviews with nurses, nutritional therapists and patients with ulcerative colitis. These clients were deliberately selected providing that they have been currently or lately hospitalized in the inpatients departments due to the deterioration in health concerning ulcerative colitis. Interview questions designed for nurses regarded the availability of a nutrition therapist for their department, co-operation with this specialist, educational materials available along with the way the nurse educates the patient and nurses' knowledge of the issue. Nutrition therapist questions focused on their collaboration with nurses in inpatient departments, information transmission, clients´ education and their feedback collection. At the interviews with clients we determined dieting and raising awareness of the diet, the source of the acquired information and the interest of nurses to improve the nutrition of each client while hospitalized. On the basis of respondents' answers, we successfully worked out responses to research questions. Research question no. 1 how nurses collaborate with nutritional therapists in the care for patients with ulcerative colitis in the inpatient department- emerged that nurses in these departments did not come in contact with nutritional therapists at all, so they could not cooperate so that the exchange of essential information would take place only by reading through the client's medical record. Furthermore, from nurses' and clients' statements, the way a nurse primarily educates a client with ulcerative colitis in terms of nutrition is commonly just done by giving out printed information brochures or leaflets available at the department. The prime source of nutrition information for clients is usually their physician while diagnosing. Clients can learn more thanks to nurses, nutrition therapists and they also search for information themselves. Four out of five respondents claimed they still do not have enough relevant information about their diet. Attention must be given to ensure clients get to reliable information sources in order not to be a subject to the misleading information presented on the Internet and therefore for instance stick to improper diets. Education provided by nurse and nurses' knowledge in this field can thus have a direct impact on client´s health as much as the collaboration with a nutritional therapist, which could help the nurse to test the client's knowledge of nutrition therapy education. The acquired knowledge can demonstrate the importance of multidisciplinary collaboration not only in the care of clients with diagnosed ulcerative colitis but also the significance of nurse´s education, which is often needful support and safety for the client during his hospitalization.
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The Dietary System in Hospitals in the Czech Republic: Reality and Objective Needs
Pokorná, Daniela ; Kohout, Pavel (advisor) ; Humlová, Renata (referee)
Author: Pokorná Daniela Institution: Univerzita Karlova v Praze, 1. lékařská fakulta Title: The Dietary System in Hostitals in the Czech Republic: Reality and Objective Needs Tutor: Doc.MUDr.PavelKohout,PhD. Numberofpages: 88 Numberofsupplements: 6 Year: 2011 Keywords: diet, dietary system, dietology, dietotherapy, nutritional therapist, reality, objective needs This paper deals with the dietary system in the facilities in the Czech Republic, particularly in hospitals, with the focus on reality and objective needs. It is divided into two parts - theoretical and research part. The theoretical part explains the terms such as dietology, diet, nutritional therapist, and subsequently the history, present state and possible future of the dietary system in the Czech Republic. In the research part, the reality and objective needs in the given field are explored. The focus is on objective conclusions of the research exploration as well as on initiatives and comments from professionals in the particular facilities. Three hypotheses were set and subsequently examined. The above data was obtained from facilities such as hospital, spas and health resorts, and senior homes. The research was basic and quantitative in nature; data- collecting was done using a questionnaire. Basing on ideas and comments from the...
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Nurse's role in the nutrition of patients in intensive care
VACKOVÁ, Veronika
This bachelor thesis is divided into two parts theoretical and empirical and the purpose of this thesis is to deal with the topic of the nurse´s role in the nutrition of patients in intensive care. In the theoretical part of the thesis, complex issue of the nutrition ensure of intensive care patients is summarized. We have been dealing not only with the common concept of the nutrition on the intensive care units and the role of the nutrition therapist but also with the characteristics, causes and diagnosis of the malnutrition as the most serious issue in the nutrition field. In the thesis, the types of a nutrition support in the intensive care have been also defined as well as the indication, contraindication, types of serving, complications, types of medicines, monitoring and the related role of the nurses. The practical part provides with the results of the research, which have been found by using a qualitative research method. The main purpose of this bachelor thesis was to emphasize the role of the nurse by the handing enteral and parenteral nutrition and also a description of the cooperation with the nutritional therapist on the associated intern and neurological unit of intensive care at České Budějovice hospital. At the basis of above mentioned, two objectives have been stated. At first, our task is to find out the way how is the right handing of the nutrition to the intensive care patient by the nurse secured. The second task is finding out the way of cooperation of the nurse and the patient while securing the nutrition of the patients in the intensive care unit. For the first task, four research questions have been established, for the second task have been established one research question. For the high-quality data network, the method of hidden monitoring for keeping authenticity has been used. As a consequence of the insufficient amount of data to the reaching of the second task, half-structured interview has been chosen instead. Research dataset consisted of thirteen records of sighting and one interview on the above mentioned intensive care unit. As a basis for analyses, three observation sheets were made, into these sheets were then during the observation information assigned. Each sheet consisted of single points planned in accordance to theoretical part. The nurse follows these points when securing the patient´s nutrition. Remaining information, not included in observation sheet were written into the notes section or were included into the information about the performing of the particular point. The results were analyzed by using an open-coding. There are six categories coming out from the analyses, which are connected with securing the education, information providing, keeping an obstacle-free approach complications preventing, using tools, nurse´s cooperation with the patient and deciding processes during work performance. In the results, there is a conclusion of the analysis with illustrative examples to find. The sequence of the results is presented according to sequence of categories during performing. In each category, the results are evaluated according to research tasks stated. We believe, that the obtained information, which map the activities of the nurses when securing the nutrition at the intensive care unit patients and the acquainting the cooperation with the nutrition therapist helps in the future to the awareness of the potential weaknesses and following correction. The results may become inspiration for more detailed analysis of this topic.
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