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The Psychological - the ethical aspects of the placement in the home for the elderly
SOBOTKOVÁ, Lucie
The work deals with the psychological - the ethical aspects of the placement in the home for the elderly. It focuses on issues of aging and old age, including changes in physical, psychological and social sphere. It offers an overview of the evolution of the system of care for the elderly to the present form of social services under Act No. 108/2006 Coll. on social services. It deals with basic principles in the provision of social services: partnership, autonomy, respect for client dignity, individual approach. It also provides information on the individual planning of the social services. It deals with select models of senior activation and finally focuses on the theme guiding the senior end of his way of life.
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Needs and Their Fulfillment For Persons With Mental and Combined Disabilities in Selected Facilities For Adults In Prague
NÁVAROVÁ, Jana
Bachelor thesis examining the needs and need fulfillment of persons with mental and combined disabilities in selected adult facilities in Prague. The theoretical part contains definitions of mental disability, retardation and combined disability and describes the needs of persons with mental disabilities. This section then reports on social services and the Social Services Act, and evaluates the present condition of social services in Prague. The practical part analyzes three selected daily welfare institutions - Modry Klic, Ruka Pro Zivot and Ratolest - and assess their success in meeting the biological, psychological and social needs of their clients. Overall, the rate of satisfaction with clients' need fulfillment in these selected institutions is relatively high.
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The Application of the Virginia Henderson{\crq}s Model in Retirement Home Nursing Care.
KADEŘÁBKOVÁ, Věra
The Application of the Virginia Henderson{\crq}s Model in Retirement Home Nursing Care. Basic unit of the V. Henderson{\crq}s model is the clients{\crq} independence when satisfying their needs. The client is seen as an individual with the needs of assistance when trying to reach health, independence, and peaceful death. The lack of strength, will and knowledge are seen as the source of troubles. The needs the client is not able to satisfy and is in need of assistance are by V. Henderson called as the focus point intervention. The nurse assists to substitute, complete, support or increase the patient{\crq}s strength, will and knowledge. The outcome is the unaided performance in satisfying personal needs or peaceful death. The information about the needs is not documented in the uniform way and that is why every single ward and institution creates its own documentation system, according to its own specifics. The nursing documentation is always inseparable part of the nursing process. This model is determined by its specifics to be used appropriately in elderly people. The goal of this work was to find out all possibilities in using the Virginia Henderson{\crq}s model when caring of clients in the retirement home. There were placed three main questions of the research: 1.To what extents are satisfied the needs of client in the house for elderly people when using nursing documentation compiled according to V. Henderson? 2. Is there any influence of using V. Henderson{\crq}s model of nursing documentation on nursing practice in the retirement home? To what extent are nurses comfortable with the V. Henderson{\crq}s nursing documentation system? The collecting of data was done by the qualitative research investigation, the technique of the direct observation of nurses{\crq} caretaking of the clients, and by detailed interview with the nurses. The research had been done at Retirement Home at Strakonice from April to June 2009. There was created nursing documentation according to V. Henderson{\crq}s system. This documentation was filled out by a nurse and client and followed by searching for the needs of the client and their satisfaction. The nursing planned out specific care of a particular client using nursing process after filling out particular documentation. There has been led direct observation of caretaking provided under new nursing documentation. To assess the care, there was developed the point scale for evaluation of the client needs satisfaction (1-Satisfied, 2-Rather Satisfied, 3-Rather Unsatisfied,4-Unsatisfied). As a next we have been evaluating client{\crq}s level of strength, will and knowledge to be able to satisfy his/her needs (he/she is independent, partly independent, and dependent). The observation outcomes demonstrated that nurses were able to satisfy all of the 14 clients{\crq} needs in most. There were done case reports out of the observations and the results were processed into comprehensible charts. The nurses had been working with the nursery documentation for months followed by detailed interview aimed to inspect the usage of this documentation in nursing of elderly people. All of the five nurses agreed on the applicability of the documentation in nursing practice and that was why the documentation was modified under nurses{\crq} notes and has been applied in practice since. The research goal was accomplished. The nursing documentation has always been integral part of nurse{\crq}s work.It provides all needed information concerning the patient. It can be considered as the prove of ``lege artis{\crq}q practice of the work done. The documentation also serves as the record which is being used for health insurance billing.
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Communication problems between nurses and hospitalized handicapped patients
TITLBACHOVÁ, Jana
Social contact is a necessary part of health care profession, and the ability to communicate well belongs to the most important skills of every medical staff. Successful treatment and overall cooperation is a result of mutual relationship and communication between the involved parties. However, professional communication of a nurse is a very demanding subject. There are numerous barriers and issues that prevent efficient communication. This bachelor{\crq}s thesis is aimed at the topic of communication of nurses and patients disadvantaged due to some handicap. 3 objectives were established for the paper. The first was to find out whether nurses have communication skills in relation to the handicapped patients. Further we were interested in whether the nurses were ready for communication with the handicapped patients through educational program in school, and the third objective was to find the most frequent problems in the identification of psycho-social needs of those patients. Hypotheses were formulated for the objectives H1: Nurses have communication skills in relation to the handicapped patients, H2: Nurses are sufficiently prepared for the communication with the handicapped patients through educational program in school, H3: Nurses emphasize time constraints as the problem of identification of psycho-social needs of the handicapped patients, and H4: The handicapped patients mention lack of privacy as the problem when talking with the nurse. The hypotheses H1 and H3 were confirmed, while H2 and H4 were not. Quantitative research was chosen for the preparation of research part of this bachelor{\crq}s thesis, and query method was used. As interpersonal contact and relation play major role in the communication, it can{\crq}t be evaluated only in one direction and two groups of respondents represented the sample file. The first group consisted of nurses in ward blocks of five hospitals, and the second of hospitalized handicapped patients. This thesis could serve as an educational material for medical staff. It is necessary to continuously learn and deal with this issue with the goal to improve the quality of the provided medical care for the hospitalized handicapped patients so that it corresponds to their actual needs. The results of the research could be an inspiration in the field of education of medical staff.
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Special aspects of nursing care of clients in the Nursing home for disabled people in Zběšičky
LHOTECKÁ, Markéta
In the Nursing home for disabled people in Zběšičky nursing care for persons with combined disabilities who need specific nursing care is provided. Nursing activities are focused on meeting the clients´ needs. The mission of the Nursing home is to create another home for the disabled and make the disabled clients´ lives similar to those of healthy people. The main effort of the nursing staff in the Nursing home is to make clients self-sufficient in daily routine - with respect to their individual abilities. The aim of the research is to determine the level of nursing care in the Nursing home and to analyse the care provided to the clients. Using the results of the research we can point out the possible inadequacies in nursing care so that the quality of nursing could be improved. The research was conducted by the quantitative method. The techniques used in the research were observation, interview and analysis of documents. During the observation the main attention was focused on meeting the clients´ needs. Relevant medical records were analysed. The research database 1 was composed of four Nursing home clients with combined disabilities, who were chosen randomly. Semi-standardized interviews were conducted with all the nurses of the Nursing home (seven nurses) who formed the research database 2. The results of the research and the medical records analysis show that clients´ needs are met to the extent limited by the clients´ condition. If the needs are met only partially it is caused by the client´s serious disability the nurses try to compensate. During the observation special aspects of nursing care were determined: these are especially meeting the clients´ needs concerning activity and rest. Nurses take part in physiotherapeutic and activating exercises. Another special aspect of nursing is basal stimulation which significantly improves meeting needs in communication, perception and cognition. In meeting the needs concerning hygiene, excretion and nutrition the care is similar to that in immobile clients in other health care facilities. Nursing staff members were interviewed to find the level of adherence to the health and social standards set for nursing homes for disabled clients. The care provided in the Nursing home is community care and the standards correspond to the principles of thit type of care. These principles are: complexity, respecting human rights, health recovery in society, continuous education and standardization of the process. On the basis of the research a following hypothesis was stated: the nursing care provided to clients with combined disabilities corresponds to health and social standards applied in the Nursing home for disabled people in Zběšičky. Some inadequacies were found in abiding by the principle of complexity. There is a lack of medical diagnostics in the nursing process. The objectives of the thesis were accomplished. The results obtained by the research will be provided to the Nursing home for disabled people in Zběšičky and can be used to improve the nursing care. It is advisable to organize a seminar on the nursing process for the nursing staff in the Nursing home.
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The offer of health and social services for seniors in relation to their needs
HADAČOVÁ, Jana
Abstract The society has become increasingly interested in the issue of seniors at present. Considering the increasing age of seniors, a situation when they are not able to take care of themselves and need help of another person may occur. The assistance secured by health and social services may be provided to seniors in their homes or in housing facilities. Human needs are changing and developing with age and form an integral part of the personality of an individual. The theoretical part of the thesis addressed the terms of aging, old age, needs and health and social services. The data were collected using the qualitative research strategy, the method of questioning and the technique of interviews, involved observation and technical literature analysing. While interviewing the respondents, their anonymity was respected. The objective of the thesis was to ascertain whether needs of seniors are satisfied in relation with the offered health and social services. In the research, the main research question was set out. In order to answer the question, five research sub-questions associated with the interview structure were used. The research was conducted in retirement home Hvízdal České Budějovice, p.o. (organization co-funded by the state budget). The main research question led to confirmation of the thesis objective. The obtained information may be used for improvement of quality of the services provided in the facility where the research was conducted.
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The use of the nursing model by V. Henderson in care of a child client
ZEUNEROVÁ, Jana
Contemporary nursing care of children is based on the holistic approach aimed at the satisfaction of needs. Nurses in the majority of health facilities use documentation developed by M. Gordon. The nursing model by Virginia Henderson, however, is actually much better suited to the identification and subsequent satisfaction of children's needs. This model belongs to the category of models of needs and of humanistic models. A child's needs are divided into 14 basic domains in this model. The present bachelor's thesis describes a study of the use of nursing documentation based on Henderson's nursing model at the Department of Babies, University Hospital in Plzeň. In Part 1, the quasi-experimental method {--} observation method was applied to data processing. The research group included in-patient children at the Department of Babies. Part 2 of the research was quantitative, based on answers to questions asked by means of a questionnaire. Here the research group included nurses working at the Department of Babies, University Hospital in Plzeň.
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The satisfaction of child´s needs in the establishment: nursery
KLABOUCHOVÁ, Lea
The bachelor thesis is aimed at the determination of the level of satisfying biological and psychical needs of children in facilities of the nursery-like type. Nurseries belong to special health-care facilities ensuring the all-round development of children in accordance with the provisions of Act 20/1996 of the Law Code, section 38. In the 1990s these facilities were mostly liquidated, now the attendance is about 1% of the children up to 1 year of age. However, nowadays the concept of nursery-like care seems to gain in importance. The objective of the thesis was to find if the nursery-like health care facilities can satisfy the child´s biological and psychical needs. The thesis elaboration was based on qualitative research, on the analysis of documents, methods of observation and interviews with the nurses in the facility as well as the parents of the observed children. The survey took place in Emil Pitter Nursery in České Budějovice. The facility belongs to the allowance organization network Nurseries and Shelters, České Budějovice. The sample consisted of eight children who regularly attended the facility. The case reports involved in the thesis comprise the information obtained at the stage of survey.
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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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Need for self-actualization in patients during hospitalization
VACHTOVÁ, Ivana
Human personality is a dynamic and organized set of characteristics which are in a special relation. Personatity is thought to be determined largely by either genetics and heredity, or by environment and experience, or both. The personal needs are dependent on sex, age, education and differ in different generations. The personality is developed through interaction of life situation, life conditions and the place. Self-fulfillment means to fulfill one´s potencial. It refers to ability to realize one´s own needs and plans. According to Maslow the need of self-actualization belongs to growth needs. Self-realization evokes feelings of happiness and joy. It surpasses everyday routine, it is a spiritual need. The first objective of my thesis was to examine the need of self-realization in hospitalized patients. The second objective was to compare the needs of patients hospitalized in intensive care units to those of patients admitted to planned medical interventions and to those of patients in long-term care facilities. The third objective was to find out nurses´ attitude to hospitalized patients with needs of self-realization. To find relevant data patients hospitalized in intensive care units, patients in long-term care facilities and patients with planned medical interventions were addressed. Nurses taking care of those patients were also asked to take part in the research . Data were collected by the questionnaire method. The hypothesis I suggests that patients treated in intensive care units prefer the treatment which leads to feelings of security and alleviates pain. This hypothesis was confirmed. The hypothesis II suggests that patients admitted to planned medical intervention have more intensive needs of self-realization than patients treated in intensive care units. This hypothesis was not confirmed {--} patients expecting interventions feel the same need of security and pain management as patients hospitalized in intensive care units. The hypotesis III that patients admitted to planned interventions have more intensive needs of self-realization than patients staying in long-term care facilities was not confirmed. According to the data collected, patients in long-term care facilities need pain management and feelings of security, but they also need to be respected as personalities. They prefer to have the strength to fight the disease to the need of having the bed properly made. The hypothesis IV that nurses do not show enough interest in hospitalized patients´needs of self-realization was not confirmed. Nurses are informed enough about patients´ needs. They usually try hard to find the time to talk to patients. The results should make nurses be more aware of the need of lifelong learning despite their enormous workload and care for their own mental and physical health by following principles of mental hygiene. Key words: needs self- fulfillment patient environment relations communication
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