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Health educational background in the nutritional therapy of women after Gastric Plication in the age of 25 - 40 years
JIRKALOVÁ, Veronika
This Dissertation aims to document the influence of a nutrition therapist on the diet of female subjects in their reproductive age after gastric plication. The theoretical part clarifies the term "morbid obesity", it provides explanations for the main diagnostic criteria for this type of obesity, its risks, and last but not least it provides also a list of basic types of medical examinations of obese subjects. Another section of the theoretical part deals with weight-loss (bariatric) surgery where this term is described not only at a general level, but also specifically with the principle of gastric plication, indications as well as contraindications to this intervention. At the same time the Dissertation presents a Prague-based bariatric centre - OB klinika a.s., which is the only entity in the Czech Republic that deals with these activities. The last section in the theoretical part is focused on nutrition therapy and explains energy demands of human organism, describes healthy nutrition and clarifies essential features of obesity treatment, and it deals with the most important aspects as well - eating regime in the case of subjects after gastric plication. The practical part deals with 10 female subjects selected on a random basis, in the age category of 25 - 40 years of age, who underwent the gastric plication. Five of these subjects have been selected for the project entitled "New Chance" and they are monitored at a detailed level and follow the prescribed regime after gastric plication. The remaining five subjects undergo a standard post-operative regime. The five selected subject use menus prepared by a nutrition therapist and they are invited, in regular intervals, to visits with consultations regarding eating habits, drinking regime as well as any possible issues which may occur in the course of their treatment. With the help of tables and charts this part documents developments of weight reduction and at the same time it provides comparisons of changes before and after operation, especially in the areas important for a nutrition therapist.
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Nurse´s Contribution to Trophotherapy of Preterm Newborns in Intensive Care.
KRČMOVÁ, Pavla
The thesis is focused on nutrition of a preterm infant at an intensive care unit from the point of view of nursing activities. A nurse is faced to problems resulting from prematurity state like insufficient sucking, poor coordination of sucking and swallowing, she enters into interaction with parents who are afraid of the life and subsequently of the future of their beloved child. Natural nutrition, preferably with breast milk is irreplaceable in spite of the high development of initial formulas. This is why the mother of the child, who is vital for the newborn?s nutrition, has to be invited into the team. A hundred per cent enteral nutrition is not always possible, parenteral method has to be applied as well. Provision, evaluation and optimization of infant?s nutrition are results of activities of the whole team, i.e. of a nurse as well. The theoretical part of the thesis contains the findings of trophotherapy of a preterm newborn. It deals with parenteral as well as enteral alimentation, its composition and administration techniques. The empiric part lists and evaluates the research results that led to replies to research questions related to nurse?s contribution to trophotherapy of a preterm newborn, to the influence of permanent nasogastric tube on breathing and mucus congestion of the nose as well as to the awareness of nutrition problems among mothers of preterm infants. Measures resulting from the research results and recommendation for further examination are proposed at the end of the thesis. A brochure Preterm Baby Nutrition designed for distribution among mothers at neonatology and perinatology departments and Recommendations for Gastric Tube Introduction belong to the outputs. We should mention that the latter is based on procedures already presented. It was extended by recommendation of the place of introduction with regard to further intention of enteral nutrition administration.
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