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Rehabilitation Treatment of Patient with Stroke
BŘEZOVSKÁ, Lucie
This bachelor thesis is on the topic of rehabilitative nursing of stroke patients. It is analysing how the issue is dealt with in the rehabilitation department and Department of Neurology. The bachelor thesis is divided into two separate chapters, theoretical and practical. The theoretical part focuses on the causes, symptoms, diagnosis and Treatment of patients after a stroke and the current state of rehabilitative care. One of the parts of rehabilitative care is the collaboration of the nurse and the multidisciplinary team. Furthermore, the thesis describes the possible complications that may occur from the stroke. These complications include mainly pressure sores and immobilization syndrome. Rehabilitative treatment of patients with strokes include positioning, communication, passive movements, active movements, verticalization, breathing exercises. Other methods used in rehabilition nursing, application of heat and cold and basal stimulation. The thesis also includes chapters dealing with nursing management, medical documentation and evaluating the scale of a patient after a stroke. For the practical part there was a set goal, determine the working conditions for nurses who provide the patients rehabilitative treatment after a stroke. There were four main hypotheses defined, which were the subject of an anonymus questionnaire: Hypothesis - H1: There are only positioning aids available for nurses to provide rehabilitative treatment. Hypothesis - H2: Nurses are documenting the rehabilitative treatment regularly used in the nursing process. Hypothesis - H3: Nurses state that the problem of providing rehabilitative care is the lack of time. Hypothesis-H4: Results of rehabilitative nursing care are monitored by the nursing management. As additional research investigation case reports have been formulated with the Barthel index in four patients. Results of the research shows that nurses are using not only positioning aids, but other available tools as well. Rehabilitative care nurses regularly document treatments, especially in nursing documentation. Nurses stated that there is lack of time for providing rehabilitative nursing and nurses state that the treatment is monitored by nursing management.
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Observation of non invasive and invasive screening cerebral vessels from the radiologic assistants view.
NOVOTNÁ, Dana
The subject my thesis was ? Observation of non invasive and invasive screening cerebral vessels from the radiologic assistants view". In the theoretical parts I explore the disorder of blood - vessel in cerebral occurrence (CMP) and its diagnosis. It is about the acute illness caused by closure of some of the cerebral arteries and resulting in vapidity brain (ischemic) or bleeding to the brain (haemorrhage). It ranks among the most frequent causes death in developed countries. The practical part includes research of usage non invasive and invasive depict methods in brain and cerebral vessels diagnostics. I processed quantitatively the statistical data which I gained from the Radio-diagnostic Ward in hospital in Ceske Budejovice. The result of this emerges from superiority of non-invasive screening above invasive one. In the non- invasive depict methods in diagnosis of CMP most often uses computation tomography (68 %), which for a certainty will distinguish ischemic from haemorrhage. Magnetic resonance (7 %) is more sensitive method at ischemic diagnostics. Another method is the ultra-sonography (13 %), in which we can assess the level of stenos/occlusion screened vessel. As the only vice invasive methods is catetrizac angiography (12 %), which is considered as the golden standard in displaying the blood - vessel bed. Its advantage is the possibility to join endovascular intervention. The next aim was to compare the role of radiologic assistant during single screening. It was necessary to find common point in practical activities of the radiologic assistant at both types o screening and to show the differences in specific substance and the work demands.
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Promoting of self-sufficiency by hemiplegic patients after a brain stroke
JIRKŮ, Lenka
Nowadays, cerebral apoplexy is no longer a disease that only attacks elderly people, but increasingly, persons at a productive age. The consequences of this didease are diverse and vary according to the affected person, both in extent and severity. This is why this disease fundamentally changes the way of life of both the diseased and their families.The teoretical part of my bachelor thesis is focussed on the disease itself. The reader of this thesis will learn more about the nature and the substance of this disease. This thesis describes the types of cerebral apoplexy, the risk factors, the diagnosis and the methods of treatment. If further describes the princilpes of methods for nursing people suffering cerebral apoplexy,emphasising their self-suffuciency, rehabilitation a rehabilitation targets.The socond part of my bachelor thesis was research work. The applied method was based on a survey in which two types of questionnaries were deployed, one for respondents working in inpatient wards in medical facilities and one for respomdents working as home carers. This part focussed on acquiring information and discovering differences in providing support to hemiplegic patients after cerebral apoplexy to help them to becouse self-suffucient in personal hygiene and to collaborate wiht a physiotherapist, both in an inpatient ward and during home care. The result should contribute to better nursing care provided to patients after cerebral apoplexy.
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Cerebrovascular Accident and Subsequent Resocialization
DVOŘÁKOVÁ, Tereza
This thesis is focused on resocialisation of persons after cerebrovascular accident - stroke. In this research I have focused concretely on interviews with people who had experienced a stroke. The thesis is divided into a theoretical part and a practical part. The theoretical part deals with anatomical-physiological basis of stroke, risk factors, disease characteristics, symptoms, causes, first aid, the description of different types of stroke and comprehensive rehabilitation, specifically with medical, social, pedagogical and working means of rehabilitaion. In the practical part methods and techniques of qualitative research were used. The questioning method and the semi-structured interview technique were applied. The target group was 10 people who had experienced a stroke. Interviews were processed into case studies - case reports. In the case studies, information from people who had undergone the disease was summarized. The aim of my thesis was to determine and compare the opportunities for selected social groups to return to normal life after a stroke. In the discussion, the obtained information was summarized and hypotheses arising from the research were presented. The supposed use of my thesis could be mapping possibilities of resocialization for persons who have suffered a stroke. The thesis could contribute to the quality improvement of education in this subject and also to help educate the public. Other possibilities how to make use of this thesis are to create a procedure that could be applied in resocialization of persons after stroke.
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