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Sensation and pain tolerance in the range of cultural vision
ČUTOVÁ, Jana
For the Diploma work we chose the theme: ``Algesia and pain tolerance across cultures``. We chose it because due to globalisation and migration of inhabitants cultures from the whole world reside in the Czech Republic. We decided for three the most numerous cultural groups in the Czech Republic, which are Czechs, Romanies and Vietnamese. These cultures, despite living in one territory, have a different history, different customs and traditions and approach differently to health and disease. They perceive pain differently, it has a different importance for them and they use different ways of calming the pain. To get to know these cultures closer in the area of pain and to describe differences between Czechs, Romanies and Vietnamese is the essential for a good quality professional and especially multicultural care. For better lucidity and coherence we divided the theoretical part into four sections. The first one is devoted to basic information about pain, its history, factors that affect algesia and its treatment. Other sections are focused gradually on each culture separately. We mention brief history of the relevant culture, pain treatment in the past and especially pain symptoms in the relevant culture, algesia and tolerance of pain. For the empirical section there were defined three targets and five hypotheses. We should find out and compare the differences in calming pain in Romany, Vietnamese and Czech culture in domestic and hospital environment. We should further find out whether the designated cultures consider pain a part of their lives and the last target was to find out the effect of pain on normal activity leading to initiation of activities for pain calming. The targets were established based on the assumption that members of nation minorities in the Czech Republic, in this work specially Romanies and Vietnamese, prefer non-pharmacological ways of calming pain to the pharmacological ones and that Czechs do not consider pain a part of their life unlike members of the nation minorities in the Czech Republic. Other assumption was that a church person bears pain better than an atheist. And last two assumptions were that Romanies have lower pain tolerance than Czechs and that Vietnamese higher. The research was carried out at a selected sample of representatives of all three cultures in form of questionnaires. On the basis of results it is possible to say that the work targets were met. The first two hypotheses were not proved and the last three were.
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Epidural anesthesia during labour nowadays
LAŠTOVKOVÁ, Aneta
Current Obstetric Epidural Analgesia Labour pain belongs to every physiological childbirth. Enormous pain, however, was proved to affect a woman in labour and a child negatively so satisfactory pain relief should be provided. Current obstetric analgesia aims at/seeks for/strives after observing a physiological childbirth process. Epidural analgesia is the safest and most effective method of labour pain relief available today. Epidural analgesia is used in case of pain in labour and delivery, on request of the woman in labour and in prolonged delivery. Epidural analgesia could be also provided in preeclampsy, breech delivery, multiple pregnancy, premature delivery and cardiotocographic abnormalities. Although epidural analgesia is very popular and safe, no complication should be omitted. Good hospital care provided by obstetricians, anesthesiologists and nurse midwives could prevent most complications. Obviously, professional care in labour with epidural analgesia can only be provided by well-educated and experienced obstetric staff. The theoretical part of the thesis deals with information concerning delivery pain and pain relief methods. Together with epidural method, its indication, contraindication and complications, also spinal anatomy is mentioned in this part. All professional and communicative steps of midwife care about the woman in labour with epidural analgesia are described here. To fulfil the aim of the thesis, qualitative and quantitative research strategies were used. The women in labour with and without epidural analgesia were observed for collecting data in qualitative method. The same clients were consequently asked about their information and attitudes to epidural analgesia. Altogether eight casualties were formed. To collect data for quantitative method, the questionnaire of thirteen questions was prepared and send out to maternity hospitals. Eighty-six questionnaires were sent out and twenty- eight (25, 7 %) were sent back. The main aim of the thesis was to find out how available the epidural analgesia in labour is in our maternity hospitals. The next aim was to monitor the women in labour with and without epidural analgesia. The aims were accomplished through the research questions: How available is epidural analgesia used in labour in Czech maternity hospitals? What diffferences are there in labour with and without epidural analgesia? This work can be applied as a source of information for midwife students and nurses.
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GET INFORMATION ORDINARY PUBLIC ABOUT POSSIBILITIES OF TREATMENT OF THROE
LOPOUROVÁ, Klára
BC thesis ``Get information ordinary public about possibilities of treatment of throe`` is divided in two parts. Theoretical part contains the analysis of the problem throe on the basis of literature. This part concern throe, its pathophysiology, kinds, psychological and social sphere, throe evaluation, Christian view of throe perception, treatment of throe from analgetic therapy to alternative therapy. Practical part evaluated the familiarity with ordinary public about possibilities of treatment of throe and what sort of treatment of throe they use.
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Monitoring of the pain of the patient after the operation from nurse´s view
ŠIMÁČKOVÁ, Alexandra
The bachelor paper aims at monitoring pain during the post surgery period and it is concentrated on the attitude of nurse to it. When a nurse is capable of finding out pain, its quality and intensity in the shortest time possible, he/she promotes the comfort of a patient, improves his/her psychical state and can thus help significantly to successful healing of the surgery wound and total improvement of the health condition of the patient. A nurse{\crq}s active attitude to pain monitoring is in her/his own interest. She/he should be able to offer alternative ways of calming pain and to opt for an individual attitude to every patient. The theoretic part describes the origin of pain, its kinds, the nursing attitude towards it and different modes of monitoring of pain.Within the practical part we have set up two goals: to find out whether nurses monitor pain by patients after surgery and whether they use in practice the evaluating scale of pain. On this basis we have set up three hypotheses. H1: nurses at post surgery units monitor pain in patients having been operated on; H2: Nurses have no knowledge on scales evaluating pain; H3: Pain in patients hospitalized at post surgery units is not evaluated according to the evaluating scale. A quantitative method of research was chosen in the form of questioning and data collection using anonymous questionnaires.
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Nursing process in seniors suffering from pain
HÁKOVÁ, Eva
Abstract Ageing is an irreversible and nonrecurring biological process. Old age is the final stage of life. It is characterized by involutional and mental changes. Ageing has a significent impact on the social status of a person. The typical attribute of old age is polymorbidity. The aged often suffer from chronic ailment that go together with pains. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Nociception is the physiological event that is accompanied by pain. Nonpharmaceutical therapies affect human mind and thus help to ease pain. These techniques enhance the quality of life and make life more comfortable. The aim of my thesis was to make a survey of nonpharmaceutical inhibition of perception of pain at the nursing process in seniors staying at retirement homes or nursing homes. Using a method of questionnaires as a quantitative research, I focused on the question of using alternative, nonpharmaceutical method of pain management after the previous assessment of a patient´s condition. To different medical care facilities, 120 questionnaires were handed out. The 85 questionnaires that were filled in correctly were used for evaluation . The respondents were selected at random {--} 41 nurses from homes for seniors and 44 nurses working in long-term care facilities. From the Hvizdal retirement home I received only 13 questionnares I could assess and from the Maj retirement home only 16 nurses handed in the questionnaires filled in correctly. I was given 12 correctly filled questionnaires from the retirement home in Jicin and 28 from the Gerontcentre in Hostinne. The total number of 85 correctly filled questionnaires is completed by those 16 from nurses working in the long-term care facility in Lomnice nad Popelkou. The objective of my thesis has been achieved. The hypothesis H I {--} nurses working with seniors in medical care facilites use nonpharmaceutical therapies after the previous assessment of a patient´s condition {--} was confirmed. The hypothesis H II {--} nurses use nonphamaceutical therapies without the previous assessment of a patient´s condition {--}was not confirmed.
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The feeling of pain in patients after the surgical procedure
VAŇKOVÁ, Blanka
The Bachelor Thesis with the topic ``Algesthesia of patients after surgery{\crqq} deals with the patient pain and differences in its perception in the postoperative period. To achieve the set out goals, a research in form of questionnaire was carried out. The research set was formed from the patients hospitalized at Surgical Departments of the Hospitals in České Budějovice and Strakonice. The gals of the thesis were fulfilled, because we found out the real situation of the pertinent matter thanks to the research. The Hypothesis 1 was not confirmed, because the majority of the medical personnel checks-up the effects after analgesia. The Hypotheses 2 has been confirmed; the women percept the pain after a surgery stronger than men. The Hypothesis 3 has been confirmed, because the patients after the conduction anaesthesias percept pain less than those after a total anaesthesia. This Bachelor Thesis should make the nurses think about whether they offer enough to calm down the pain, check the effect after serving the analgesia, treat the patient with respect to the type of surgery and individual perception of pain.
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Tutorial in branch of internal medicine with a view to locomotive organs for education of radiological assistant
ZACHARDOVÁ, Martina
This work studies the availability of materials concerning the anatomy and disorders of the locomotive organs from the field of internal medicine. The result of studying these materials is an educational program, which is attached to this work on a CD. This program is to serve as an aid for teaching students attending the medical-social faculty and together with the Rheumatology Program offers the only education program focusing on disorders of the locomotive organs from the field of internal medicine; I found the Rheumatology Program on the Internet.
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Training of the back at vertebrogenous patients
ZEISKOVÁ, Kateřina
The world statistics state that 80% of the population encounter pains in the back. These problems were accelerated by modern times, that thanks, to the technical comfort, brought to many people health troubles resulting from the lack of exercise. I chose the subject {\clqq} Training of the back`` because I work as physiotherapist and the people feeling pains in the back belong to my profession every day. I occupy myself with the given problems. Considering the present state of the given problems, I concentrated on the most important connection concerning the training of the back. First, I described the backbone as a part of the locomotory system. Another guideline that was interconnection of muscular groups of the back, chest, abdomen and of the pelvis, that build the muscular corset. I described locomotory stereotypes and disorders there of in particular relations. Integral part of the present state that is the origin of the pain, its cause, diagnosis and therapy. In the theoretical part I dealt with general principles as to the training of the back and with the importance of this training for the therapy of vertebrogenous patients. The aim of the work and of the research was to discover whether a change in locomotory stereotypes before and after therapy took place at patients with pains in lumbosacral part of the backbone and to propose for three different professions the therapy inclusive of necessary regiment measures. The hypothesis was proclaimed that the therapy including also the training of the back will bring about the change locomotory habits of the patients. Secondary analysis of data from health documentation in combination with directly watching the patents were used as technology of the research. The last form of the research is the questionnaire interviewing of the patients suffering from pains in the lumbosacral part of the backbone. It concerns an integral research with prevailing technologies of quantitative research. The basic check group, that are clients of the physiotherapeutical clinic, who suffer from back pains in the lumbosacral part of the backbone. 100 patients altogether underwent the therapy. They were given the same number of questionnaires. All of them were returned. Theoretical questionnaire investigation was under way from October 2007 to March 2008. I used diagrams in processing the collected data and show the results in percentages. I chose three different professions in the course of therapy, and that secretary, forester and student doing sport and I proposed for them the therapy of back pain, that included also the training of their backs and regimen measures as pain prevention. The proclaimed hypothesis was confirmed in connection with the aim of the work. The research work, I carried out, present analysis of particular locomotory stereotypes. The results showed that locomotory habits had been improved after the therapy in direction to psychology. If the patients observe the stereotypes, they learnt and continue the physiotherapy, I chose, and the part of which is also the training of the back, helped not only the patients themselves, but that it brought benefit for the whole physiotherapeutical clinic. The work will be exploited for organization of seminars on the given place of work.
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The experience of children with diagnosis and control of pain during hospitalization on children's wards
ZELLEROVÁ, Kateřina
The diploma thesis entitled "Experience of children in assessment and treatment of pain in hospitalization at children's departments" deals with the topic of children's pain and its treatment. The issue is the main topic of the theoretical and practical part of the thesis and both of them focus on children at their pre-school and school age. The theoretical part of the thesis describes the current state of the issue, the psychology of a child at the pre-school and school age and also pain as such and its specifics in children. It is obvious that pain of a child is different not only in diagnostics and treatment. A child reacts differently also in experiencing pain, and also fables are often among people regarding pain that persist even these days. It is important to realize that a child is not a smaller adult, and that is why care for a child must be different. At the same time a child has to be taken as an integral human being who experiences pain and it always has to be assessed objectively according to scales and other objective methods selected according to the child's age. In this area, a big problem can be fables about children's pain that persist even in the current population. The research part of the thesis is aimed at interviews with children hospitalized at children's departments regarding their pain and also interviews with nurses. It compares information obtained from both groups of respondents and it looks for answers to questions of experiencing pain by a child, assessment by a nurse and treatment. It is apparent from the results of the research that children perceived differences in assessment and treatment of pain at home and in hospital, particularly in the change of the person that have to approach, and also in using non-pharmacological methods that are used more by mothers at home. This regards frequency and the way of pain assessment; children are not aware of regularity of assessment, they do not know the scales that the nurses mentioned as those that are used most often. Treatment of pain in hospitals is mostly pharmacological. But children do not always get the information about effect of a drug when it is administered to them. At the same time this part of the thesis looks for the possibilities and the need to create a standard for assessment and treatment of pain in children as well as the most important parts that the standards should contain. In this connection, a draft of the standard for nursing care of a child in pain was created within the thesis which makes up an appendix hereof.
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Intergenerational opinions on euthanasia
EXNEROVÁ, Jitka
I have chosen the topic of euthanasia for my bachelor´s thesis. I find the topic fairly problematic and it is frequently discussed in the media as well. On the other hand, there is palliative medicine which is rarely spoken about. In my thesis I wanted to highlight the possibilities of palliative care which seem to be neglected in our society and to underline possible risks of euthanasia. Moreover, I wanted to find out which factors influence the opinions on euthanasia in individual age groups. I was interested in the way people look upon euthanasia and palliative care. The thesis includes a theoretical and a practical part. The theoretical part deals with euthanasia, palliative care, pain, suffering, dying and death. In the practical part there are examples of abbreviated dialogues connected with this topic. In order to gain necessary information I have chosen the method of qualitative research and that of a narrative and semicontrolled dialogue. All the dialogues were recorded on a dictaphone with the consent o feach addressed person and then transferred into written form. They were abbreviated and preserved in colloquial language form for the sake of their authenticity. Some people wanted me to ask them questions. I have found out that palliative care still presents an unknown quantity for most people and the word hospice makes them feel scared, they have distorted ideas. On the contrary, they are pretty familiar with the word euthanasia, almost all of them have come across it and know what it is about. I have decided on four age categories. I have addressed at least one woman and one man from each category to be able to hear the opinion of both sexes. Respondents were chosen by chance. During the research I have found out that the intergenerational opinions on euthanasia are becoming less contradictious. I suppose that the goals of my thesis have been reached. Taking the information which has been found out into consideration it would be of great benefit if the media and the responsible organisations would provide our society with more information about the possibilities of palliative care.
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