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Retinal nerve fiber layer measurement in patients with Alzheimer's disease
Kasl, Zdeněk ; Jirásková, Naďa (advisor) ; Pašta, Jiří (referee) ; Skorkovská, Šárka (referee)
Retinal nerve fiber layer measurement in patients with Alzheimer's disease The current ophthalmologist's possibilities in diagnostics of Alzheimer's disease Alzheimer disease (AD) is the most common cause of dementia syndrome and mild cognitive impairment. To enroll the disease most securely there are used so called biomarkers using evidence of changed brain metabolism by pozitron emission tomography (PET) and in cerebrospinal fluid or the brain's structure magnetic resonance imaging (MRI). These methods are expensive, organisationally and temporally challenging and burdening for the patients. According to that reasons we are still seeking for alternative attitudes suitable for early diagnosis. The evaluation of thickness of retinal nerve fiber layer (RNFL) which is well accessible to examination through optical aparatus of the eye could be one of the options. The aim of our work was to present current knowledges about Alzheimer's disease targeting relations of Alzheimer's disease and an ophthalmological finding. In the next part of this paper we introduce the retinal nerve fiber layer measurement by optical coherence tomography (OCT) as a potential diagnostics method by screening of patients with Alzheimer's disease and to present our results measured in our cohort of patients. The studied cohort...
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The burnout syndrome of social workers in institutions for elderly
Šebková, Štěpánka ; Nováková, Ivana (advisor) ; Cintlová, Jitka (referee)
1 Annotation This thesis is focused on the issues of burnout syndrome and supervision as a form of prevention. The topic is focused on staff dedicated to the seniors with dementia in day-care centers. The thesis is divided into two parts. The theoretical part is devoted to the definition of basic terms related to burnout syndrome, dementia, daily care center and supervision. Results in the practical part come from the research methods used, specifically self-prepared questionnaire and questionnaire prepared by Ch. Maslachová and Ayala Pines "Tedium Measure". Furthermore I expanded the thesis with interview with selected expert. Using open questions the area of supervision and burnout syndrome is being discussed. The primary target of this thesis is to contribute to the prevention of burnout syndrome and also to map, whether supervision is being used in day-care facilities and whether it helps preventing the burnout syndrome.
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Caregiver Burden in Alzheimer'sDisease and ItsContext
Jarolímová, Eva ; Šulová, Lenka (advisor) ; Dragomirecká, Eva (referee) ; Jeřábek, Hynek (referee)
Due to its limiting effects on the independency of life, the Alzheimer's disease has a radical impact on a diseased person. Their dependency on others influences all their family members, though especially those ones, who are taking immediate part in the caregiving for their relatives. The new changes in the family caregivers' lifestyle have an extensive influence on their health and the care about the diseased itself. In this empirical study we intended to examine the presence and the intensity of a burden, an anxiety and a depression among the family caregivers, who are being provided with psychosocial and other professional help. It's a transverse survey among the 102 family caregivers caring for their relatives with diagnosed Alzheimer's disease or some other form of dementia. The caregivers were tested for the level of subjective burden by Zarit Burden Inventory (ZBI) and for the anxiety and the depression by Beck Depression Inventory (BDI II), Geriatric Depression Scale (GDS) and Beck Anxiety Inventory (BAI), the results were processed with the statistical analysis and Pearson correlation coefficient. In the study sample there were 83 % of women and 62 % of the caregivers were older than 50 years. According to our findings 86 % of people caring for less than 2 years and 89 % of people caring...
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Usage of LOTCA-G battery in occupational therapy by the seniors
Sýkorová, Magda ; Čábelková, Veronika (advisor) ; Svěcená, Kateřina (referee)
Usage of LOTCA-G battery in occupational therapy by the seniors This bachelor thesis is focusing on assesment by the seniors using LOTCA-G battery (Loewenstein Occupational Therapy Cognitive Assessment for Geriatric Population). The aim of theoretical part is to obtain basic information about human aging and about efects of aging on the human body, focusing on cognitive functions. It also deals with cognition function disorders and basic methods, commonly used to assess cognitive functions in the Czech republic. The theoretical part describes the LOTCA battery and its variants; compares basic LOTCA battery with its geriatric LOTCA-G variant. The practical part contains three case studies of Sue Ryder Home clients including an assessment of clients cognitive functions using LOTCA-G batery, design and implementation of therapy and comparison of input test and retest.
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Human rights for persons with cognitive impairment in the social services
Čápová, Helena ; Dobiášová, Karolína (advisor) ; Tušková, Eva (referee)
In modern European society, there is not the slightest doubt that all people, regardless of gender, age, race, and health status have the same rights as guaranteed, which are called human rights. According to the existing laws and agreements (referred to in the work) and according to the generally accepted rules, the human rights are inalienable, with the exception of serious and precisely specified reasons. This work deals with the problem of how to balance this elementary right with the fact that for people with cognitive impairment it is sometimes necessary to carefully consider some form of restriction of their rights. The aim of this work is to find a definition of the human rights for the elderly with cognitive impairment. Secondary objectives are to describe the social services standards in relation to human rights and the subjects who are involved in supervising the observance of the rights, and the current status. The selected issues were viewed through the implementation theory, the concept of street-level bureaucracy, and the quality of life. The thesis is based on analysis of available secondary data and expert interviews. The acquired data show that although in the Czech Republic there are a number of institutions dealing with human rights, only a few of them are concerned with the rights of...
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Impact of a cognitive function therapy on people with dementia
Nová, Jarmila ; Krivošíková, Mária (advisor) ; Piťhová, Zuzana (referee)
This thesis occupies with a cognitive training efficiency with a focus on memory and attention of dementia diagnosed people, especially people with vascular dementia, mixed dementia or Alzheimer's disease. The theoretical part deals with dementia issues and current knowledge on the field of a cognitive and occupational therapy. The main empirical part goal is a determination of the cognitive training by dementia diagnosed people. The next goal is to find out, how much clients are satisfied with the cognitive function therapy. The cognitive function training is made within a period of 8 weeks in social institutions in Jirkov and Chomutov. The research sample is consisted of 24 clients (at the age of 65 and more) with diagnosed Alzheimer's disease, vascular or mixed dementia, they were divided into an experimental and comparative group. Clients are evaluated before the intervention and after the intervention using Mini-Mental Examination test (MMSE), Trail Making test, part A (TMT:A and Swwartz scale of the therapy evaluation (SOS-10). Statistically significant results of set significance rate (p < 0,05) were found by the test MMSE (0,01 < 0,05) and scale SOS-10 (0,02 < 0,05), but the test TMT:A (0,09 > 0,05) hasn't confirmed therapy efficiency from the reason of the small research sample. Those...
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The selected methods of social work with clients self - non sufficient in health care facilities
Kiliánová, Hana ; Krahulcová, Beáta (advisor) ; Ondrušová, Jiřina (referee)
The main goal of the thesis entitled "The selected methods of social work with clients self-non sufficient in health care facilities" was to describe and to analyze methods used in activation of the elderly suffering from dementia. It draws a comparison of different settings and explores workers's attitude to the methods of activation. The text of the thesis was mapped out into five chapters. The first chapter was set into the context of old age and ageing. The second chapter is concerned with the issues of self-sufficiency and dependency of old age and other related issues. The topic of the third chapter is old age in relation with memory. It defines memory and memory disorders in the elderly suffering from dementia. The fourth chapter is crucial and gives an idea of non-pharmacological and other possible activities which are eligible for application in practice and are intended to reduce cognitive disorders of cognitive functions and behavior disorders. The theoretical part enters into research carried out in four facilities which care for clients with dementia. The research section is represented by a qualitative research where methods of a half structured interview and observation were opted for. The interviews were realized with eight practicing experts. The outcomes gathered from the...
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