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Application Basal Stimulation in Intensive Care Unit
Hornychová, Petra ; Hocková, Jana (advisor) ; Hošťálková, Monika (referee)
Precis This graduation theses discusses about application of the concept of Basal stimulation in the work of nurses in intensive care. A theoretical part explains the concept of basal stimulation, briefly outlining the history of this concept and describes the different elements. Elements' name are include somatic, vestibular, visual, olfactory, auditory, oral and tactile - haptic stimulation. The work also highlights the importace of biographical history of the client. Research part determines the level of knowledges about basal stimulation between nurses in the ICU (intensit care units) and its use in the ICU at University Hospital in Hradec Králové. Research method is a survey. The questionnaire established author. Keywords: basal stimulation, nest location, location mummy, biographical history, communication.
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Nursing care of the patien with intracranial haemorrhage using the concept of basal stimulation
Dvořáková, Helena ; Gutová, Lenka (advisor) ; Novotný, Pavel (referee)
Cílem bakalářské práce je přiblížit ošetřovatelskou péči o pacienta s kraniocerebrálním poraněním s využitím konceptu bazální stimulace. Téma jsem si vybrala na základě praktických zkušeností, neboť pracuji jako edukační sestra pro koncept bazální stimulace v Ústřední vojenské nemocnici. Podstata konceptu mě oslovuje svým individuálním přístupem k nemocnému a otevřeností. V dnešním ošetřovatelství, kdy jsme často nuceni pracovat s přístroji, se tak otevírá cesta k nemocnému, k respektu k němu samému. Koncept bazální stimulace mění přístup ošetřovatelského personálu k nemocnému, aktivně reaguje na potřeby nemocného s ohledem na jeho zdravotní stav a schopnosti. Bakalářská práce popisuje případovou studii nemocného, u kterého byla prováděna bazálně stimulující péče po dobu 21 dní. Hospitalizace je rozdělena do tří období. Nedílnou součástí péče byla integrace blízké osoby do ošetřovatelské péče. Klinická část je věnována podrobnějšímu popisu anatomie a fyziologie nervové soustavy, neboť s prvky vývojové psychologie, poznatky z fyzioterapie a psychologie tvoří teoretickou základnu pro koncept bazální stimulace. Ošetřovatelská část popisuje základy konceptu bazální stimulace jako nástroje podpory, péče a vedení těžce nemocných lidí. V závěrečné části je uvedena případová studie pacienta, jenž dokazuje, že...
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Concept of basal stimulation in seniors with utilization of psycho-biographical model of care of Erwin Böhm.
HUBÁČKOVÁ, Lenka
Basal stimulation is a pedagogical and nursing concept supporting development in people with short-term or long-term limitations of perception, communication and movement. Within the concept of basal stimulation, nursing care is structured so as to support preserved abilities of an elderly patient. The aim of basal stimulation is to understand the needs of an elderly patient, adapt to his/her communication style, give him/her space for orientation and development of his/her personality. The model assumes work with biography, which is the cornerstone of psychobiographical care model. The model is a great asset for nursing care, especially its positive effect on the actual elderly patient since the model sees him/her as a person with one's own biography.The aim of the study was to determine how Erwin Böhm's psychobiographical care model is used within the concept of basal stimulation. Another aim was to find out whether nurses actively work with Erwin Böhm's psychobiographical care model and how nurses can take medical history according to Erwin Böhm's psychobiographical care model. Furthermore, the following research questions were posed: How can nurses work with Erwin Böhm's psychobiographical care model? How do nurses take medical history from patients according to Erwin Böhm's psychobiographical care model? How is the concept of basal stimulation used in homes for the elderly?Qualitative research using the in-depth interview method was used in order to carry out the research part. All interviews were recorded on a tape recorder and then transcribed verbatim without linguistic adjustments. The research was conducted in homes for the elderly of Saint Zdislava and Saint Anne. Subsequently, transcribed interviews were processed by open coding technique, using the paper and pencil method. Individual categories and subcategories were created based on the generated codes. In total, 8 categories were indentified. Everything is shown in clear diagrams for each category.The research shows that the respondents have very good knowledge of and experience with the concept of basal stimulation. An interesting finding was that the respondents can apply the concept of basal stimulation in nursing care very well and can themselves choose appropriate techniques of basal stimulation. The results were not so surprising for Erwin Böhm's psychobiographical care model. The respondents have limited information about and experience with this model. The research also shows that the respondents take biographical anamnesis well and can work with it. All respondents agreed that the collection of biographical anamnesis is one of the most important aspects in biography.The research shows that the respondents have general knowledge of basal stimulation and biographical anamnesis. On the other hand, the respondents lack experience with Erwin Böhm's psychobiographical care model. Given the lack of literature about Erwin Böhm's psychobiographical care model, the output of this Bachelor's thesis will be a brochure on Erwin Böhm's psychobiographical care model. The brochure should provide nurses with sufficient information about.
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Application of the element of basal stimulation in the nursing practice
WEISSOVÁ, Eva
Abstract The use of elements of the basal stimulation in nursing praxis The actual state Nowadays this concept belong among very accredited and very used concepts in nursing praxis and pedagogy in the countries of Europe. This concept deals with all areas of human needs and is used especially in taking care of premature infants, children and adults with intellect and somatic disability, people with different acute and chronic diseases, patients after brain injuries and clients with dementia. The aim of the concept is to organize the conditions of health care users in order to support their development, autonomy, and provide them with a chance to live their life in a highest possible quality. Objectives of the work: In this bachelor thesis there were stated two goals. The first objective of my work was to find out how the nurses orientate in the area of the basal stimulation. The second one was to find out how the nurses use the basal stimulation in different departments. The methodology: To gain and to process all the data needed for the empirical part we used qualitative research and we executed the semi-structured interview with the surveyed respondents on chosen departments. The research group consisted of 16 respondents. All of it were nurses working on internal, traumatology, and rehabilitation inpatient department of South bohemian region and nurses working at a Hospice of St. Lazarus in Pilsen. Results: After executing the analysis of the received data two main categories appeared. In the first category: "Orientation of nurses in application in area of basal stimulation elements in nursing praxis" appeared 8 subcategories of results of interviews with nurses. It was found out that nurses on the chosen departments know the term "basal stimulation", some elements of BS, but only 3 of them completed the course of basal stimulation. Within the second category "the use of basal stimulation by nurses on the chosen departments" appeared 5 subcategories. First half of the surveyed nurses do not apply elements of BS and the second half do apply only some of them. It implies that if all the nurses would have finished the course of BS they could have used the BS and significantly improve the nursing care with the application of the most appropriate elements of BS. The conclusion: The research implies that the medical staff is inadequately informed about the concept of BS. The results confirm that the concept is applied mainly by nurses who have finished the course of BS. Other nurses apply only some parts of it which they know from observing the educated medical staff applying the BS in their nursing praxis or thanks to the information they have from school or other sources. There is therefore no chance of quality provision of BS elements and correct education and communication with family which is very important when providing BS. Subsequently, there was created a summary of "Ten of the basal stimulation commandments".
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Spiritual needs in the new concepts of care
VEJŠICKÁ, Milena
The work focuses on the spiritual needs of seniors and their saturation in modern concepts of senior care. The work is theoretically aimed to clarify how the spiritual needs of seniors are reflected in the modern concepts of care. The first chapter is devoted to the old age and aging, it describes the changes associated with aging, characterizes the term dementia and describes the societal view on aging. The second chapter deals with the characteristics of the basic human needs. In the third chapter the focus lies on the developmental tasks of aging and the seniors´ adaptation to age as a spiritual task. The fourth chapter describes the concept of spirituality and constitutes the fundamental spiritual needs of seniors. The fifth chapter focuses on selected modern concepts of senior care. These are the Sensory activation by Lore Wehner, psychobiografic care model by professor Böhm, the concept of basal stimulation and the validation method Naomi Feil. The final chapter assesses the significance of spiritual needs and their saturation within the mentioned concepts.
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Using the Basal stimulation concept in the care of children with combined disability.
KÜMMELOVÁ, Simona
Objective of this bachelor's thesis whose name is Using the Basal stimulation concept in the care of children with combined disability was to describe the integration of Basal stimulation concept in care of children with combined disability in the Centrum Bazalka, o. p. s in České Budějovice. Next, find the benefits of Basal stimulation concept from parents of children with combined disability and their view of this. Map out the contribution of the Basal stimulation concept from the point of view of workers from Centrum Bazalka, o.p.s Methods used: To obtain necessary information for this thesis it was selected the qualitative research method. The method of a semi-structured interview with nurses and parents was used to obtain valid data collection. Respondents: The first research group consisted of four nurses working in the Centrum Bazalka, o.p.s. in České Budějovice. The nurses were selected because they work in the Centrum Bazalka, o.p.s. in České Budějovice. The second research group consisted of parents of children with combined disability. The parents were selected because their chidren attend the Centrum Bazalka, o.p.s. in České Budějovice. Results: By the method of open coding 15 categories were established, categories 1-8 for nurses and 9-15 for parents. Nurses know the work with Basal stimulation? concept and they apply it in their practice very good. All of the nurses have a cours of Basal stimulation concept. The contribution of Basal stimulation concept is acording of nurses in stimulation of the perception of children and in the better nursing care. In the opinion of the parents of children with combined disability is Basal stimulation concept clearly positive for their children. None of the parents has the cours of Basal stimulation concept. Conclusion: In the opinion of workers of Centrum Bazalka, o.p.s. in České Budějovice is Basal stimulation concept very positive thing. The capital result of this thesis is from nurses opinion better nursing care thanks of the Basal stimulation concept. In the opinion of the parents of children with combined disability is Basal stimulation concept clearly positive for their children and they recommend the concept of Basal stimulation for other parents too.
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Basal stimulation in hospice care
HRŮZOVÁ, Soňa
Current state The main purpose of Basale stimulation in hospice care is to offer terminally ill patients security that they aren?t alone and that somebody will be with them until the very last moments of their lives. In lenitive care we use basic and additional elements of basale stimulation, which allows us to ensure all the needs of the clients are always taken care of. This also expands opportunities of the nurses to be helpful to patients and it motivates them to achieve better results in the hospice treatments and care. Research objectives 1. Find out whether Basale stimulation improves the life quality of patients in hospice care 2 Find out how clients react to the techniques of Basale stimulation Research questions 1. Does Basale stimulation improve the lives of patients in the hospice? 2. How do the techniques of Basale stimulation affect the client/patient in the hospice? Methodology To complete the reserach part of the project we used qualitative research, where the method of data collection was interviewing the nursing staff and observing the patients in House of pain relief with St Joseph?s hospice in Rajhrad u Brna. Observation took place during the individual applications of Basale stimulation to clients and during the cooperation with the nurse. Information about the clients were also collected through the analysis of nursing and medical documents. Some of the results were processed through categorization and mindmaps. Research group The research group consisted of five patients from the House of pain relief with St Joseph?s hospice in Rajhrad u Brna. Two of these clients came from the Department of increased monitoring, where I merely assisted the nurse and observed the reactions of patients undergoing Basale stimulation. While conducting reserach with those two patients I interviewed the assisting nurse. With three other clients with regular care I carried out Basale stimulation for three days and observed their reactions to it. The reserach took place in January 2013. Results It is obvious from the reserach that Basale stimulation is beneficial and it improves the life quality of the patients in hospice care. Thanks to Basale stimulation, the clients are calmer and it is easier for them to communicate with the nursing staff, which is very important for improving their mental health. It also helps to establish trust with the patients and it opens up new opportunities for communication and possible confiding about their troubles, pain and relief. For the basic usage of Basale stimulation in lenitive care not all elements are necessarily beneficial; however, those used in this reserach are very easy to incorporate into basic nursing care and all of them were met with positive reactions from the clients. Conclusion The empirical part of my research was conducted through observation of patients to whom I personally applied Basale stimulation ? therefore I could easily evaluate how the techniques affected them.This research was interesting and intriguing; and it definitely enriched me with new insights and experiences. I believe Basale stimulation is still a highly underrated concept in some medical fields. On the other hand, the practice is time consuming and it is understandable that some only just have enough nurses to cover the basic care of the patients, therefore it is not always possible to provide this technique to the patients. After consulting the head nurse of the hospice the results of this study can be provided and in case of interest even presented in the House of pain relief with St Joseph?s hospice in Rajhrad u Brna. I also offered all of this work to PhDr. Karolina Friedlova. I also contacted centres offering hospice care, who provided some additional information for the theoretical part of my project and I offered to them the presentation of my work and of the acquired results.
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Basal stimulation in pediatric intensive care units
SOUKUPOVÁ, Alena
This diploma thesis deals with basic stimulation, specifically in intensive care units. Basic stimulation is a holistic method that approaches the patient as a whole. It views patients as individual beings with specific needs that make them different from others. We use basic simulation to enable people with physical or mental disabilities an easier integration in life. When taking care of patients within the framework of basic stimulation, we take their habits, manners of communication as well as experience into consideration. We make use of everything that an individual perceives as pleasant and is used to. When using the elements of basic stimulation we stimulate the individual whom we thus enable to perceive his or her bodily boundaries and surroundings, we facilitate his or her communication with the surrounding world and his or her return to becoming aware of his or her own ?I? ? of who I am actually. The objective of our thesis was to find out whether nurses working at paediatric intensive care units apply methods of basic stimulation in their profession and what attitude they adopt to it. Further, we investigated whether the parents of hospitalised children have information about basic stimulation, and again, we were interested in the attitude parents adopt to this method. To achieve our objectives, we chose both the quantitative method, by means of an anonymous questionnaire that we handed out to nurses at paediatric intensive care units, and the qualitative method, by which we obtained information from the parents of hospitalised children by means of a semi-structured interview. Our respondents were the above nurses from paediatric intensive care units and the parents of hospitalised children. We have found out from our results that despite the fact that basic stimulation is not applied by all nurses we interviewed, it is a widely used method in the care of patients and it brings quality results in care. The nurses adopt, in most cases, a very positive attitude to this method. They find improvement and calming in their patients. Although basic stimulation is a frequently applied method, some parents of hospitalised children have not heard of it. The parents got involved in the care of their children with pleasure, also when elements of basic stimulation was applied. The nurses were very often willing to teach the parents these elements. The parents regarded basic stimulation in nursing as very beneficial and observed its positive effect on their children.
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Use of basal stimulation at anesthesiology department
MARKOVÁ, Alena
The theme ?The Use of Basal Stimulation at the Anaesthesiology and Resuscitation Department? was chosen in order to map out the use of this nursing method by the nurses and the staff who I cooperate with. The theoretical part deals with the environment at the Anaesthesiology and Resuscitation Department where the basal stimulation is used and also with special characteristics of the nursing care. Further, it deals with monitoring patients, causes of consciousness defects occurrence and kinds of methods of basal stimulation and their importance for patients. The basal stimulation is scientific, pedagogy and nursing concept supporting perception, communication and motor abilities of the human. The issue of basal stimulation at the Anaesthesiology and Resuscitation Department lies in skills and knowledge of the nurse and its timely application, which does not have to be used only on patients with the Apallic Syndrome. The basal stimulation can be applied in the nursing process also to patients with any degree of consciousness defection who are hospitalized at the Anaesthesiology and Resuscitation Department in order to reach patient´s orientation of better quality as he/she is waking up from the unconsciousness in the environment where he/she is located. This environment is often very stressful for the patient. The basal stimulation can be applied both to adults and children. These days the basal stimulation is predominantly used on patients with the Apallic Syndrome. The aim of this Bachelor Degree Work is to map out the use of the basal stimulation on patients suffering from the consciousness defect at the Anaesthesiology and Resuscitation Department form the nurse?s point of view. There were set three research questions for the practical part. Research question no. 1 ? How do nurses feel the use of the basal stimulation on patients suffering from the consciousness defect who are hospitalized at the Anaesthesiology and Resuscitation Department? Research question no. 2 ? How do nurses use the basal stimulation on patients suffering from the consciousness defect who are hospitalized at the Anaesthesiology and Resuscitation Department? Research question no. 3 ? What is the knowledge of nurses who work at the Anaesthesiology and Resuscitation Department on the basal stimulation? The set aim of the work was fulfilled, the questions were answered. In the research part of the work there was found out endeavour of nurses to apply the stimulation not only on patients suffering from the Apallic Syndrome but also on patients suffering from consciousness defects of different reasons. The work shows limitations in theoretical knowledge and consequently in practical skills of nurses in the sphere of basal stimulation application. The practical part facts will result in the nursing standard focused on providing the basal stimulation by nurses at the Anaesthesiology and Resuscitation Department. This standard will be available to the ward sisters in Písek Hospital and Strakonice Hospital too. It can be a suitable help for nurses who care for seriously ill people and it can contribute to better quality of the nursing care which they provide.
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The use of the concept of basal stimulation in special primary school
SIEBENSTICHOVÁ, Pavla
This bachelor thesis deals with the application of the Basic Stimulation concept at special primary schools, i.e. schools serving for children suffering from serious forms of mental disability, in combination with potential other disabilities. The basic stimulation concept was created by the German special pedagogue Prof. Andreas Fröhlich in the 1970s, for the education of pupils suffering from serious mental or combined disabilities, at special schools. It was applied in nursing by Prof. Christel Binstein in the 1980s. In this area it also used in the Czech Republic for the first time at the beginning of this century, thanks to PhDr. Karolína Friedlová.The objective of this bachelor thesis was to find out in which way basic stimulation may be used at special primary schools and how it can be incorporated into the education programme. In accordance with this objective, my thesis contains a definition of the basic terms, a brief historical outline of the development of basic stimulation and its theoretical foundations, and subsequently the particular techniques that the concept makes use of. The most essential passage is the theoretical definition of possibilities of applying the concept in the special pedagogical practice, particularly at special primary schools. This part is completed with three case studies that present the real application possibilities of the basic stimulation concept at three special primary schools in scope of the whole Czech Republic.
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