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Need for self-actualization in patients during hospitalization
VACHTOVÁ, Ivana
Human personality is a dynamic and organized set of characteristics which are in a special relation. Personatity is thought to be determined largely by either genetics and heredity, or by environment and experience, or both. The personal needs are dependent on sex, age, education and differ in different generations. The personality is developed through interaction of life situation, life conditions and the place. Self-fulfillment means to fulfill one´s potencial. It refers to ability to realize one´s own needs and plans. According to Maslow the need of self-actualization belongs to growth needs. Self-realization evokes feelings of happiness and joy. It surpasses everyday routine, it is a spiritual need. The first objective of my thesis was to examine the need of self-realization in hospitalized patients. The second objective was to compare the needs of patients hospitalized in intensive care units to those of patients admitted to planned medical interventions and to those of patients in long-term care facilities. The third objective was to find out nurses´ attitude to hospitalized patients with needs of self-realization. To find relevant data patients hospitalized in intensive care units, patients in long-term care facilities and patients with planned medical interventions were addressed. Nurses taking care of those patients were also asked to take part in the research . Data were collected by the questionnaire method. The hypothesis I suggests that patients treated in intensive care units prefer the treatment which leads to feelings of security and alleviates pain. This hypothesis was confirmed. The hypothesis II suggests that patients admitted to planned medical intervention have more intensive needs of self-realization than patients treated in intensive care units. This hypothesis was not confirmed {--} patients expecting interventions feel the same need of security and pain management as patients hospitalized in intensive care units. The hypotesis III that patients admitted to planned interventions have more intensive needs of self-realization than patients staying in long-term care facilities was not confirmed. According to the data collected, patients in long-term care facilities need pain management and feelings of security, but they also need to be respected as personalities. They prefer to have the strength to fight the disease to the need of having the bed properly made. The hypothesis IV that nurses do not show enough interest in hospitalized patients´needs of self-realization was not confirmed. Nurses are informed enough about patients´ needs. They usually try hard to find the time to talk to patients. The results should make nurses be more aware of the need of lifelong learning despite their enormous workload and care for their own mental and physical health by following principles of mental hygiene. Key words: needs self- fulfillment patient environment relations communication
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Adhering to the treatment regimen in a patient with asthma {--} the role of a nurse
HRBKOVÁ, Jana
Adhering to the treatment regimen in a patient with asthma {--} the role of a nurse Asthma bronchiale is one of the diseases affecting a significant portion of the world population. It is estimated that 300 million people suffer from this disease on our planet. In economically developed countries asthma bronchiale is one of the most frequent chronic diseases with the prevalence of 10-15 %. The asthma prevalence and the prevalence of sensibilization against various allergens is increasing mainly in young population aged 6 to 7. The estimated prevalence in the Czech Republic is 8 %. Asthma represents considerable medical, social and economic stress for the patient, for his (her) family, but also for the whole society, from the viewpoint of absence from work or from school and also from the viewpoint of direct expenditures of the treatment and preventive care. Despite the fact that asthma currently remains a life-long incurable disease, it is a disease the symptoms of which may be mitigated. It is very important to adhere to the treatment regimen because this influences the course of the disease. The objectives of my thesis was to find out if patients follow the treatment regimen, if nurses educate patients and in what way. Three hypotheses were set: H I: patients do not follow the treatment regimen, H II: nurses educate patients to follow the treatment regimen, H III: the most frequent way how nurses educate patients is passing over information materials. The questionnaire method was used to achieve the objectives. The research set was formed by 60 respondents who were given out the questionnaires by a nurse. The data analysis shows that: H I {--} patients do not follow the treatment regimen {--} was rejected, H II {--} nurses educate patients to follow the treatment regimen {--} was confirmed and H III {--} the most frequent way how nurses educate patients is passing over information materials {--} was rejected. The results of my research show that patients are given enough information concerning their disease. Most of the patients follow the treatment regimen. But there are still reserves in nurses´ involvement in patients with asthma education.
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Possibilities of separate activity of radiologic assistant on the field workplace
VICHROVÁ, Olga
This bachelor thesis with in the range of independent work of radiologic assistant in different types of field departments. The teoretical part describes tha systém of field departments and the work of the radiologic assistant in this department. There are physical notes necessary for the introduction of the problem, there is also a description of the analogue system, division and description of the process. The final part of the work deals with teleradiology that in the future can expedite the work of radiologic assistants in their field departments. The aim of this work was to estimate the benefit of data digitizing the work of radiologic assistant in different field departments. It was estimate that there will be improvement in the technical and organizational part of work. Two hypoteses were determined. First hypotesis assumed that digitizing will expedite and improve the quality of work of the radilogic assistant. The second hypotesis assumed that digitizing will improve the care of patients. Both the hypoteses were confirmed. The outcomes were gained by comparison of time and economic savings in the of radiologic assistants in two different types of medical centres. This work proves that data digitizing can reduce the time of diagnostic process, and can improve the quality of care of patients. It also speeds-up and expedites the work of radiologic assistant, and for large medical centres it is also economic gain.
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Comparison of paliative care by clients in hospice establishment and oncology department
KADLECOVÁ, Ivana
Comparison of palliative care for patients in a hospice and at an oncology ward This thesis was focused on the various aspects of palliative care for oncological patients. Palliative care and its principles have been defined and it seems crucial to apply these principles not only in hospices but also at hospital wards where there are patients indicated for palliative care. The objective of this thesis was to find out whether the care provided to hospice clients and to dying patients at hospital oncological wards corresponds to the methods and procedures defined for palliative care and to find out whether there are any significant differences between the nursing care provided to the dying in a hospice and the dying at an oncology hospital ward. Four survey questions were formulated and the question dealt with maintaining palliative care standards, differences in providing palliative nursing care for the dying at the individual institutions, whether the dying clients{\crq} needs are answered in a holistic and humane way, and the nurses{\crq} approach to the dying at the individual institutions. The carried out research is a qualitative one. The research part {--} data collection {--} was carried out in the form of uncontrolled interviews with selected members of nursing teams in a hospice and at an oncology ward. Observations and case reports were used in case of several patients in at the individual institutions. The research was carried out in St Stephen Hospice in Litoměřice and at the oncology ward of an undisclosed health care institution by which information was provided in exchange for absolute anonymity. The research part resulted in the finding that the palliative care provided in the hospice corresponds to the methods and procedures defined for palliative care. There are efforts at the oncology ward to provide as perfect care for their dying patients as possible but this care does not correspond to the methods and procedures defined for palliative care. There are problems in providing palliative care especially in inadequate spatial conditions, equipment, shortages, high workloads, and strictly specialized focus of the personnel and these clients need very individual care that cannot be frequently provided under everyday operating conditions at a standard ward that concentrates primarily on curative care. The results of this thesis will be provided to those who may be interested in the various aspects of palliative care.
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Enlightenment problems of the patient with the pancreatitis
LOUDOVÁ, Veronika
Education is an important and significant part of treatment and the nursing process. The objective of education of patients with pancreatitis is for them to realize that a change of lifestyle and eating habits will lead to improved overall health condition and quality of further life. The objective of the thesis was to find out if nurses do educate patients with pancreatitis, how they educate the patients, if they tailor educational plan to needs of individual patients and what they consider to be the greatest problem of education of a patient with pacreatitis.
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Problems of morning waking up patients in the hospital and it´s influence on a patient
BERÁNKOVÁ, Barbora
The thesis deals with problems of morning waking up of patients in the ward and its influence on a patient. Morning waking up of patients is a situation faced by everyone who find themselves in a hospital {--} both a hospital employee and a patient. It is an everyday activity, although it may be one of great problems for hospitalized patients. The first aim of my thesis was to find out how morning waking up is perceived by patients hospitalized in a standard hospital ward. The second aim was to identify negative factors connected with morning waking up of patients hospitalized in a standard hospital ward. The third aim was to learn whether nurses working in a standard hospital ward respect the needs of their patients concerning morning waking up. The aims were fulfilled with the help of a questionnaire. A group monitored was formed by patients of an internal ward block. Three hypotheses were determined for these aims. Hypothesis one confirms that hospitalized patients are satisfied with morning waking up in a standard ward. Hypothesis two confirms that the most frequent factor concerning morning waking up with patients hospitalized in a standard ward is the time of waking them up. Hypothesis three confirms that nurses working in a standard ward respect the patient´s needs concerning morning waking up. The results will be handed over to senior executives of the ward where the research was carried out. They will have an opportunity to consider the problem of morning waking up of patients in their ward and, as the case may be, they can improve the situation.
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A nurse and physical examination of a client/patient
BENEDIKTOVÁ, Martina
My thesis deals with physical examination of the patient by a nurse and its right technique. Physical examination generally follows the taking of the medical history - an account of the symptoms as experienced by the patient - in internal and surgical wards. It becomes part of the medical record. The theoretical part describes the complete physical examination and gives its definition. Physical examination is focused on the somatic condition of the patient. A systematic examination generally starts at the head and finishes at the extremities. The main organ systems are investigated by inspection, palpation, percussion, auscultation and per rectum examination. For physical examination a nurse uses her senses - sight, hearing, touch, sometimes also smell. My thesis examines the right technique of physical examination and why this examination should be carried out by a nurse. I also wanted to give reason why the physical examination should become a common part of the nursing process.
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Constipation - problem of immobile patients
HULIČKOVÁ, Tereza
My thesis deals with constipation in immobile patients. The research was carried out by collecting data using the questionnaire method. The questionnaires were focused on immobile patients of all ages hospitalized in any units in the České Budějovice hospital, Inc. The objective of this thesis was to survey the drinking regimen and eating habits in immobile patients and to analyze their impact on the development of constipation. I set three hypotheses: The first hypothesis suggests that immobile patients´ alimentation does not include an increased requirement for dietary fiber. My research shows that patients´ diet at home contains more fruits, vegetables and whole meal bread. A diet therapist hardly ever comes to see hospitalized immobile patients. Most patients are not on any diet which would limit the intake of particular nutrients. The first hypothesis was confirmed. The second hypothesis suggests that immobile patients do not observe the drinking regimen. The research data analysis shows that patients´ fluid intake is the same no matter if they stay in hospital or at home {--} it is about 1- 2 litres a day. The fluid intake depends on patients´ age, weight and health condition. It is possible to say that immobile patients observe the drinking regimen. The second hypothesis was not confirmed. The third hypothesis suggests that immobile patients do not have enough privacy while they pass stool. They feel ashamed and these feelings also raise the constipation development. There is a lot to improve in this respect, the nursing staff should be aware of the fact that immobile patients need more intimacy at passing bowel motion. It is not surprising that most immobile patients feel the lack of privacy in hospital. In my opinion not enough attention is paid to the question of privacy in hospitals. This has a negative impact on patients´comfort. Patients´ diet should include more dietary fiber. Individual consultations with a diet therapist are advisable for patients. The nursing staff should also focus on the patients´ drinking regimen. The right diet and drinking regimen may contribute to constipation prevention. The empathetic, holistic, psychological and sensitive approach to patients should improve patients´ condition and alleviate their pain. Each nurse should make her best to prevent patients from feeling undignified in hospital.
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Therapeutic communication in nursing process
POLÁKOVÁ, Lenka
The therapeutical communication is inseparable part of nurse work. Because of this fact is unambigously needed to pay more attention particularly at quality nurse education how to communicate therapeuticly with a patient. Treatment communication can influence on significant way to better communication with patient and also positively change his physical and mental state.
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