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Physiotherapy after total hip joint replacement
ŠUHÁJKOVÁ, Pavla
Pain in a hip joint can dramatically affect the chance of having active life. The recent years have seen a significant progress in the results achieved while implanting artificial hip joints. This type of operation is simultaneously becoming increasingly more often especially when we take into consideration the increasing age of population. Implanting total hip joint replacement results in improving the quality of life, which can only be achieved through interdisciplinary collaboration of doctors, complex rehabilitation treatment, and positive approach of the subject alone. The aim of this bachelor?s thesis was to process case reports of patients after total hip joint replacements and to put together rehabilitation plans for these subjects. With the established objective in mind, the author summarizes outcomes dealing with the issues relating to total hip joint replacement, physiotherapy, occupational therapy, and spa treatment following such operation. The research part of the bachelor?s thesis was accomplished by qualitative research. Data were collected by observing, interviewing and analysing documents. The data were gathered by individual in-depth interview and using case reports, which included author?s own observations, a draft of rehabilitation plan and implementation of the therapy, and subsequent outcomes from the assessment of therapy. The research corpus comprised of two patients who underwent a planned total hip joint replacement because they had been suffering from advanced primary coxarthrosis. The research was carried out at an in-patient orthopaedic department of the Hospital Pelhřimov in March 2011, when the subjects were being hospitalised. Quality and appropriately managed rehabilitation allows quicker improvement in the patient?s health following the operation. It is used as a prevention of complications, it improves engagement of functional potential in the operated joint and it consolidates appropriate motion stereotypes. The outcomes of the research confirm that such pre-operational and post-operational rehabilitation carried out during the stay in hospital leads to a decrease or complete removal of pain, an increase in joint?s mobility and muscular power, getting used to walking on flat surfaces and up and down staircases, and the level of independency in everyday activities.
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Availability of rehabilitation and compensation aids for persons with rheumatoid arthritis.
KUBALOVÁ, Zuzana
The bachelor degree thesis ?Availability of rehabilitation and compensation aids for persons with rheumatoid arthritis? has a research character. The thesis is divided into theoretical and practical parts. The theoretical part deals with a comprehensive characterization of rheumatoid arthritis. Further, it presents methods of diagnostics and treatment of the disease. It also outlines issues relating to the needs of patients afflicted by the disease. It also includes a chapter dealing with compensation and rehabilitation aids that improve quality of life and integration of the patients into the society. The practical part deals with availability of compensation and rehabilitation aids on the current market, along with a financial participation of the patients. Three objectives have been set relating to the topic. The first objective was to map the offer of compensation and rehabilitation aids in connection with the demand on the side of persons suffering from rheumatoid arthritis. The second objective was to find out which compensation and rehabilitation aids have been used most frequently. The last objective was to investigate whether persons suffering from rheumatoid arthritis are willing to financially participate on purchase of the compensation aids. I am convinced that the set-up objectives of the bachelor degree thesis have been met. The method selected to deal with the issues and to achieve the mentioned objectives was quantitative research. We used inquiring by means of a questionnaire. The research has confirmed both the following hypotheses: Patients with rheumatoid arthritis most frequently use compensation aids for walking and The financial participation of rheumatoid arthritis patients on purchase of compensation aids depends on each patient´s working activity. Findings and results of the thesis may be beneficial for students of the following years in specializations dealing with rehabilitation and psycho-social care of children, adults and seniors with special needs. Moreover, the thesis may serve as an impulse for companies distributing compensation aids to take into account requirements of persons with rheumatoid arthritis.
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Special features of nursing care for the patients after fingers replantation.
KREBSOVÁ, Terezie
Abstract As a relatively high number of amputation injuries of fingers leading to subsequent replantation occur recently, and the nursing care about these patients is very specific in some spheres, I chose the topic ?specifics of nursing care for patients after replantation of fingers? for my bachelor thesis. As duly and professionally provided nursing care is very important and contributes to successful treatment and patient recovery to normal life after replantation I am convinced that it is necessary for nurses caring about the patients affected this way know the correct treatment principles. The goal of the thesis was to identify the specifics of nursing care for patients after finger replantation, and another goal was to find out how nurses cope with nursing care about patients after finger replantation. The research was based on combination of quantitative and qualitative methods and was focused on some fields of the care about these patients on one hand and on the fact whether nurses apply the nursing approach focused on patient needs on the other. The quantitative research was based on an anonymous questionnaire, the qualitative research on observation. The combination was chosen to enable comparison of theoretical knowledge of nurses with the practical activity. The research sample consisted of nurses from the accident and plastic surgery ward. Nurses from the standard treatment section, from the outpatient surgery and from the ICU were asked for cooperation. Hypothesis 1: Nurses know the principles of stump and amputate treatment ? was confirmed. Hypothesis: Nurses know the principles of nursing care about patients after finger replantation ? was confirmed. Hypothesis 3: Nurses plan the care process focused on patient needs after finger replantation ? was not confirmed. Question 1/ What problems do nurses have in providing nursing care for patients after finger replantation? Nurses do not have problems with providing nursing care for patients after finger replantation. Question 2/ To what extent do nurses caring about patients after finger replantation apply the nursing care process? Not all the nurses apply the nursing care process to the full extent. I found during working on the thesis that very few available materials intended for nurses existed on this topic. This is why a brochure including the principles of due nursing care for patients after finger replantation was issued upon the thesis for nurses caring for patients with this problem. A nursing standard, which is still unavailable, could also be elaborated.
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Prevention and Rehabilitation of Overloading the Connective Tissue of Lower Limbs of Ice-Hockey Goalkeepers
BEDNAŘÍK, Karel
This bachelor thesis addresses the issue of compensatory exercises as a full-value part of the training of ice-hockey goalkeepers within the scope of prevention and rehabilitation of injuries caused by a one-sided load and overloading of lower limb tissues. The first objective of the thesis was to ascertain the situation concerning the inclusion of compensatory and relaxation procedures in the training of young and adult ice-hockey goalkeepers. The second objective was to propose suitable compensatory exercises and to prove their effect on the organism. The basic strategy of the bachelor thesis was a combination of quantitative and qualitative research. When collecting the data, I used the method of structured questionnaires with open-ended and closed-ended questions, structured interviews, observation methods and special physiotherapeutic examination. I used the clinical examination methods of aspection, palpation, myodynamia measurement, goniometry and other physiotherapeutic methods. The obtained data have been summarized in tables. The tested set was created by selection when the clients had to fulfil the following requirements: - the client is an ice-hockey player at the top or high level - the client is a goalkeeper - the clients are from various age groups and various ice-hockey clubs In order to attain the first objective of the thesis, I selected a group of nine respondents from nine ice-hockey clubs associated in the Czech Ice Hockey Association (ČSLH) and foreign ice-hockey clubs. In order to attain the second objective, I selected a group of six clients which underwent a 3-month research ended with the comparison of the entry and final examinations. Based on these results, I graphically represented the effect and potential of compensatory exercises as a suitable and integral part of the training process. The results have shown that relaxation and compensatory methods are very often marginalized in the training and preparation of ice-hockey goalkeepers, although these methods may prevent one-sided overload, subsequent problems and injuries of lower limb tissues. The thesis proves that although the negative consequences of one-sided overloading are known, their compensation and remedy do not enjoy sufficient attention and no or few compensatory mechanisms are utilized in practice. Nevertheless, it is absolutely obvious from the thesis results that that compensatory and relaxation methods have a very positive effect on the problems caused by a one-sided load, both in preventive and rehabilitation terms.
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Comprehensive rehabilitation of children attending primary school and kindergarten in Motýlek Koprivnice, p.o.
MÜLLEROVÁ, Tereza
The aim of the theoretical part of this thesis is to describe the comprehensive system of rehabilitation for persons with disabilities. Individual sections are devoted to medical, educational, social and professional means of a comprehensive rehabilitation with regard to the importance of their interconnections. I also focus on the issue of families with disabled children and their needs at different life stages. In this context, I give an account of possibilities of the educational process for children with disabilities from early childhood until adulthood. In our region ? in Kopřivnice and surroundings, there is currently no facility providing complex care to children with disabilities in terms of comprehensive rehabilitation. Individual components of a comprehensive rehabilitation system are provided by various subjects - medical facilities, schools and school counseling facilities, social service providers. The aim of my research thesis was to survey the offer of facilities for children with disabilities and their families and to determine whether the offer meets the needs of parents of children with disabilities who attend the primary school or kindergarten Motýlek Kopřivnice, p.o. To meet the goals I chose a qualitative research methodology, using the secondary data analysis technique, and an interview method, when the technique used was a semi-structured interview. The interview was conducted with 8 respondents - parents of children with disabilities who attend the primary school and kindergarten Motýlek Kopřivnice, p.o. The results of the research show that in and around Kopřivnice parents of these children have the possibility to make use of existing facilities for the comprehensive rehabilitation. At present, however, there is a lack of medical rehabilitation, which used to be provided to children directly at school, as well as the possibility of extra-curricular activities for children and personal assistance services. This bachelor thesis may be used in practice as a background material for planning the comprehensive service development for children and adults with disabilities in and around Kopřivnice.
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Possible procedures as part of physiotherapy treatment in patients with lower limb amputation
SAVVINOVÁ, Kristýna
My bachelor thesis seeks to provide an insight into the issues associated with amputation of lower extremities. Amputation is an extensive surgical intervention which removes peripheral parts of the body. The objective of the theoretical part of my thesis was to present to the general public the issues associated with the return of patients after the amputation of a lower limb back to the normal life and the objective of the practical part was to make the return easier by means of a comprehensive and multidisciplinary approach to the patient. The research was performed using a qualitative method, by means of case studies of two male probands who underwent an amputation of the right lower limb at the thigh. The two probands were of similar age and with the same type of amputation. The first patient was hospitalized in the hospital Nemocnice sv. Zdislavy s.r.o., Mostiště, where I was involved in early postsurgery physiotherapy. The second patient was in the therapeutic center (Hamzova odborná léčebna pro děti a dospělé), in Luže {--} Košumberk, where I concentrated on physiotherapeutic procedures suitable for a prosthetic stage of rehabilitation. I selected the two probands also in order to demonstrate that it is important not only to provide early postsurgery rehabilitation but also rehabilitation in the prosthetic stage with a subsequent continuation of autotherapy. Both the patients experienced a major improvement of their physical and mental condition; this was undoubtedly supported by the comprehensive and multidisciplinary approach throughout the entire period of the provided care. In terms of taking care of themselves, the patients are now nearly self-sufficient, which is very important for their return back to the regular life. The thesis may be further used in clinical practice of physiotherapists and medical personnel. It may also serve as an educational material for patients.
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Importance of a dog as an assistance - case study
EMMEROVÁ, Hana
Bachelor thesis is processed for the purpose of public information about use and importance of assistance dogs for children clients. It is divided into two parts, in the theoretic part are some terms related to assistance dog, rehabilitation and disabled man defined. The practical part is trying to find importance of assistance dogs for the development and treatment of children with disabilities in the form of case study.
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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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THE CHANGE OF LIFE STYLE OF PEOPLE WITH DISABILITY
STÖCKEL, Barbora
Abstract Thesis Title: Changing the Lifestyle of People with Disability For my bachelor thesis, I have chosen the theme of change in lifestyle of people with disability. The main purpose, which led me to make this personal choice of this subject, was to bring a healthy population some detailed insight into the lives of people living without internal differences. Specifically of those, whose complications in their life journey forced them to be transformed from healthy individuals into clients of rehabilitation centres, who are fully dependent upon this specialized medical care and who are in need our help. My main motivation was my own empathy for these people. Then my aim was to also pinpoint the key issues that burdened these disabled people, and to also propose some possible solutions. The results I would like to introduce consist of a theoretical and practical part. The theoretical part deals with the particular definition of disability, lifestyle and comprehensive rehabilitation. The practical part is then presented in form of in-depth interviews with respondents who have experienced a very close connection with this theme. To obtain the necessary data, I have chosen the type of qualitative research using a narrative interview method. Interviews were recorded on an audio recorder and this was based on the consent of the respondent; then these interviews have been transcribed into written form, thus keeping their original length and colloquial form of language for maintaining authenticity. The respondents were selected randomly; their selection was based upon previous long-term personal contact during their joint stays in the healthcare environment. A pivotal aspect of my findings was that the key issues of the respondents have always been repeated and organized with only some minimal modification. The most noticeable change in human lifestyle of these people with disabilities is their limitation of freedom. Here, I would like to quote one of the respondents, who says: "Actually you do not live, but survive ..." I believe that my work objectives have been attained. With regard to any limitations resulting from my findings, these people with a "second" life bring to - 5 - humanity sense of boundless proposefullness and, in my opinion, this problem should be submitted to our society much more scientifically than it ever has been done before. Along with the use of the elimination of the factor of ignorance of healthy people and shame of people with disabilities, this solution is aimed as a direct way to reduce the huge distance between people with and without disabilities.
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Cardiac surgery patient with surgical wound dehiscence
BENDULOVÁ, Adriana
Dehiscence or wound spacing is characterized by failure of wound healing and it is a very serious postoperative complication that occurs most frequently in patients who suffer from an associated disease. It usually develops between the fifth and ninth postoperative day. The cause of dehiscence is an infection in the wound, which is caused by proliferation of bacterial strains. The thesis on "Cardiac surgery patient with surgical wound dehiscence{\crqq} is focused on theoretical and practical parts. The theoretical part deals with the development of cardiac surgery and important personalities, medical indications for a cardiac surgery, cardiac surgery, surgical wound healing, surgical wound complications and nursing care of patients with dehiscence. The practical part was carried out by a quality - quantitative survey. The research sample for the qualitative research, which was conducted by the semi-structured interview technique with open questions, consisted of four cardiac surgery patients with wound dehiscence. The research sample for the quantitative research, which was carried out through anonymous questionnaires, consisted of 100 nurses working in cardiac surgery centers, Czech Republic, and 30 cardiac surgery patients with wound dehiscence. The results were processed into tables, graphs and diagrams. This work may serve as a resource for the interpretation of the subject matter or as a source of information for Cardiac Surgery Centers to improve the needs satisfaction in patients with wound dehiscence.
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