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Methods of handling of rather less self-sufficient and non-self-sufficient clients in residential houses for elderly persons in the Region of South Bohemia
ČÁPOVÁ, Pavlína
Handling of clients is an integral part of everyday work of most of nurses. It constitutes also the largest physical load for nurses. Correctly conducted handling of a client and usage of handling aids reduces both the physical load for nurses and the risks of nurses{\crq} injuries sustained in relation with handling. As far as clients are concerned, the risks connected with handling are reduced and the comfort of the nursing care is increased then. Handling includes positioning, shifting, lifting to chairs and verticalisation. Correct handling of a client allows prevention of the complications resulting from immobility and thus also maintenance and even renewal of a client{\crq}s self-sufficiency. The bachelor thesis themed ``Methods of handling of rather less self-sufficient and non-self-sufficient clients in residential houses for elderly persons in the Region of South Bohemia{\crqq} has a research character. It is divided into two parts {--} a theoretical and a practical one. The theoretical part is focused on old-age, self-sufficiency, immobility and handling of clients. The practical part consists of a quantitative research conducted by a questionnaire method, in which we attempt to confirm the raised hypotheses. H1: Nursing staff has no practical experience in the area of handling of clients. H2: Residential houses for elderly persons are not sufficiently equipped with handling aids. H3: Nursing staff in residential houses for elderly persons does not require changes in the established manner of handling of clients. Nurses in residential houses for elderly persons in the Region of South Bohemia obtained 150 questionnaires, of which 126 were returned, i.e. 84 %. The final set of regularly filled out questionnaires for the research consisted of 108 questionnaires. The objective of the thesis is to ascertain the level of knowledge and practical experience of nurses in the area of handling of clients, and to ascertain and compare the manners of utilization of technical aids and equipment facilitating handling in residential houses for elderly persons in the Region of South Bohemia. The results of the thesis should redound to more regardful, comfortable and considerate handling of rather less and non-self-sufficient clients in residential houses for elderly persons, and facilitate the work of nursing staff in terms of their own health.
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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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Interaction between nurses and volunteers at hospital
LHOTSKÁ, Martina
Volunteering has not started to develop in the Czech Republic until 1989. It has reached also hospitals where volunteers come to see hospitalized patients to cheer them up and to assist at the daily routine. The main role of medical staff is to meet all patients´ needs {--} biological, emotional, social and spiritual ones. It is volunteers who help a lot in fulfilling this duty. The thesis is focused on the cooperation between staff nurses and volunteers in hospital.The theoretical part of the thesis deals with the history of volunteering, all the steps of the procedures leading to competence of treating patients. In the practical part the quantitative research is used. The first objective was to examine attitudes of staff nurses towards volunteers, i. e.if staff nurses consider volunteers´assistance to be of great benefit to patients. The second objective was to learn how volunteers assess staff nurses´ attitudes to their activities in hospital. To gather data questionnaires for staff nurses as well as volunteers were made up. The research was conducted in January and February 2008 in six nursing units in four hospitals in the regions of South Bohemia and Vysocina. According to the results of the research staff nurses largely appreciate volunteers´ assistance. Despite of that fact there were several averse responses on the part of staff nurses that may be the result of lack of information available. According to the feeling of volunteers themselves their concern in nursing is highly appreciated by most staff nurses. Of course, there is a lot to improve to achieve general satisfaction in this area. The research also includes an interview with a contact person between the two groups involved in the care for patients. The contact person´s view of the cooperation between staff nurses and volunteers is favourable. But there are still some difficulties in introducing the volunteer program into hospitals. The contact person is competent to give advice how to prevent possible misunderstandings between the medical staff and volunteers and mainly how not to discourage devoted volunteers from their service. The results of my research were requested by hospitals in Pelhrimov and Jihlava. They may be also provided to any health care facility interested in introducing the program called Volunteers in hospital into practice. This may help them to get valuable information from health care facilities experienced in volunteering.
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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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Effect of milking with an automatic milking system on selected incides of cattle welfare
FIALA, Otakar
ABSTRACT The goal of this graduation thesis was to find out influence of milking machine on the behavior of dairy cows and detection of possible different influence of milking AMS on first-calver and milking cows after other lactation. The first part of this thesis was focused on the observation of the milking cows 30 minutes after the milking cows left the milking machine, which took place 24 hours and was focused on the activities of all dairy cows in the herd. The observation identified a need for food intake, drinking and lying down. Another part of this thesis was focused on average daily milk yield of whole herd and each cow as well by using data from milking machine Lely Astronaut, amount of using of milking machine, the duration of the preparation time for milking, time of milking. The results of each part were compared between the first-calver and the other dairy cows. During the day was found out a need for drinking after milking at 40.4% for first-calver and 41,7 % for cows with more than one lactation. A need for food intake was identified at the rate of 75 % for first-calver and 88,6 % for other cows. A need to lie down in 30 minutes after milking had 12% of first-calver and 13 % of the other cows. Total preparation time for milking was 2:04 minutes for first-calver and 1:54 minutes for the other cows.
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Early Intervention about Children with Visual Impairment
MOTTLOVÁ, Marie
The Bachelor{\crq}s Thesis concerns with problems of early intervention in the Czech Republic. It explains basic terms and system of complex care for a family with a child with disablement. Further, it devotes to development of early intervention provision and to early care providers in the Czech Republic. The Thesis outlines present situation of former clients of Early Intervention Centre České Budějovice. The main objective of this Thesis was to obtain a feedback from former clients of the Early Intervention Centre České Budějovice and to investigate merits of early intervention. Further, to obtain data usable for community planning of social services in South-Bohemian region. All these objectives were fulfilled. The results revealed that work of the Centre contributed in particular to compensate occurred disablements, helped to family acceptation of a child and increased self-sufficiency of a family. Furthermore, the obtained data implied increased need of personal assistance for children with disablement when not in care of tenders.
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The support of tourism development in the chosen region
PŠENIČKOVÁ, Iva
This bachelor work is to review a specific area of Příbram region. Purpose is analyse compoments of primary offering and secondary offering, needs a requirements of visitors and evaluate contributions and falls of tourism in Příbram region. Most importatnt part of work depends on questionnaire research, which was answered by visitors of this area. According to questi-form this work deals with reasons why visitors coming here, what are they doing here and if they are satisfied with local possibilities and services.
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Problems of meeting the needs of immobile patients according to age brackets in the department of subsequent medical care in the hospital České Budějovice, a.s.
HAŠKOVÁ, Jindra
The bachelor thesis titled ``Problems of satisfaction of immobile patients{\crq} needs according to age groups at the subsequent care ward of Nemocnice České Budějovice a.s.{\crqq} addresses satisfaction of patients{\crq} needs that forms an integral part of comprehensive nursing care at the subsequent care ward. A large amount of these immobile patients and continuously increasing requirements for professional qualification of nurses should lead to considerations how to perform as quality and as effective work as possible. The objective of the thesis is to map out the problems of satisfaction of needs of immobile patients at the subsequent care ward of the hospital Nemocnice České Budějovice a.s. The thesis is divided into a theoretical part and a research part. The theoretical part describes the difference between a hospice and a subsequent care ward, and explains what patients{\crq} needs and the immobilization syndrome mean. The research was undertaken on 190 patients above 15 years of age at the subsequent care ward of Nemocnice České Budějovice a.s. The informants were divided into 5 age groups. Immobile patients at the terminal stage of a malign disease were not included in the research. The research was conducted in the form of a questionnaire intended for immobile clients. A pilot study was undertaken to verify comprehensibility of the questionnaire. Consequently, some questions were modified so that they were understandable for the clients. Both the questionnaires are enclosed to the thesis. The research results are provided in charts and put in a chronological order according to the questions in the questionnaire. The research confirmed that the priority in satisfaction of needs of all the clients of the subsequent care ward is the need of pain killing. Relieving oneself in the bed is unpleasant for almost all the immobile clients. Satisfaction of these needs in a correct order helps the clients to adapt to the disease and to the new environment. Satisfaction of other needs is no less important. Contentment of clients reflects in their cooperation with the whole medical team, and last but not least, has an effect on their recovery.
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Problems of nursing care about patient with apalic syndrom
DRÁBKOVÁ, Kateřina
This thesis deals with problems in nursing care of clients with apallic syndrome. There were 4 hypotheses. The first hypothesis presumes that nurses give patients care focused mostly on treating developed complications. After evaluation of the results focused on nursing care, we found out that some nurses know the correct processes while others do not. This means that patients are sometimes given the correct care and sometimes not. So hypothesis 1 was proved valid. The presumption for the other three hypotheses was that nurses do not have information about BS conception, do not know about possibilities of its usage, and do not use this conception in their care of clients with AS. However, the results concerning BS conception were very positive. Nurses know the conception and use it in their care about clients with AS. Hypotheses 2, 3, and 4 were not proved valid.
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