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Nurses and physical therapist cooperation for clients after stroke
ŠOULOVÁ, Kateřina
Theoretical base: The brain stroke is one of the most frequented illness which affect our population and which belongs to the second place between reasons of the death. We can divide strokes by origin on ischemics and hemoragics. The biggest part of strokes is composed of ischemics brain strokes, approximately 85%. The rest of strokes are hemoragics brain strokes. When affect patient the brain stroke is necessary fast transport to the hospital, screening and institution of medical treatment. Important part of medical treatment is comprehensive health care which is arranged thanks for the good function multidisciplinary team. It is necessary cooperation of nurses and physiotherapist in the rehabilitation care too. Last not least it is necessary that the patient is the part of the care and the motivation to the cooperation trying to return him to his normal life. My bachelor work is divided into the theoretic part and empiric part. In theoretic part we talk about brain stroke, health care, rehabilitee care and cooperation between nurses and physiotherapist. In empiric part there are results of the research.The objective of the work: The object of empiric part was mapping the cooperation of nurses and physiotherapists with clients after brain stroke in the hospital. For realization of the objective were determinate two questions. In what consist the cooperation between nurses and physiotherapists with clients after the brain stroke? The second question was: What problems complicate the cooperation between nurses and physiotherapists? Methodology: For processing the bachelor work was used qualitative research. For collecting dates we used forms of hidden observation and half structured conversations. The research was realized with 7 nurses and 3 physiotherapists in the hospital in neurologic ward and after care ward. The collection of dates was realized by the approval of the main nurse and head nurses in wards which I named. For keeping the anonymity the agreement is not the part of the bachelor work but it is possible to see it at author of the bachelor work. The research was anonymous, observation and conversations were realized from 23.3.2015 to 17.4.2015. For realization of the research was used the form f hidden participating observation. Discovered dates were written into the diary of observations of sisters (annexe 5) and of physiotherapists (annexe 6) during the observation. Discovered information were rewritten and evaluated. For collecting dates was applicate half structured conversation. I put 35 questions to nurses (annexe 7) and 28 questions to physiotherapists (annexe 8) which were completed thanks for other questions. Conversations were realized with the group of observed nurses and physiotherapists. Answers were written and then rewritten (annexe 9). Obtained dates were analysed, evaluated and sorted into categorical groups. Solutions: Thanks for the research we could see the cooperation between nurses and physiotherapists. The cooperation between them is in the passing on information because awareness is key for giving care. We discovered that they cooperate in rehabilitee care like is setting into position, putting clients to sit down on another place, putting clients to sit down, half help and practise of daily activities. The deficiency was noticed in not cooperation of nurses with physiotherapists next to the bed of the client. From conversations we discovered that nurses are not informed from physiotherapists about correct setting into right position even it is in their competence. From results we can see that the cooperation between nurse and physiotherapist hardly the deficiency of time which we can see in passing information and two-way cooperation. Other factor is changing of physiotherapists in the ward and insufficient consultation in the care of the patient.
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