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Education of patients with lymphoma
Marková, Naďa ; Kordulová, Pavla (advisor) ; Jankovcová, Kateřina (referee)
(v AJ) I chose the education of a patient with lymphoma as the topic for my bachelor thesis. I consider this topic very actual because the occurence of lymphoma is increasing (In: Linkos,2019). Lymphomas are referred as lymphocyte-derived tumors. I deal with the problem of lymphomas in the theoretical part. I mainly focus at diagnostic and treatment. I had started to prepare this bachelor thesis after the background research in the National Medical Library. I also drew the information from databases: BMČ, PubMed, EBSCOhost a Medline. I also used treatment recommendations - Cooperative Lymphoma Groups. Methology: I chose a case study of a patient with B-cell lymphoma from large cells, diffuse. I used the model of Marjora Gordon's - functional health model. A specific case is used for defining the treatment procedures, nursing standards, potentional risks and the prevention, education is also included. Objective: Focus on a nursing care - pacient with B-cell lymphoma diagnose, large cells, diffuse, who undergone chemotherapy. Results: Keeping nursing procedures and creation of educational material for patients. Conclusion: There are new methods of chemotherapy and new studies. A current study in Lymphoma: CITADEL 203, CITADEL 205, PCYC 1143 - SYMPATICO, ACELY - 308, PCYC 1141, BGB3311 - 212, IELSG37...
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Nursing procedures at complicated peritonitis
Pokorná, Lenka ; Kordulová, Pavla (advisor) ; Hocková, Jana (referee)
(v AJ) For my diploma thesis I chose Nursing care for patients with complicated peritonitis as a topic, because care for these patients must be complex and often requires long-term stay at the anesthesiology and resuscitation department. These patients require organ support, undergo repeated surgical revisions, and ultimately, if they overcome this critical period, they learn very often self- care, walking, and sometimes adapt to permanent changes in health. It is a disease where there are often sudden changes in the patient's condition. In the theoretical part I tried to describe the disease leading to the development of peritonitis and complications in the form of septic shock and multiorgan failure. In the National Medical Library, I have searched for a comprehensive review of literature since 2005. I searched for keywords and phrases: Peritonitis, Nursing Care, Sepsis, Multiorgan Failure, Circulatory Support, Artificial Pulmonary Ventilation, Continuous Function Replacement kidney care, laparotomy care, drainage care, intra-abdominal hypertension. I obtained other documents using the central search engine UKAŽ, I drew from licensed databases: Bibliographia medica Čechoslovaca, Ebsco, Medline, Pubmed. For the processing of nursing procedures I used the recommendations of professional societies:...
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Communication and interaction of medical personnel with patient's family in the intensive care unit
Šimůnková, Kateřina ; Dvořáčková, Ivana (advisor) ; Kordulová, Pavla (referee)
Introduction: Communication with relatives of critically ill patients is a rather neglected area in the Czech Republic. Intensive care focuses more on the patient, equipment and highly specialized treatment while contact with relatives is often minimized. Moreover, the conversation consists mainly of brief statements related to the current health status of the patient. It is important to pay more attention to this issue, especially so that the medical staff can offer the patient's family the best possible help in their difficult life situation. Objectives and Methodology: The aim of this thesis was to map the professional preparedness of general nurses and doctors in the areas of communication with the patient's family. Next, the thesis also attempted to determine the attitude of the medical staff to the families of patients hospitalized in the intensive care unit. Furthermore, it also aspired to map the experience of the patient's family members with the cooperation and interaction with the medical staff during hospitalization of the patient. Last but not least, the aim of the thesis was to propose solutions to improve the current situation. The quantitative research was conducted using structured questionnaires. One version of the questionnaire was intended for families of patients in the ICU...
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A nursing care of chronic wounds from a nursing perspective
Kolandová, Martina ; Vrábelová, Petra (advisor) ; Kordulová, Pavla (referee) ; Chvojková, Kateřina (referee)
This theme of thesis treats about the issue of prevention, emergence, healing and therapy of chronic wounds in nursing care at intensive care unit. The occurrence of this disease is unfortunately still rising and nowadays it is an actual theme which is a part of modern nursing. The target of this thesis was to find out the level of awareness of general nurses working at specialized departments about modern technologies of therapy and care of healing chronic wounds. One of the partial targets was to find out, how are the nurses educated in nursing care o chronic wounds. The next target was looking for the factors which can influence the nurses' position of knowledge about the treatment of chronic wounds. Quantitative research was based on anonymous questionnaire in three chosen hospitals of Central Bohemia region. There were 11 departments of acute intensive care. The sample of research was based on the answers of general nurses working at resuscitation department and acute intensive care department. There were distributed 220 questionnaires and were used 124. One of the result of research was, that the 56 (45%) of general nurses has good awareness in nursing care of chronic wounds and they were interested in future education in this issue. The major part of questioned 79 (64%) prefers following...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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History of nursing professionals in pediatrics
Risplerová, Miroslava ; Kordulová, Pavla (advisor) ; Lukášová Jeřábková, Lenka (referee)
The bachelor work focuses on historical evolution of specialized nurse practitioners in pediatrics - from general caretakers to the origins of pediatric nurse as an independent profession. The work presents necessary preparations, working conditions and responsibilities and how they changed throughout the times. The main aim of the work titled ,,Historie osetrovatelskych pracovniku v pediatrii" was to map the evolution of nurse practitioners from the beginning to the present state, to overview the chief influences that formed the profession and last but not least, to present the current state of pediatric (or children's) nurse in the Czech republic and stress her importance in the field of specific nurse practice. Methods and Objective: The bachelor work is mainly theoretical as the method used was historical research in conjunction with literature review. Furthermore, the analysis was performed on the contents of historical and current literature and legislation, archives and the results from the literature reviews. The correct interpretation and transformation of the results into the self-contained scientific study was the assignment as well as the aim of this bachelor work. The work focuses on defining the basic terminology (such as pediatrics, nursing in pediatrics), historical aspect of...
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Nursing process of the tracheostomized patient
Körblerová, Jana ; Kordulová, Pavla (advisor) ; Maffei Svobodová, Ludmila (referee)
Tracheostomy is a mutilating procedure and It may be a source of physical, psychological and social trauma for the patient. An average of 170 permanent tracheostomies per year are performed in the Czech Republic. In the theoretical part I focused on species, indications and complications of tracheostomy and tracheostomy cannulas. I also described a complex care of a patient with the permanent tracheostomy including education. I drew on information from the available materials of the Czech Society of Otorhinolaryngology and Head and Neck Surgery of the ČLS JEP, from guidelines of the Australian Agency for Clinical Innovation Chatswood and The Royal Children's Hospital Melbourne. My other resources of information were BMC, EBSCO, ProQuest, Medline databases. In the case study, I described the nursing and educational process in the patient who underwent total laryngectomy surgery, from admission to dismiss. The case study includes an assessment of the patient's health status according to Majory Gordon's functional health model. I got all the information from an interview with a patient, from medical records, and from the provision of nursing care. Methods: The case study of the patient after the total laryngectomy surgery including the model of functional health, according to Majory Gordon. Aim of the...
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Nursing process hemodialysed patient
Šmajda, Dávid ; Kordulová, Pavla (advisor) ; Maffei Svobodová, Ludmila (referee)
Chronic renal failure is often asymptomatic and painless. Many sick people realize too late that something is happening with their body or kidney function. In renal failure, a complex metabolic disorder arises and water and electrolyte imbalances occur. Unfortunately, this phenomenon is irreversible and a large number of patients must subsequently undergo hemodialysis treatment, which only substitutes kidney work, but does not heal the kidneys themselves. Hemodialysis is currently one of the most widespread methods of renal replacement. Thanks to continuous technological development, it extends the life of patients by several decades and thus improves their lives with chronic kidney disease. The bachelor thesis describes the issue of nursing care of patients included in the hemodialysis program. In the theoretical part of the thesis I describe the issue of chronic renal insufficiency. Furthermore, I focus on the elimination methods of this disease and the necessary vascular approaches for hemodialysis for these patients. In my work I also describe the specifics of nursing care for patients in the hemodialysis program. I have elaborated the thesis on the basis of searching for relevant sources for the given issue. I drew on resources from the National Medical Library, where literature searches were...
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Multicultural communication on the intensive care unit
Korfelová, Lenka ; Kordulová, Pavla (advisor) ; Jankovcová, Kateřina (referee) ; Lukášová Jeřábková, Lenka (referee)
(v AJ) The theme of the theses is the nursing process from the point of view of multicultural nursing care of the patient-foreigner in a critical condition admitted to the intensive care unit. Considering the rise of tourism and the number of immigrants in the CR, the increasing number of patients-foreigners can be expected. The mutual communication and the impact of ethno-cultural influence on nursing is becoming a subject of the global interest. Patients' life threatening, stress, and a necessity of prompt and swift decision-making both by patients and health care professionals play a role in the intensive care. The theoretical part of the theses explains the basic concepts associated with multicultural nursing, the legislative framework of the nursing process and the topic of communication with foreigners in an intensive care. The language barriers and ways of overcoming the barriers are defined in this part. Methodology: I chose the case study method for my bachelor theses. A case report of a French patient hospitalized in a critical condition in an intensive care unit was processed from the point of view of multicultural nursing. The basis of the work was the application of theoretical knowledge of the Transcultural Nursing Society and deep insight and understanding my own cultural values and...
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Education of nurses in intensive care
Klozová, Ivana ; Kordulová, Pavla (advisor) ; Strnadová, Alice (referee)
Introduction of problems: At present, nursing education is being given increasing attention. This is done by the management of the health service itself, by the teachers, by the nurses themselves, but also by the sick. There is still a burning shortage of nurses in all disciplines and hospitals. The current healthcare situation is slowly coping with changes in education, and only time will show whether changes have been set in the right direction and will help to infiltrate qualified staff into hospitals Goals: The main goal of my diploma thesis was to find out the motivation of nurses for specialization study in intensive care at work. The partial goal number one was to find out if nurses are educated in lifelong learning. Sub-goal number two was to map what nurses are currently the most burdened in their intensive care work. Methodology: A quantitative survey was carried out using custom-built questionnaires that were conducted in the intensive care nursing population Results: The results of the survey showed that the main reason nurses for intensive care intensive care were the fact that they needed money to study, wanted more time for their interests and paid leave before the exams. Nurses have also been trained in lifelong learning. They most often used e-learning education. Most nurses have...
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