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Glycemic level check performed by a nurse in critically sick people in intensive care
Vaňková, Daniela ; Heczková, Jana (advisor) ; Lišková, Iveta (referee)
This thesis deals with the control of blood glucose levels of critically ill patients in intensive care, focusing on hyperglycemia of the critically ill and possible therapy within the competences of nursing and medical staff. The theoretical part of the thesis deals with the issue of hyperglycemia of critically ill patients from the medical and nursing perspective as well as the issues concerning instrumentation. The first chapter describes briefly the history of insulin, relating to its discovery and introduction into practice. The following chapter describes the concepts of critically ill, intensive medicine, intensive care as well as specific nursing care. Short information about etiology, diagnosis, treatment and complications of diabetes mellitus is described in the third chapter. The following are the chapters, which are more specifically devoted to the issue of hyperglycemia of the critically ill, including chapters on glucose homeostasis of the critically ill, the evolution of blood glucose levels, instrument technique, insulin protocols, insulin therapy, details of insulin therapy in intensive care and on the principles of correct blood collection for the determination of blood glucose levels in the conditions of intensive care. The empirical part of this work contains research on the...
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Intensive care from perspective of the lay public
Vengrínová, Jaroslava ; Hošťálková, Monika (advisor) ; Lišková, Iveta (referee)
The diploma thesis consists of two parts: Theoretical and Empirical. The Theoretical Part explains the basic meaning of the expression Intensive Care, the types of Intensive Care, its history and provides a description of an intensive care workplace and the health personnel working in Intensive Care (their education and competence). The thesis also deals with patients in Intensive Care and their needs. The objective of the Empirical Part was to ascertain the Czech general public knowledge and attitudes towards Intensive Care, their experience with Intensive Care as a patient or a person close to the patient. The methodology of the Empirical Part consists in a survey using questionnaires among Czech general public. The questionnaire was answered by 259 respondents. On the basis of statistical evaluation of respondents' data made by a statistics computer program, we found out the Czech general public is able to define the notion of Intensive Care and those who had their own experience with an intensive care workplace described the setting of the place as positive, which was a surprising finding. However, we also found out the respondents of our survey still lack information, and they would, therefore, appreciate to receive an information leaflet whenever entering into contact with an intensive care...
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Management activities of charge nurse in the intensive care unit
Nováková, Alena ; Marková, Eva (advisor) ; Lišková, Iveta (referee)
This thesis focuses on the work of charge nurses in intensive care units (ICUs) as first-line managers. The practical part of the thesis aims at assessing the experience with nursing management in day-to-day routine, especially with the management of change introduction, conflict resolution and motivation of employees. It further compares different charge nurses' career beginnings. The second part of the research deals with personal typology of charge nurses. Twenty six ICU charge nurses were included into the study. The results indicate that charge nurses are not being specifically prepared for their job and that they particularly lack any special education in management. They usually solve conflicts either by compromise or via a directive. Most charge nurses intend to introduce changes into daily practice and they perceive changes as positive. Conversely, they describe the attitude of their subordinates towards changes as negative. Charge nurses generally know the motivators of their employees; however, they excessively and inappropriately use praising as motivation tool. Although not standardized and not used generally, a formal evaluation of employees is considered by charge nurses as a possible way to improve motivation. Allover, the study shows the need for a more thorough management training...
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Glycemic level check performed by a nurse in critically sick people in intensive care
Vaňková, Daniela ; Heczková, Jana (advisor) ; Lišková, Iveta (referee)
This thesis deals with the control of blood glucose levels of critically ill patients in intensive care, focusing on hyperglycemia of the critically ill and possible therapy within the competences of nursing and medical staff. The theoretical part of the thesis deals with the issue of hyperglycemia of critically ill patients from the medical and nursing perspective as well as the issues concerning instrumentation. The first chapter describes briefly the history of insulin, relating to its discovery and introduction into practice. The following chapter describes the concepts of critically ill, intensive medicine, intensive care as well as specific nursing care. Short information about etiology, diagnosis, treatment and complications of diabetes mellitus is described in the third chapter. The following are the chapters, which are more specifically devoted to the issue of hyperglycemia of the critically ill, including chapters on glucose homeostasis of the critically ill, the evolution of blood glucose levels, instrument technique, insulin protocols, insulin therapy, details of insulin therapy in intensive care and on the principles of correct blood collection for the determination of blood glucose levels in the conditions of intensive care. The empirical part of this work contains research on the...
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The Client's Falls in Social Services
Lišková, Iveta ; Jurásková, Dana (advisor) ; Pavlíková, Pavla (referee)
The diploma work is focused on the changes in the old age and the problems of falls. The research compares standards of the knowledge of outside and internal factors, the preventative measures against the population falls, the nurses at the sickbed and the management in social services institutions. Below there is the monitoring of falls evidence, number of falls and injuries that go with falls. The most important findings are the weak knowledge in institutions that have got worked "the fall standards" for all above-mentioned spheres. After data evaluation there were suggested precautions for improvement in these problems.
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