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Mobile home parenteral nutrition
Votavová, Markéta ; Meisnerová, Eva (advisor) ; Čapková, Radka (referee)
A stationary or portable infusion pump can be used to administer home parenteral nutrition (HPN). The stationary pump (SP) must be fasten to the infusion stand, so patients administer infusions in night mode to maintain their quality of life and mobility in the daytime. However, administering the HPN at nighttime can cause complications. Conversely, the portable pump (PP) does not have to be fasten to the infusion stand and the infusions can be administered in day mode during activities, as the PP can be placed in a special backpack. The aim of this diploma thesis is to evaluate the administration of HPN in day mode in patients with a PP and further to evaluate and compare the results of quality of life and liver function tests results in patients with a PP and a SP. HPN patients with a PP and a SP completed the HPN-QOL questionnaire in the nutritional clinic at the 4th internal clinic of the General University Hospital in Prague during outpatient visits. In addition to that, patients with a PP completed a questionnaire focused on the administration of HPN in day mode. Liver function tests results (total bilirubin, ALT, AST, GGT, ALP, cholinesterase and albumin) were obtained from patients' medical records. A total of 14 respondents with a PP and 14 respondents with a SP were included in the...
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Nutrition of patients with ileostomy
VOTAVOVÁ, Markéta
The aim of this bachelor thesis was to determine a nutritional condition of patients with ileostomy and preferences and restrictions of their nutrition. The research ensemble was consisted of 11 adult respondents, of whom 9 respondents had ileostomy, 1 woman had colostomy and 1 woman had jejunostomy. The research was processed qualitatively in the form of structured interview, a weekly food diary record and an anthropometric measurement (BMI, arm circumference and waist circumference). For the interview was prepared 48 questions focused on personal data, eating habits and a consumption of individual types of beverages and food. The recorded responses were literally rewritten and then were individually evaluated for each respondent. The food diary forms were prepared for the respondents and after filling were processed in the Nutriservis program. The identified average nutritional values were compared with the recommended daily need of energy and nutrients. Most of the respondents had a lack of energy and nutrients in the food diary. BMI values showed that most respondents were overweight or had the first degree obesity and the waist circumference values showed a high risk of cardiovascular disease for most respondents. Depending on the values of the arm circumference, there was found no risk of malnutrition for any respondents. The responses showed that an eating option for ileostomy patients is completely individual and there is no strict dietary regime. A big influence on eating had personal taste preferences, elapsed time from surgery and a cause of ileostomy. The results of this research may serve employees in healthcare facilities to inform patients with ileostomy but, above all, the results may be used by patients themselves, who may improve their orientation in eating and thus may prevent a possible occurrence of health complications.
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