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Rehabilitation and activation of immobile and bed-ridden patients in care facilities
DUCHKOVÁ, Alena
Abstract The birth-rate falls and mortality declines owing to improving social-economic conditions in all advanced countries. More and more people live longer and the old age is becoming corporate phenomenon. Health state of seniors gets worse with an elongating age. Specific geriatric syndromes influence the quality of their lives, immobilization syndrom lays them up and it adverts them to a help of others. In my bachelor work I have aimed mainly at older immobile patients who are hospitalized in hospitels in post-care wards and I also aimed at immobile seniors who live in rest homes. Activation of immobile clients is very important, it could partly compensate the missing family life, its cares and joys and at the same time any maningful activity provides person with a life purpose, feeling of own importance. It is ideal to reveal needs and desires of immobile clients and also to offer them relative activities and accomplish them effectively. Big part of this duty falls on own patient{\crq}s family. The family cannot always fulfill their task either because family cannot take care or in a worse case the family do not want to. This work in a theoretic part consits of chapters connected to given problems, it means definition of notions immobility and immobilization syndrom, examples of different forms of activation, relation and connections between health and a quality of patient{\crq}s life. In a research part I have dealt with an influence of activation on a patient from a nurses` point of view, I have also dealt with possibilities of accomplishing activating methods in different medical facilities and nurses` competence and their ralation to an activation. The aim of my research is to find out whether a suitable activation influences a dependence of an immobile patient on his surroundings and whether it shows it on a quality of patient{\crq}s life from a nurses` point of view. Second aim of my work was to compare and activation of immobile patients among different medical facilities. I have chosen a post-care wards and a rest home for comparing activation. The first hypothesis confirmed during a research and the hypothesis is that a suitable activation declines dependence of an immobile patient on other people. According to my research the second hypothesis also confirmed and the hypothesis is that psycho-social patient{\crq}s conditions have improved through an activation therapy in different medical facilities. I have used a method of a survey with a help of questionnaire for getting needed facts to achieving goals and answering hypothesis of a quantitative survey. The questionnaire consisted of 18 questions focused on patients` activation in given wards, on kinds of activation, on aids and sufficient conditions for activation carrying out, on nurses` competence and on an influence of activation on a patient{\crq}s life quality. The questionnaire was given just to nurses and was anonymous. I have compared the results among given wards.
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