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Development of self-sufficiency in patients with hydrocephalus
Brindová, Jana ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Thesis entitled Development of self-sufficiency in patients with hydrocephalus is divided into two parts. The first part contains a theoretical treatment of the subject. There is discussed the issue of hydrocephalus and the issue of self-sufficiency in self-care. In hydrocephalus, the author first examines in detail the anatomy of the cerebral ventricles and the creation, composition and circulation of cerebrospinal fluid. The following is a detailed discussion about the nature of the disease itself, its types, causes, symptoms, diagnosis and treatment. Finally, there is analyzed the quality of life of patients with this disease. In the area of self- sufficiency, the author focuses on the very concept of self-sufficiency, starting with a general description of this term and continuously moving towards a description of its different aspects with regard to movement and physical activity the patient, his clothing and hygiene, emptying the urine and stool and nutrition. The second part is conceived as an empirical. There are evaluated, what was found by using a questionnaire survey. The author examines whether the patients were improved after surgery in specific areas of self-sufficiency, and if so, to what extent. Areas examined are self-sufficiency in food, hygiene, emptying, walking and dressing....
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Development of self-sufficiency in patients with hydrocephalus
Brindová, Jana ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Thesis entitled Development of self-sufficiency in patients with hydrocephalus is divided into two parts. The first part contains a theoretical treatment of the subject. There is discussed the issue of hydrocephalus and the issue of self-sufficiency in self-care. In hydrocephalus, the author first examines in detail the anatomy of the cerebral ventricles and the creation, composition and circulation of cerebrospinal fluid. The following is a detailed discussion about the nature of the disease itself, its types, causes, symptoms, diagnosis and treatment. Finally, there is analyzed the quality of life of patients with this disease. In the area of self- sufficiency, the author focuses on the very concept of self-sufficiency, starting with a general description of this term and continuously moving towards a description of its different aspects with regard to movement and physical activity the patient, his clothing and hygiene, emptying the urine and stool and nutrition. The second part is conceived as an empirical. There are evaluated, what was found by using a questionnaire survey. The author examines whether the patients were improved after surgery in specific areas of self-sufficiency, and if so, to what extent. Areas examined are self-sufficiency in food, hygiene, emptying, walking and dressing....
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Nursing care for patient with polytrauma
SKLÁŘOVÁ, Lucie
Multiple traumas mean a present injury of at least two body systems. The patient with the multiple traumas is, because of the threatening failure of one or more organs, alternatively systems, placed on the intensive care unit. The nursing of the patient is therefore systematic, continual and its part is the monitoring of the conditions and saturation of basic needs. The nursing care on the intensive care unit is dependent on their health conditions and it permanently changes. A nurse usually takes over the whole care of the patient and they are dependent on her. Therefore the nurse must know all the patient´s needs and provide them regard to their self-sufficiency. Self-sufficiency is the level of independence during the daily routine. To its evaluation we use Barthel test of basic daily activities. In literature the word self-care is used as an identical term. The empiric part of the bachelor thesis is focused on self-sufficiency, self-care of a patient and activation of the nurses. The goal of the research is to find out the difference in the amount of care for a patient with multiple traumas on the Intensive care unit and a standard ward in connection with the level of self-care. To fulfil the goals three research questions were set. The research questions are: How do the nurses judge the self-sufficiency of a patient with multiple traumas on the intensive care unit and a standard ward? How do they provide the nursing care at a patient with multiple traumas in a standard ward? How do they provide the nursing care at a patient with multiple traumas on the intensive care unit? The qualitative research with the help of semi-structured interview was used to answer the questions and fulfil the goals. The research was taken on the traumatologic intensive care unit and in the standard ward. 5 respondents and one patient were from the intensive care unit and other 5 respondents and two patients were from the standard ward. The answers for the first research question were identical at all respondents. The evaluation of the patient´s self-sufficiency is according to Barthel test. The answers of most respondents point at the fact that the test in not practical and suitable. The results of the second and third research question can be comprehended in one conclusion. Regarding the fact, that the nurses from the intensive care unit and the standard ward made comments in the same way. The nursing care is always provided regarding the self-sufficiency of a patient. They support a patient mentally to make him more self-independent. They use different accessible tools for practice. With the help of the research questions we reached the goals. We found out that the difference in the extent of provided care is in the amount of activities which are done by nurses for the patient on the intensive care unit and in the standard ward. The nurses provide a patient with more activities logically on the intensive care unit. It is due to the conditions of a patient which are acute at the beginning. Even though, the nurses try to activate a patient as much as possible. By contrast, the nurses in a standard ward have the chance to increase patient´s self-sufficiency in more activities. They endeavour patients to be self-sufficient in hygiene, catering, walking and excretion. In these activities patients should be helped by physiotherapists. As it is agreed by the nurses from the intensive care unit as well as the nurses from the standard ward, this approach does not really work and so the only ones who activate a patient are the nurses and hospital attendants. The work should serve the nurses to clarify the importance of multiple traumas and deepen their knowledge of discussed problems.
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