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Application of snoezelen as multisensory stimulation in children with heavy combined handicap
RICHTROVÁ, Lucie
Snoezelen is a therapeutic method based on complex involvement of senses. The target group is particularly formed by individuals with heavy combined handicap, within the whole age spectre from newborns to seniors. Snoezelen is provided in a specifically arranged room offering the individual pleasant environment and stimulating sensual impulses. A therapist has a function of a guide here; the individual him/herself defines how to spend the free time in the snoezelen. The aim of the thesis was to find the possibilities of snoezelen application in children with heavy combined handicap. The particular goal was to develop individual plans for exploitation of snoezelen focused on development of concentration of attention and communication abilities. The theoretical part thus includes specification of general conditions and principles of snoezelen application as a therapeutic method apart from definitions of the basic terms, detailed characteristics of snoezelen and a list of supportive methods. This knowledge was then applied to the theoretical part of the thesis. Case reports were used for verification of the theoretical outputs with regar to the target group characteristic and the individual specifics of therapeutic work. Combination of involved observation and document analysis was used for data collection. Three children with heavy combined handicap were chosen for the research sample. All the probands passed a three-month therapy in specific environment arranged according to snoezelen principles. The room met the conditions for development of attention concentration and communication abilities. However the children did not take use of the opportunity during two month of therapy. Only relaxation effect of snoezelen was seen in all of them, a shift in interaction with the environment, where the child actively influenced the snoezelen elements was found in one case. The results showed that the short time and low frequency of therapeutic sessions were probably the reasons of non fulfilment of the set goals with regard to the disability character and degree. The thesis may serve as informational material for persons or facilities interested in utilization of snoezelen and would like to use a multi-sensory room in practice.
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Research on verbal and nonverbal communication of special educators and educators of people with handikepem the method of basal stimulation
JANKŮ, Jana
Working in the theoretical part deals with the concept of basal stimulation. Its features and application possibilities. Furthermore, we introduce the concepts of verbal and nonverbal communication and its types. Describes for appropriate communication with people with disabilities. It explains the key concepts of mental disability and his grades. In the practical section shows the communication approaches and skills of special educators and teachers in connection with the use of the concept of basal stimulation and the different perceptions of pupils with handicap. He is also the responses of pupils to teachers and the method of basal stimulation.
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Specifics Nursing care of patients on chronic resuscitation drive
PETROUOVÁ, Tereza
The Bachelor paper subject: Specific aspects of care given to chronic patients of Resuscitation Unit. The Ward of Chronic & Intensive Care is a specialized unit providing quality care to patients long-term dependent on the breathing apparatus. Formulated for the paper were three objectives: (1) to explore special aspects of nursing care delivered to patients long-term treated in the Resuscitation Unit. With the results reviewed, the nurses were found to provide comprehensive well-aimed care to the patients as regards the aspects of hygiene, nutrition and excretion. Great emphasis was placed on communication with clients, their families and other close relatives. A proper method of such communication was chosen in consideration of individual features of each person and his or her communication capabilities. The entire medical team applied the concept of basal stimulation. Consequently, the first objective was met. (2) to map the difficulties encountered while providing care in the Unit. Most of the nurses found their work mentally exhausting. The second objective was achieved, too. (3) to examine demands imposed on nurses staffing the Unit. The nurses had to be responsible; properly educated; familiar with different elements of the basal stimulation; and capable of taking independent decisions, showing empathy, utilizing communication skills, and cooperating not only with the other staff members but, first and foremost, with the families and relatives of the clients. The third objective was thus accomplished.
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Effectiveness of cooperation family and health workers in care of apalic coma.
LIŠKOVÁ, Kristina
People can differ in their attitudes toward apalic syndrome patients. Health care staff, however, would always be professional. They deal with a human being, a person who can sense. This fact should form a framework for both health care professionals and patients´ families. Especially nurses should be very sensitive, calm and good-tempered so that they could take adequate care of apalic patients. The empiric part of the thesis was elaborated through qualitative and quantitative research survey. The qualitative method, an interview, was used in the first phase of the survey. The data were collected through semi-structured interviews with the family members of apalic patients and the nurses of health care facilities. Although the interviews for the family members and the nurses differed in some parts, they contained common identification questions and specific information. The interviews were anonymous and consisted of 16 questions for the family members and 10 questions for the nurses.
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Utilization of the concept of Basal stimulation in the nursing process for apallic syndrome.
MÁŠOVÁ, Renata
The topic of this diploma paper is ``The Use of the Basal Stimulation Concept in Nursing Provided to Apalic Syndrome Patients{\crqq}. I have chosen this topic because I took part in a basal stimulation course and in order to describe the use of this concept in nursing. Basal stimulation is a programme for nursing. Thanks to its scientific basis and empathetic approach, basal stimulation is acquiring more and more sympathizers among nurses as well as physicians. It is a complex of nursing methods based on the use of appropriate stimuli instigating neural complexes. It has been proven that such impulses contribute to the regeneration of engrammes and facilitate overall rehabilitation of the patient. The concept of basal stimulation helps after craniocerebral injuries, cerebrovascular accidents, in comatose conditions and in apalic syndrome. The paper is divided into two sections. The first one is theoretical and it deals with the apalic syndrome and provides a detailed description of the basal stimulation concept. The other section, a practical one, provides the descriptions of individual case reports with a nursing plan based on the basal stimulation concept. The effects of this concept are assessed according to observations and questioning of nursing staff and family members. The observation of patients with the apalic syndrome has led us to conclude that the basal stimulation concept has very pleasing effects on the patients. This method has been incorporated into everyday nursing process and it should become a common standard in nursing. Frequently, the health state of such clients is stabilized for a long time and the prognosis is not favourable; the prevention of potential complications is mostly at play here. This scientific method has positive effects on such patients as seen by nursing staff as well as family members. It maintains the patient{\crq}s comfort, individual approach and a holistic being. The care for these seriously ill people is very physically and mentally demanding at common wards. Therefore, we think that it is necessary to establish specialized apalic units where such patients would receive individual care based on the basal stimulation concept. This care is practicable as much as possible in cooperation with family members and nursing staff providing all possible aids and background.
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Implementation of the basal stimulation concept in old people homes in the South-Bohemiam Region.
VESELÁ, Jaroslava
The theme for the bachelor work is the implementation of the conception of the basal stimulation in the retirements homes in the South Bohemian region. At present, the age average of seniors in all types of social care establishments is increasing, especially in residential establishments. To reach the quality of the provided care, it is necessary for all members of the nursing stuff to be informed of the problems and to manage the process of taking control of these problems and to solve them One of the most demanding tasks of the nursing care is to meet the needs of the client and to understand the style of communication. The basal stimulation is a conception that helps to meet the needs of all clients. It derives benefit from previous firmly footed life habits, customs and experiences of the client. The aim of the work is to find out, if the nursing team is making use of the basal stimulation conception in the retirement homes of the South Bohemian region. In the work, two hypothesis have been pointed: Hypothesis 1: In the retirement homes of the South Bohemian Region, the basal stimulation conception in the nurse care with seniors is not being used. Hypothesis 2: According the subjective opinion of the nurses, the basal stimulation conception is not being used for reasons of absence of nursing stuff in the retirement homes. To gain the information, a quantity investigation was used with a method of questioning, with a questionnaire given to the nursing stuff of seven selected retirement homes in the South Bohemian region Through the analysis of collected data subsequently processed into graphic charts and schemes, the first pointed out hypothesis was disproved and the second hypothesis was affirmed. In two selected retirement homes, the basal stimulation conception is used. When treating seniors, the method most frequently used is the positioning with bead aids. I believe that the investigation is also a practical contribution for the reason of the exchange of information about the existence of the basal stimulation conception to the nursing stuff who have not yet been informed about it, I hope that the basal stimulation will gain a basic position among the established methods of nursing care and will become a great contribution for the patient as well as for the whole nursing team.
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Basal stimulation of children
TLAMSOVÁ, Alena
ABSTRACT Basal stimulation of children Basal stimulation concept is an inherent part of life of people with physical or mental disability. It is a contribution for patients who experience any perception problems but also within a care for premature infants. The basal stimulation concept has currently been in the period of implementation and putting into practice. Various medical and social facilities have currently been operating with this concept in the Czech Republic. Through a qualitative investigation using a non-standard interview we tried to find out, whether the basal stimulation has any contribution for child{\crq}s development. There were chosen two objectives: O1: To find out the contribution of basal stimulation for child{\crq}s development from the view of general and children{\crq}s nurses. O2: To find out the contribution of basal stimulation for child{\crq}s development in the view of a family. The objectives were fulfilled. During the investigation we addressed eight general and children{\crq}s nurses. Three nurses have been working at the neonatal and children{\crq}s department of Nemocnice Písek, Joint Stock Company. Other two nurses have been working at the neonatal department of Nemocnice České Budějovice, Joint Stock Company. The remaining three nurses have been working in Světluška, the public beneficial organisation and the children{\crq}s social welfare institution in České Budějovice. Other research sample were parents of four children experiencing basal stimulation. It ensued from the result analysis that general and children{\crq}s nurses think that basal stimulation has a contribution for child{\crq}s development and can see changes of perception and behaviour after involving basal stimulation in care. It further ensued from the results that also parents think that basal stimulation has a contribution for child{\crq}s development and can also see changes of perception and behaviour after basal stimulation has been involved within care.
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Basal stimulation and kinaesthetics and their integration into the the care of seniors with specific problems
POLICHRONOVOVÁ, Lenka
Summary In my bachelor's thesis I focus on an integration of a stimulatory care into daily activities of seniors with heavy motoric, cognitive or perceptional changes by the means of the concept Basal stimulation and by the means of the concept Kinaesthetic mobilisation. In a theoretical part I describe an old age with manifestations of involution, I marginally mention a neurorehabilitation, nursing in order to point out a penetration of rehabilitation into the care which is directed to therapeutic aim in a nursing way. Subsequently I deal with both concepts, with individual stimulations and with kinaesthetic principles of mobilization. In a practical part there was a qualitative research applied. A data sampling was implemented by the way of a secondary analysis of documents and by a method of observation. An observation was implemented both as involved and neutral one. There was an instrumental method of casuistics applied to describe an integration of concepts into the care. The diversity of sample was the main criterion at choice. There were 4 males and 2 females in the age range 53{--}95 years old in a set. The objective of work no. 1 was to create an integrated image of the possibilities of integration and of utilization of elements from a concept of basal stimulation and kinaesthetic mobilisation in the care of seniors with specific problems. The objective no. 2 was to support a theory that an interconnection of a concept of basal stimulation and kinaesthetics leads to the development of perceptiveness and to improvement of skills and capabilities. The objective no. 3 presupposes that concepts of basal stimulation and kinaesthetics contribute to a support of overall perception and to improvement of the quality of life of seniors with a somatic, sensoric and mental affection. The objective no. 4 was to find out whether the concepts are a suitable communicational and educational form in a fundamental nursing care in order to achieve a higher level of self-service and mobility. All the objectives were achieved in my opinion. An importance of rehabilitation and psychosocial educational care even in old age ensued from an elaboration of a theoretical part. By the way of evaluation of a practical part I came to my personal opinion that a stimulation care has a positive effect even in a developmental stage of an old age. The thesis could become a source of information at introduction of concepts into practice; it could be conducive for family members when taking care of their close relatives or eventually as a basis for the purposes of study of these problems.
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Influence of Basal Stimulation on a Possibility of Transition to the Reconciliation Phase according to Elisabeth Kübler Ross
HLAVÁČKOVÁ, Kateřina
While the numbers of incurable patients continues to rise, it follows that the nursing care of incurable and dying people is getting more important. Naturally the dying patient is the most exacting patient of all from the nurses point of view, and needs individual care and empathy. This work of mine is called {\clqq}Influence of Basal Stimulation on a Possibility of Transition to the Reconciliation Phase according to Elisabeth Kübler Ross``. It has been divided into two parts, theoretical and practical. The theoretical part consists of five chapters: The Basal Stimulation which is the art of being in contact with the patient, The Terminal Stage, The Needs of the Dying Person, The Palliative Care, and finally The Usage of Basal Stimulation as part of the Palliative Care. The second practical part consists of qualitative research, which has two goals. The first goal was to assure whether utilisation of the concept of Basal Stimulation influences the adaptation and life of the terminally ill patient in order to focus upon the transition from depression phase to the phase of acceptance. The second goal was to ensure that the influence of Basal Stimulation manifests itself upon the patient in the expression of discomfort in comparison to the effect prescribed medication and common nursing care administered in the hospice. Fundamental research was established upon the following basic questions: 1. Should the application of the basal Stimulation concept influence the transition to the acceptance phase according to Elizabeth Kübler Ross? 2. Should the use of the basal stimulation generally increase the overall comfort ot the terminally ill patient? 3. Whether the concept of basal stimulation assists to deepen the interaction between the patient and his/her nearest next of kin? I chose eight patients whose behaviour and reactions I closely observed. Half of them were cared for utilising the concept of basal stimulation at Jan Nepomuk Neumann Hospice in Prachatice. The second half were cared for in Štrasburk Hospice in Prague using the common nursing practices of that hospice. The observation was carried out with the cooperation of nurses working in both hospices. The results which were obtained were noted for all eight case reports. The case studies compare against the following research the phases of depression to acceptance. For a more complex perception of the observed clients each case study is completed by medical and nursing diagnosis. The results of the entire research lead us to following hypothesis: The presence of the next of kin and their participation in the care of the ill are conducive to holistic care for the dying person just like it is to every human being. I suggest that these results which the research has given should be used in medical schools, in the departments of palliative care for the advancement in the education of health workers who care for dying patients. I also recomend that the basal stimulation concept be applied to the standards of nursing care in the department of palliative care.
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The Challenges of Providing Nursing Care to Delirant Clients in Intensive Care Units
VONDRÁKOVÁ, Radka
The theme of this undergraduate thesis is The Challenges of Providing Nursing Care to Delirant Clients/Patients in Intensive Care Units. The thesis pursues three objectives and elaborates three hypotheses. The first objectives was to assess the challenges of providing nursing care to delirant patients at the ICU of the České Budějovice Hospital, from the nurses{\crq} perspective. The second objective was to examine the nurses{\crq} knowledge of the specific challenges of providing nursing care to delirant patients at the ICU of the České Budějovice Hospital. The third objective was to ascertain whether nurses were acquainted with the principles of using inhibition as a means of controlling situation, according to the nursing standards of the České Budějovice Hospital. The first hypothesis was based on the presumption that nurses taking care of delirant patients feel exhausted. The second hypothesis was based on the presumption that nurses use inhibition as a standard means of controlling situations involving delirant patients. The third hypothesis was based on the presumption that university-educated nurses have a better knowledge of patients{\crq} delirant condition than nurses with lower education. For the purposes of my research, which I conducted in January and February 2009, I applied a quantitative method using a questionnaire. The questionnaire was distributed among the nurses working at the ICU of the České Budějovice Hospital. The resulting data were recorded in the form of diagrams. The validity of all the hypotheses has been confirmed and the outlined objectives have been reached. In the closing part of my thesis, I recommend that a seminar be organized for all the nursing staff of the České Budějovice Hospital, where nurses would be presented with the complexity of delirium problems, as well as mental hygiene and relaxation techniques. Furthermore, it was suggested to perform an audit of the nursing care standard no. 37 at the České Budějovice Hospital. The hardest recommendation to meet was to ensure adequate staffing of the ICU. However, solutions for this particular problem lie beyond the limits of my undergraduate thesis, as shortage of nursing staff is a nationwide problem. My last recommendation calls for improving the theoretical preparation of non-medical students by including specific practical care of delirant patients.
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