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Nutrition and movement among patients with dementia in > nursing homes
Mesl, Jan ; Matoulek, Martin (advisor) ; Živný, Jan (referee)
Not only the ageing population, but also the pitfalls of the current lifestyle represented by high caloric intake and negligible physical activity lead to a significant increase in civilisation diseases, the most prominent of which are obesity, type 2 diabetes and hypertension. All of these, but not exclusively, contribute to the rise in neurodegenerative diseases such as dementia. This bachelor's thesis deals with the nutritional status and physical fitness of clients with dementia syndrome in a residential care home (one of the types of residential social care facility). The aim of the thesis was to perform nutritional screening, obtain body mass composition values and assess the nutritional status of this group of people. Another aim was to assess the physical fitness status and muscle volume. The research was conducted in the beginning of 2023 (from January to April) among the clients of the residential facility in the Home Velké Březno near Ústí nad Labem. Self- managing clients with different degrees of dementia syndrome were included in the research. A total of 31 people participated in the research, 25 women and 6 men with an average age of 79 years. Each participant underwent a standardized nutritional MNA screening, body mass composition was measured using the InBody S10 device, and...
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Comparison of outreach social and health care services for people with dementia in the Czech Republic and the Netherlands
Rooijakkers, Jitka ; Povolná, Pavla (advisor) ; Mertl, Jiří (referee)
The master thesis deals with the quality of care provided to people with dementia and their informal carers. The aim is to compare health care and social services for this group of patients in two countries - the Czech Republic and the Netherlands. The first part defines the dementia syndrome, its diagnosis, symptoms, treatment and management of dementia. This is followed by the topic of palliative and hospice care and euthanasia The thesis also includes the concept of long-term care, which is purposely limited in this thesis to only that part which is provided either by a health service provider or by a social service in the patient's/service user's home environment. The next section refers to laws, regulations and policy documents that relate to the topic of care for people with dementia. The last part of the theoretical definition of this thesis describes the health and social service system in the Netherlands, including reference to strategic documents that shape the care of people with dementia and their informal carers. The empirical part includes the elaboration and analysis of qualitative research, which I conducted through interviews directly with informal carers.
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Speech therapy interventions for adults with cognitive-communication disorders
Stöcklová, Alžběta ; Horynová, Jana (advisor) ; Korandová, Zuzana (referee)
The diploma thesis deals with the implementation of speech therapy intervention in adults with cognitive-communication deficits. The work consists of theoretical and empirical parts, which together form five chapters. The theoretical part contains four chapters. The first chapter briefly characterizes the issue of cognitive-communication deficits. In the following chapters, the thesis also presents selected types of diseases that are related to the empirical part of the work. The fourth chapter describes speech therapy intervention in these diseases. The last chapter is the empirical part of the work. For the implementation of the research, a qualitative research survey was taken. Using case studies, speech therapy intervention in adults with cognitive-communication deficits was described and then its two components - speech diagnostics and therapy - were evaluated. In addition to the case study, methods of semi-structured interview, participatory observation and document data collection were used to obtain outputs. Keywords speech therapy intervention, cognitive-communication deficit, dementia syndrome, developmental mental deficit, case study, communication
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Dementia syndrome in clients as a specific phenomenon in the management of workers of the care service.
Hlavičková, Barbora ; Vrzáček, Petr (advisor) ; Holasová, Lenka (referee)
The diploma thesis deals with the impact of dementia syndrome in clients of social field service on workers in direct care. The thesis connects two theoretical levels, which are closely related to the topic. This is primarily the level of the disease itself with dementia syndrome and the circumstances associated with caring for a sick person. The second level deals with the topic of managing a team of workers in direct care, with a focus on field social services. The research in the sequential variant made it possible to emphasize the moments that are specific in the care of clients with dementia syndrome in the home environment. The intention was to name the stress moments that come with working with a given target group in the home environment. At the core of the pressures mentioned by the respondents, the stress resulting from the unpredictability of the situation was found as a common denominator. It is unpredictability, given the client's illness, in the conditions of the home environment, in which the client is used to making his own decisions, despite the worsened cognition. At the next level is the stress resulting from unclear responsibility for the content of the service. The employee must be able to flexibly move from a role that is more managerial to a role where the service is managed...
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Neuropsychological aspects of preclinical stages of neurodegenerative diseases
Nikolai, Tomáš ; Roth, Jan (advisor) ; Holmerová, Iva (referee) ; Jirák, Roman (referee)
Neuropsychological aspects of preclinical stages of neurodegenerative diseases are an extensively studied topic in neuropsychological research. Neuropsychological assessment can be helpful for the estimation of conversion risk in individual cases. The focus of neuropsychological research shifted from the evaluation of dementia to mild cognitive impairment (MCI) or even to the detection of cognitive change before significant cognitive decline. In the theoretical part is presented a contemporary outline of preclinical stages of neurodegenerative diseases. The construct of MCI is the most studied topic in the prodromal stage of neurodegeneration and this part is dedicated to comprehensive analysis of MCI. The empirical research includes five studies on screening methods of cognitive abilities, memory and verbal fluency tests. We present normative and validity data in older adults and show their detection potential in MCI or preclinical stages of neurodegenerative diseases. Furthermore, we tried to show the detection potential of different memory measures in patients with MCI and estimate the relations between hippocampal atrophy and memory performance. Key words mild cognitive impairment, dementia syndrome, Alzheimer's Disease, neuropsychological assessment, diagnostic procedures
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The information deficit within family members of people with dementia syndrome
MÍKOVÁ, Ivana
The bachelor thesis investigates problems of insufficiently infrormed family members who look after persons with dementia syndrome. The aim of this thesis is to investigate from which sources family members were gathering information about dementia sydrome. The second aim was to investigate where information is insufficient and which essential information was missing according to family members who were looking after persons with dementia syndrome. The practical part of the bachelor thesis was processed by quantitative research, questionnaires and half structured interviews. Respondents were selected by intentional sample selection or by snowball method. In the overall research, 10 respondents have participated. For better interpretation were acquired data divided into categories. From the research could be concluded that family members in most cases obtain information in senior homes or at psychiatric ordinations. Furthermore in most cases respondents were missing information about seniors nutrition, stimulating activites and compensatory aids. The bachelor findings could be benefical for persons who will look after patients with dementia syndrome and also for persons who provides information about dementia syndrome.
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Social Work with People with Dementia Syndrome
BŘEZINOVÁ, Denisa
This bachelor thesis focuses on social work with dementia syndrome people. The subject is social workers who work in a special regime homes in the Vysočina Region and provide their services to clients of these organizations. An important goal is to describe the specifics, possibilities and limits of social work with dementia syndrome people in the Vysočina Region. I have been searching between various organizations which u can find in the Vysočina Region and that are providing services for the clients with dementia. Within these organizations I was interested in social workers, general information about them, content and the specifics of their work, methodical and professional support, cooperation with other workers, etc. With obtained information I worked mainly in the practical part of this work. In the theoretical part, I focused on obtaining general information on dementia, from the first symptoms to the splitting up to individual types of dementia. I also received important documents from the social work area, which I could use in communication with social workers later and consequently in the processing of the practical part of the work. The practical part I created by using qualitative research in questionings method using semi-standardized interview with informants. These informants I selected based on availability. Obtained information were processed by using the open coding method, which was furthermore created as categories and subcategories, their content and the tables contained therein. I also created SWOT analysis of social work, its strengths and weaknesses, opportunities and risks. First I created a SWOT analysis for each organization separately and then for all organizations together. Issue of this work is a detailed view of the activities of social workers in special regime homes and their comparison with each other. From the results based on research, I came to the conclusion that the activities of social workers in homes with a special regime there is a match in most cases. Social workers are agree with their work description, organization rules and provided information, there are minor exceptions. An important goal of most social workers is to obtain and maintain client contact with theirs family, communication with the family, finding information about the client and helping from the family.
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Neuropsychological aspects of preclinical stages of neurodegenerative diseases
Nikolai, Tomáš ; Roth, Jan (advisor) ; Holmerová, Iva (referee) ; Jirák, Roman (referee)
Neuropsychological aspects of preclinical stages of neurodegenerative diseases are an extensively studied topic in neuropsychological research. Neuropsychological assessment can be helpful for the estimation of conversion risk in individual cases. The focus of neuropsychological research shifted from the evaluation of dementia to mild cognitive impairment (MCI) or even to the detection of cognitive change before significant cognitive decline. In the theoretical part is presented a contemporary outline of preclinical stages of neurodegenerative diseases. The construct of MCI is the most studied topic in the prodromal stage of neurodegeneration and this part is dedicated to comprehensive analysis of MCI. The empirical research includes five studies on screening methods of cognitive abilities, memory and verbal fluency tests. We present normative and validity data in older adults and show their detection potential in MCI or preclinical stages of neurodegenerative diseases. Furthermore, we tried to show the detection potential of different memory measures in patients with MCI and estimate the relations between hippocampal atrophy and memory performance. Key words mild cognitive impairment, dementia syndrome, Alzheimer's Disease, neuropsychological assessment, diagnostic procedures
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