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Specific nursing care for a frail senior
FRISCHOVÁ, Karolína
The aim of the bachelor thesis entitled "Specific nursing care for a frail senior" was to map the specifics of nursing care for a fragile senior and to find out the use of evaluation tests in practice, or to find the most adequate tool for the evaluation of seniors. In the theoretical part of the bachelor thesis, I focused on the definition of the concept of old age and aging and the problems associated with it, as well as on a detailed description of geriatric frailty from a theoretical point of view and, last but not least, on the assessment scales for a comprehensive assessment of seniors. The chapter is also devoted to proper nutrition in old age, which should not be forgotten in health care and personal life and is often key in the prevention and treatment of diseases. Part of the bachelor thesis is also devoted to risk areas that threaten seniors with geriatric frailty. The last subchapter of the theoretical part is devoted to the importance of motivation in the process of returning the senior's self-sufficiency and not giving up the goal and hope when being bedridden. The practical part of the bachelor thesis was filled with quantitative research investigation, using evaluation tests: SPPB to assess the physical fitness of seniors (see Appendix 1), questionnaire SARC-F (see Annex 2) to determine the degree of sarcopenia and Criteria for the evaluation of fragility according to Friedová (see Appendix 3). Part of the research was carried out in the Home for the Elderly in Bechyně, the other part consisted of members of my family and neighbors over 70 years of age. Testing was anonymous and completely voluntary. The research was processed by means of tables and graphs and statistical processing of hypotheses was done by Chi-square test and correlation method. The aim was early identification of frail patient in health care settings and finding a suitable measurement tool for clinical practice.
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The physiological impact of digestive changes in geriatric patients and their impact on dietary and fluid intake
Krotilová, Martina ; Maruna, Pavel (advisor) ; Živný, Jan (referee)
Introduction: This bachelor thesis focuses on the aging process, physiological changes in the digestive tract, and the potential severe problems associated with advanced age that may impact diet and fluid intake. In the theoretical part, it summarizes the most important factors discussing old age and its related aspects. The practical part compares the theoretical research with the collected results from a questionnaire survey and laboratory blood tests. Aims: The main general aim of this thesis was to conduct a search of literature and scientific studies, and then to compare these findings with the data collected in the practical part. It was necessary to obtain the specific changes in the given sections of the digestive tract from the literature and research. The practical part included a questionnaire survey and the results of laboratory blood tests of geriatric patients to compare the diet of current versus younger age and, if necessary, to find out the reasons for the change. Methods: The quantitative questionnaire survey was realized between December 2022 and February 2023 in the Home for the Elderly, Prague 4 Háje and was completely anonymous. The target group were individuals from the elderly population. The questionnaire was based on a professional article by Professor Hana Kubesova. The...
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The issue of evaluating and alleviating pain in the elderly in nursing homes
PANOVA, Vladislava
The bachelor's thesis "The issue of evaluating and alleviating pain in the elderly in nursing homes" deals with research into the nursing care of elderly people with pain who are permanently housed in social facilities, so-called nursing homes. The research was conducted in selected homes for the nursing homes in the South Bohemian Region. The thesis consists of two parts: theoretical and empirical. The theoretical part is divided into 3 individual chapters. The first is about gerontology and geriatrics, it describes different perspectives on aging, aspects of old age, society's view on the elderly, etc. The second clarifies the concept of pain and related areas: anatomy and physiology, collection of patient history, therapy, etc. The third tells about social facilities and legislation. The empirical part was carried out by a qualitative research investigation, using a semistructured interview method. Data analysis took place in the form of open coding, using the "pencil and paper" method. The codes created further were classified into individual categories and subcategories. According to the obtained data, we can say that nurses are well informed about the methods of pain assessment of their clients based on standardized methods and personal experience while working with them. They know well the pharmacological and nonpharmacological methods of pain relief and they are excellent at cooperating with the members of the multidisciplinary team who oversee implementing some of the given methods. In addition to the good aspects, the lack of a certain standard for the assessment of pain in seniors suffering from dementia syndrome is discovered, which needs to be created in the future not only for social, but also for medical facilities. The results of the bachelor's thesis can be used for further research in the field of nurses' work in social facilities and nursing care for elderly people with pain and inability to express themselves verbally.
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