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Case study of physiotherapic care of hemorrhagic stroke patient with right-sided hemiparesis
Kopecký, David ; Reckziegelová, Petra (advisor) ; Vrbický, David (referee)
Author: David Kopecký Title: Case study of physiotherapic care of hemorrhagic stroke patient with right-sided hemiparesis Objectives: The purpose of this thesis was to to summarize the theoretical information on CMP with a focus on the hemorrhagic type and to elaborate a case report of physiotherapeutic care of a patient after hemorrhagic CMP with right-sided hemiparesis hemiparesis Methods: The content of the theoretical part is drawn from professional articles, textbooks and studies. The case study consists of anamnesis, initial kinesiological analysis, short-term and long-term therapeutic plan, 8 therapeutic units, output kinesiological analysis, evaluation of the effect of therapy and final discussion where I compare the effect of my therapy with studies. Results: The most significant changes in the patient's condition include a decrease in the painfulness of the affected shoulder, an increase in the passive range and the onset of active movements. Progress was also noted in gait stereotype and ADL. Conclusion: This thesis contains theoretical background on stroke and in a special section is described a case study of a patient with this disease. The case report was prepared in the ÚVN Prague in the period from 13th January to 26th January under the supervision of Bc. Eva Hankovcova. Keywords:...
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Management of nursing care of the patient with intracranial hemorrhage
LESÁKOVÁ, Barbora
The diploma thesis deals with a problematic of management of the nursing care by a patient with intracranial hemorrhage. Most of the patients who survive intracranial hemorrhage stay permanently reliant on the care from others. That is why it is so important for this care to be as qualitative as possible and to have a fluent continuity. The aim of the thesis was to find out what is the role of a nurse by the patient with intracranial hemorrhage, then also find out, if the nurses know the warning signs of a worsening state of such patient, how do they cooperate with his/her family and what are the possibilities of the following care. In the empirical part of the diploma thesis, qualitative-quantitative research was used. For a complex view on a management of nursing care, the chosen technique of research was semi-structured questionnaire with patients with intracranial hemorrhage and non-standardized questionnaire with nurses who take care of these patients. For the quantitative part of the research, two hypotheses to two aims of the diploma thesis were set. Both hypotheses weren't proven by statistical methods. For qualitative research, four research questions were set. The respondents described the role of a nurse, especially in helping the patient, in rehabilitation and in also her role in educating the patient. Addressed respondents agreed on appropriate and swift reactions of the nurses in case the state of the patient starts to worsen. The cooperation of nurses and families is according to the patients without problems. It showed in the interviews with respondents, that there is a problem with insufficient awareness of the patients about the existing possibilities of following care. The outcome of the diploma thesis is a coherent educational material about nursing care by a patient with intracranial hemorrhage, which can serve to either the students or the nurses taking care of these patients.
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