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Differences of nursing care for patients with multiple sclerosis depending on the care provider
LAIBRTOVÁ, Markéta
This bachelor thesis deals with the disease Multiple sclerosis (MS) and Nursing Care which is provided to the patients at the Standard Neurological Ward and in Multiple Sclerosis Center (MS Center). The theoretic part is devoted to anatomy and physiology of nervous system, the definition of the disease, etiology, clinical signs, process and prognosis of the disease, diagnostics, and treatment. Next it describes the facilities that providing care to patients with Multiple sclerosis. The end of the theoretic part is about Nursing Process and about specifics of Nursing Care for patients with Multiple sclerosis. Three research objectives were defined in the empiric part of this bachelor thesis: find out the role of nurses, find the differences in Nursing Care for MS patients in Specialized Outpatient Wards and at the Standard Neurological Ward and map the MS patients experiences with Nursing Care at these facilities. To achieve the determined objectives qualitative research was used. Data collection was done through in-depth interviews with the nurses from the Neurological ward at the Standard Neurological Ward and in MS Center and directly with patients who suffer from Multiple sclerosis. The obtained information was processed by open coding, paper and pencil interviewing. The results showed that the differences in Nursing Care for patients with Multiple sclerosis are especially in the amount of provided nursing care, educational activity and the condition of patients which come to the MS Center and which are hospitalized at the Standard Neurological Ward. The results also show that the nurse takes an important role in the diagnosis and treatment of MS in both facilities. Interviewed patients reported mostly positive experiences with Nursing Care provided in both types of facilities.
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The Centre for Demyelinating Illnesses in Prague II. versus the Out patient of Demyelinating Illnesses in České Budějovice ( Multiple sclerosis - the part of my life)
LINHARTOVÁ, Kateřina
My bachelor thesis is devoted to the issue of multiple sclerosis. It is a case of demyelinating disease affecting the central nerve system by inflammatory focuses. It causes nerve channel disorders and nerve fibre destruction, which may result in damage of function followed by disability. Genesis of a multiple sclerosis has not been known yet. It may be generated by a number of factors. The disease affects an individual of younger and medium age, more often women than men. At present the multiple sclerosis is an illness that can be diagnosed as early as at its clinical beginning and the adequate therapy can be started as soon as possible. Although there is no causal treatment yet, modern medical methods represent significant step forward and an increase of the per cent of patients whose central nerve system may not be damaged and permanent disability may not occur. Complex care for the patient with multiple sclerosis is secured by so called MS Centres (Multiple Sclerosis Centres) established and working all over the Czech Republic. The scope of their activity is rather wide: from the diagnostics of the illness, over pharmacological treatment, treatment by a psychologist, socially-legal consultancy and rehabilitation up to the scientifically-research and educational activity.I focused my work on particularly two such establishments {--} The Centre for Demyelinating Diseases in Prague 2 and Outpatient Department of Demyelinating Diseases in České Budějovice. I set up following objectives: the first objective was to map out the provision of services by the two above mentioned establishments. The second objective of my work was to find out the quality of such services involving examinations of patients taking medicines of the first selection and the IVIG (intravenous immunoglobulin), the clinical examination of the patients being monitored, the examination of new patients, the administration of intravenous drip therapy, the services of a psychologist and of a social worker, rehabilitation. I selected a qualitative research for fulfilment of the above mentioned two objectives. The selective pattern involved five clients of the Outpatient Department of Demyelinating Diseases in České Budějovice and seven clients from the Centre for Demyelinating Diseases in Prague 2. The clients were selected by the random systematic selection. The necessary data were collected by method of interview, semi standardized interview technique. The interview was performed with staff of both establishments and with the clients.I would like to contribute by my thesis to increase of the public awareness of the issue of multiple sclerosis, of the services being provided and treatment possibilities. This paper may also be a guide for improvement of services provided to patients suffering from multiple sclerosis. The achieved conclusions and created hypotheses can be used as a basis for further quantitative research of this issue.
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