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The Role of Nurse of Patient after Kidney Transplantation
ŠEVČÍKOVÁ, Tereza
The diploma thesis sets two goals: 1. To find out the role of the nurse in postoperative care of a patient after a kidney transplant. 2. To map the specifics of nursing care for patients after kidney transplantation. Therefore, in order to meet the goals, four research questions were set: 1. What is the role of the nurse in postoperative care of a patient after a kidney transplant? 2. How does the role of a nurse in the postoperative period in a patient after a kidney transplant differ from postoperative care of the patient to another abdominal operation? 3. How does the role of a nurse in the postoperative period differ in a kidney transplant patient after another abdominal surgery in the standard ward and in the ICU? 4. What are the differences in the postoperative nursing care of a patient after a kidney transplant and the postoperative care of a patient after another abdominal surgery in the first days after the operation? The theoretical part of the work is divided into individual chapters, which describe the history and development of kidney transplantation, indications and contraindications of kidney transplantation, organ donation and inclusion on the waiting list, surgical techniques of transplantation and postoperative complications, immunosuppression and specifics of postoperative care and the effect of transplantation on pregnancy. Furthermore, the theoretical part deals with the history and modern view of the roles of nurses, the relationship between nurse and patient and finally the role of nurses in surgical fields. The practical part of the diploma thesis is processed by a qualitative method in the form of a semi-structured interview. The interview was conducted on the basis of pre-prepared questions with ten general nurses working in the inpatient department and intensive care unit of Transplant Surgery at IKEM. The analysis of the interviews took place in the form of "paper-pencil" and the method of open coding. All interviewed nurses refused to record the interviews in the form of an audio recording, which was respected. The results were divided into categories. The work should provide a comprehensive view of patient care in the postoperative period after kidney transplantation, describe its complexity and the differences between patient care after normal abdominal surgery and after transplantation. It can be used as a teaching material.
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Acceptance of applicants for Home for elderly people by social services law
SAMCOVÁ, Monika
Not a single senior went to the home for the elderly because he or she did not want to be a nuisance for his or her children or other relatives, or at the time of putting in application he or she wanted to be sure of not staying without help, or he or she was not capable of looking after his or her farmstead or covering the costs of a large flat. The inhabitants accredit the primary responsibility for the care of the elderly to the state; it is a stereotype in thinking of most of us: I am old or ill/you are old or ill and I need/you need help, I will go/you will go to the home for the elderly. In the introduction part I deal with the problems of the old age. I describe the ageing as a progressing line of changes in a human from both the biological and psychological aspects. The number of ageing and old people in the world is increasing. These people need help. The Act No.108/2006 Coll. On Social Services, as amended, ensures the fundamental frame of the help needed. The thesis is especially focused on the provision of help in social institutions, homes for the elderly. The objective of the research was to find out about the conditions of admissions to the homes for the elderly. The chosen methodology was non-standardized dialogue with the workers of social departments of selected homes for the elderly and the secondary analyses of the data gained from the web pages of the institutions. It was found out that the age of the institutions residents is increasing. The average age of the residents of all homes for the elderly is 80.5 years. The need and dependence on the help of other person is increasing with the age. Owing to the ageing of population the number of rejected applications to the homes for the elderly is massively increasing. I suppose that the number of applicants could decrease by the coverage of sufficient number of quality terrain services.
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