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Women after mastectomy in the context of social work
Kašparová, Marie ; Havránková, Olga (advisor) ; Vodáčková, Daniela (referee)
The thesis " Women after Mastectomy in the context of Social Work " deals with the topic of diagnosis of breast cancer, treatments and their side effects, itself, however focuses mainly on the psychological and social consequences that come along with such a serious illness. It aims to outline the possibilities that women with this diagnosis can use , and ultimately points out the great potential of social work within the health care system. Powered by TCPDF (www.tcpdf.org)
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The role of nurse in the care of patients with lymphedema.
DUŠKOVÁ, Lucie
Current situation The title of this bachelor's thesis is: "The Role of the Nurse in the Care of Patients with Lymphedema". As the title indicates the topic is the role of the nurse if the care of patients suffering from lymphedema. Lymphedema is a condition when the lymphatic system retains the fluid in the body and the fluid causes lymphatic tissue swelling. The lymphedema can be inherited or caused by a birth defect, in such a case it is a primary lymphedema. When we talk about secondary lymphedema, it means the lymphedema was caused by lymphatic system malfunction. The causes of secondary lymphedema can be surgeries with inevitable interventions in the lymphatic system, most frequently interventions in sentinel nodes. Other interventions increasing the risk of lymphedema are radiotherapy, chemotherapy, iatrogenic lesions and/or accidents. The most frequent causes are surgical interventions, in particular in case of breast ablation and/or gynaecological cancer. Objective of the thesis Two objectives were selected for the research part of the bachelor's thesis: Mapping the role of the nurse in the care for patients with lymphedema from the nurse's perspective and Mapping the role of the nurse in the care for patients with lymphedema from the patient's perspective. Methodology In order to fulfil the first objective we decided to use the technique of qualitative research survey, in particular in-depth interviews. The research set consisted of six nurses from gynaecological and surgical departments of the Nemocnice Rudolfa a Stefanie Benešov, a.s. Hospital. In order to achieve the second objective we chose the same technique of qualitative research survey in the form of in-depth interviews. The research set consisted of six patients suffering from lymphedema. We carried out altogether fourteen interviews within the research between March and June 2017. All respondents came from the Central Bohemia Region near the town of Benešov. Upon the transcription of the interviews in Microsoft Word the data was classified and processed by open coding. Results Upon analysing the data four categories of results from the interviews with nurses appeared. The categories were: Nurses' knowledge of the problem, Regime measures, Specificities of the nursing care and Education of patients after a risk intervention. The results of the interviews with patients were classified into five categories: Occurrence of lymphedema, Treatment of lymphedema, Regime measures, Specificities of the nursing care and Education focused on prevention. Conclusion The objective of the bachelor's thesis was to map the role of the nurse in the care of patients with lymphedema from the nurse's as well as the patient's perspective and we also wanted to study in more detail the issue of lymphedema and specificities of care for patients suffering from this condition. The thesis focuses also on the education provided by the nurse regarding primary prevention. The analysis of the acquired data revealed deficiencies in the education and generally primary prevention, and therefore an information leaflet for nurses was prepared.
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Nursing proces of patient after reconstructive breast surgery with method of free TRAM flap
Kneiflová, Jana ; Hakenová, Renata (advisor) ; Kulhavá, Miluše (referee)
(Aj) The topic of presented diploma thesis is nursing care of patients undergoing breast reconstruction surgery using TRAM (Transverse Rectus Abdominis Musculocutaneous) flap. The thesis is divided into theoretical and empirical part. Theoretical part deals with history of plastic surgery, breast anatomy, and physiology. In her thesis author focuses on breast cancer, its increasing incidence shifting to the younger and younger age groups, surgical therapy by total mastectomy as part of multidisciplinary treatment, postmastectomy reconstructive procedures using TRAM flap, and possible intraoperative, and postoperative complications. In empirical part author published case report of a patient after total mastectomy followed by TRAM flap breast reconstruction and dealt with nursing care during the immediate postoperative period in the intensive care unit and latter on in plastic surgery department's postoperative ward. The aim of author's thesis is to point out specific issues pertinent to nursing care both in the intensive care unit and standard postoperative ward in patients undergoing above mentioned surgical procedure as well as to highlight the need for more intensive supervision during postoperative period in such a cases compared to classic breast reconstruction with silicon implant. This...
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Women after mastectomy in the context of social work
Kašparová, Marie ; Havránková, Olga (advisor) ; Vodáčková, Daniela (referee)
The thesis " Women after Mastectomy in the context of Social Work " deals with the topic of diagnosis of breast cancer, treatments and their side effects, itself, however focuses mainly on the psychological and social consequences that come along with such a serious illness. It aims to outline the possibilities that women with this diagnosis can use , and ultimately points out the great potential of social work within the health care system. Powered by TCPDF (www.tcpdf.org)
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Nursing care for women after breast ablation from the viewpoint of patients
TÓTHOVÁ, Kristýna
Recently, the breast carcinoma is one of the most severe cancers affecting women. It is very serious disease, therefore it is necessary to give these women increased attention. This bachelor thesis focuses on the women, who underwent the breast ablation. It is focused on the subjective view of the patients on the pre-surgery and post-surgery care. In the theoretical part of the thesis, the anatomy, the kinds, the causes and clinical signs of the breast carcinoma are mentioned. In the other part the prevention, the prognosis, the diagnosis and the cure of breast carcinoma is mentioned. Following chapters deal with the pre-surgery and post-surgery nursing care for the women who undergo breast ablation. In the last chapter, the support groups and their functions are mentioned. The empirical part of the thesis includes the results of research survey, which deals with pre-surgery and post-surgery nursing care for the women after breast ablation from the point of view of the women and also with the awareness of support groups. A qualitative research was used to process the data. As the method of research survey was chosen a half-structured interview, women were asked 18 questions. The interviews were recorded, rewritten to written form and then categorised and analysed. This bachelor thesis was written in a certain way, to bring basic overview of the nursing care for the women after breast ablation. The result of this bachelor thesis is a proposal for a manual for general nurses (the treating personnel), who treat the women who underwent breast ablation.
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