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Speciální diety ve výživě a terapii u psů
Buchníčková, Daniela
The thesis presents the basics of dog nutrition and especially special diets that are used in dog nutrition as a part of the therapy or disease prevention. In a practical part are results of observation which was held in one year duration on animal clinic. This work provides data about dogs with disease in 2022, where a special diet was recommended. It was found that 85 patients came to the veterinary clinic and were recommended the Royal Canin Revocery veterinary diet which is suitable for dogs after surgery, during hospitalization and after recovery, when was necessary to supprot nutritional recovery and holding the muscle mass. The second most common recommended diet was the Royal Canin Hypoallergenic for patients with a proven intolerance to a certain food intolerance (71 dogs). On the third place, were 34 new patients with the gastrointestinal tract disease. Furthermore, the total amount of special diets for the year 2022 was evaluated, it was divided into granulated and canned feed. It was found that tins were more sold out compare to the dry food. The most sold cans were Royal Canin Gastrointestinal low fat diet and Royal Canin Recovery. In the last part of the thesis is a specific case of patient which was diagnosed with acute kidney failure. For the period of three months at homecare, the dog was feed with special Royal Canin Renal which was determined for his disease. After three months after the diagnosis of acute kidney disease and feeding the special diet a biochemical examination was done for the check the effect of a special diet.
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Continuous elimination methods in intensive care - Creating Instructional Materials for Starting Nurses
ŠERIOVÁ, Martina
This dissertation deals with the issue of continuous elimination methods in intensive care, and of subsequently creating teaching materials for incoming nurses. The goal was to create teaching materials for incoming nurses. These teaching materials should help incoming nurses work with a device intended for continuous elimination methods. The dissertation is divided into a theoretical and practical part. The empirical part was implemented in the form of a qualitative research, using semi-structured interviews with respondents at the Accident and Emergency Ward of Nemocnice České Budějovice a.s. at the RES 2 station. The first stage of research was implemented by conducting interviews with the respondents. These interviews were recorded in the form of detailed notes which were later transcribed in order to prevent losses of data and inaccuracies. Subsequently, categories were established and, proceeding from these categories, schemes created using the ATLAS programme. The second stage consisted of creating an instruction video and teaching materials for incoming nurses. As a part of the third stage of research, the created video and teaching materials were presented at the Accident and Emergency Ward for evaluation. Then, interviews with the original respondents were re-conducted. During these interviews, the respondents were tasked with evaluating whether the teaching materials fulfil their needs and whether they will be usable in practice. The learned information was then arranged in corresponding schemes. Two goals were set with regards to the practical part. The first goal was to determine which form of teaching materials is suitable for incoming nurses. The second goal was to establish the benefits and usability of the created materials in practice. Based on the goals, two research questions were formulated. The first research question was: Is the form of the teaching materials suitable for incoming nurses? The second research question was: What is the benefit of the created materials in practice? Based on the research, it was discovered that most of the respondents would welcome teaching materials in the form of printed leaflets; however, opinions on the option of creating a video were also heard. Therefore, an instruction video, suitably complementing the printed leaflet, was created. The third part of research implied that most of the eight interviewed respondents were satisfied with the teaching materials. Three respondents suggested supplementing the printed leaflet with additional images. All eight respondents agreed that in their opinion, the provided teaching materials would make it easier for incoming nurses to familiarize themselves with the issues discussed. The head nurse at the Accident and Emergency Ward views the created teaching materials as beneficial. She intends to continue using these materials at her ward.
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Continuous Elimination methods in Intesice Care from The Perspective of Nurses (Theoretical work).
HOROVÁ, Petra
The purpose of the dissertation Continuous Elimination Methods in Intensive Care in Prospective of Hospital Nurse is to inform about acute kidney injury and chronic kidney disease. These are major reason to use elimination methods at intensive care units and anesthesiological resuscitation departments. We further determine elimination issues. Continuous elimination methods in intensive care medicine are important medical treatment at acute kidney injury and chronic kidney disease. Particularly, acute kidney injury belongs to frequent complications at critically diseased patients, therefore will be properly discussed. It is afraid, because decreased renal function leads to incapability to excrete waste products of metabolism and sustain homeostasis. Mortality at acute kidney injury is higher than at chronic kidney disease so support or renal replacement therapy, in order to save life, is the only accepted method of choice at present time. The techniques of renal support or replacement therapy are integral part of instensive care medicine. The aim of this thesis is to elaborate latest accessible findings and specialized nursing care at continuous elimination methods. Ve have tried to create integrated, comprehensible summary of knowledge of this topic. We expect these findings are fundamental to high-quality nursing at patients with this disorder. The dissertation was conducted as a method of review and synthesis. As long as this part is purely theoretical-based, it gathers informations from czech and also foreign sources. The data was acquired from scientific publications, technical papers, monographs and web. The outcome of this work can be used for further research of this topic or contribute to resource information for paramedical staff. In the thesis we analyze acute kidney injury, briefly chronic kidney disease, then we proceed through the history of dialysis and its specifications. These are closely explained. We focus on technical aspect of various elimination methods, the division, indication to initation, advantage and disadvantage, vascular access will also be described. The possibilities of anticoagulation have been defined, the types of membrane hemofiltrates and dialysators, substitutional and dialysing solutions have been characterized, the need of dietary measures has been emphasized. The complications that can happen during the use of elimination method have not been left out of consideration. We describe the intensive care units, nurse competencies, their work, monitoration, patients' and elimination unit preparation and vascular access care.
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Education of patiens after kidney transplantation
PIVCOVÁ, Alena
The title of this bachelor thesis is: Education of Patients After Renal Transplant. A transplant usually means the transfer of an organ or tissue to another place or another individual. Kidneys are among the most frequently transplanted organs here and in the whole world. Eight centers perform kidney transplants in the Czech Republic. Most of them are carried out at IKEM in Prague. The thesis is divided into a theoretical part and a practical part. The theoretical part includes basic information on anatomy, it describes acute and chronic kidney failure and subsequent therapy possibilities, renal transplant and education. quantitative research. The practical part includes quantitative research. The research was performed by a half-structured interview with 8 patients after the first renal transplantation and with 4 nurses working in the Nephrology Unit of IKEM in Prague. Case reports were prepared from these interviews. We set two goals at the beginning: to find out how the nurse educates patients after renal transplant on regimen measures and to find out how patients comply with the regimen measures. We posed to ourselves these three research questions: What methods does a nurse use when educating patients after renal transplants? What is the educational background of nurses designated for educating patients after a renal transplant? What are the transplanted patient´s life restrictions after a transplant? What life restrictions impair the patient the most after integration into normal life following a transplant? The research questions were answered during the interviews. The interviews showed that all patients are educated during their hospitalization several times. Patients know the regimen measures to be adhered to. The education is carried out by a coordinator who does not have special training and does not have any knowledge about how to conduct the education. Therefore, the output of the thesis has been a training plan which will be available for the hospital management to prepare its own training plans.
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