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Basal stimulation in hospice care
HRŮZOVÁ, Soňa
Current state The main purpose of Basale stimulation in hospice care is to offer terminally ill patients security that they aren?t alone and that somebody will be with them until the very last moments of their lives. In lenitive care we use basic and additional elements of basale stimulation, which allows us to ensure all the needs of the clients are always taken care of. This also expands opportunities of the nurses to be helpful to patients and it motivates them to achieve better results in the hospice treatments and care. Research objectives 1. Find out whether Basale stimulation improves the life quality of patients in hospice care 2 Find out how clients react to the techniques of Basale stimulation Research questions 1. Does Basale stimulation improve the lives of patients in the hospice? 2. How do the techniques of Basale stimulation affect the client/patient in the hospice? Methodology To complete the reserach part of the project we used qualitative research, where the method of data collection was interviewing the nursing staff and observing the patients in House of pain relief with St Joseph?s hospice in Rajhrad u Brna. Observation took place during the individual applications of Basale stimulation to clients and during the cooperation with the nurse. Information about the clients were also collected through the analysis of nursing and medical documents. Some of the results were processed through categorization and mindmaps. Research group The research group consisted of five patients from the House of pain relief with St Joseph?s hospice in Rajhrad u Brna. Two of these clients came from the Department of increased monitoring, where I merely assisted the nurse and observed the reactions of patients undergoing Basale stimulation. While conducting reserach with those two patients I interviewed the assisting nurse. With three other clients with regular care I carried out Basale stimulation for three days and observed their reactions to it. The reserach took place in January 2013. Results It is obvious from the reserach that Basale stimulation is beneficial and it improves the life quality of the patients in hospice care. Thanks to Basale stimulation, the clients are calmer and it is easier for them to communicate with the nursing staff, which is very important for improving their mental health. It also helps to establish trust with the patients and it opens up new opportunities for communication and possible confiding about their troubles, pain and relief. For the basic usage of Basale stimulation in lenitive care not all elements are necessarily beneficial; however, those used in this reserach are very easy to incorporate into basic nursing care and all of them were met with positive reactions from the clients. Conclusion The empirical part of my research was conducted through observation of patients to whom I personally applied Basale stimulation ? therefore I could easily evaluate how the techniques affected them.This research was interesting and intriguing; and it definitely enriched me with new insights and experiences. I believe Basale stimulation is still a highly underrated concept in some medical fields. On the other hand, the practice is time consuming and it is understandable that some only just have enough nurses to cover the basic care of the patients, therefore it is not always possible to provide this technique to the patients. After consulting the head nurse of the hospice the results of this study can be provided and in case of interest even presented in the House of pain relief with St Joseph?s hospice in Rajhrad u Brna. I also offered all of this work to PhDr. Karolina Friedlova. I also contacted centres offering hospice care, who provided some additional information for the theoretical part of my project and I offered to them the presentation of my work and of the acquired results.
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Problems of nursing care about patient with apalic syndrom
DRÁBKOVÁ, Kateřina
This thesis deals with problems in nursing care of clients with apallic syndrome. There were 4 hypotheses. The first hypothesis presumes that nurses give patients care focused mostly on treating developed complications. After evaluation of the results focused on nursing care, we found out that some nurses know the correct processes while others do not. This means that patients are sometimes given the correct care and sometimes not. So hypothesis 1 was proved valid. The presumption for the other three hypotheses was that nurses do not have information about BS conception, do not know about possibilities of its usage, and do not use this conception in their care of clients with AS. However, the results concerning BS conception were very positive. Nurses know the conception and use it in their care about clients with AS. Hypotheses 2, 3, and 4 were not proved valid.
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