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Nursing care in anestesiology for a patient undergoing endarterectomy
Mocková, Karolína ; Di Cara, Veronika (advisor) ; Pucholtová, Romana (referee)
The subject of my bachelor thesis is a description of nursing process for the patients in anesthesia during the endarterectomy. By myself, I find this topic very interesting, because the disease of the cerebrovascular system is currently the most frequent disease. Stenosis of carotids is responsible for the one-third cases of stroke. In most cases is asymptomatic. Stenosis of carotids is more frequent in the age of 60 and higher. The goal of my bachelor thesis is to describe the nursing process on the operating theatre during the endarterectomy and the differences in the nursing process for the patients in a general anesthesia and locoregional anesthesia. Point out the importance of the cooperation between anesthesiology team and surgical team. In my bachelor thesis, I used the method of the case study of the patient on the operating theatre in the county hospital. For my thesis I have used following sources: Czech or foreign professional literature, Czech or foreign scientific articles, my own observations and providing professional nursing care, interview with the patient, information from health care personnel and patient's medical documentation. Analyzing of the nursing care I found that the healthcare professionals follow the nursing standards and recommended procedures. I found also the...
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Nursing process in patients with hemodialysis
STACHOVÁ, Klára
Chronic kidney disease is often symptomless and painless. It is often late for some patients when they realize that there is something wrong with their bodies, namely the kidney function. Kidney failure causes a complex metabolic failure and water and electrolyte imbalance. Unfortunately this phenomenon is irreversible and a lot of the patients have to undergo hemodialytic therapy, which only substitutes the function of the kidneys but does not treat the kidneys. However dialytic technology is nearly at the perfection level at present. Nevertheless dialysis brings the risk of numerous complications for the patient. The dialysis principle is based on blood cleaning by means of a dialytic apparatus. Life rescue is the patient's priority so he/she has to visit a hemodialysis centre several times a week. The hemodialytic therapy is particularly physically and psychically demanding for the patient and his/her close relatives. This therapy significantly affects the patient's life. It has a substantial influence on patient's lifestyle and values. The therapy is accompanied by various treatment and nursing recommendations adherence to a diet with significant limitation of liquids, regular intake of medicines, stress regulation etc. from physicians and the healthcare staff. The aim of the bachelor thesis called "Nursing Process in Patients with Hemodialysis" was to map the problems of the nursing process in a hemodialysed patient on the base of specialized literature. The topic is elaborated theoretically by the review and synthesis method. The information was obtained from Czech and foreign specialized literature as well as from journals specialized in this issue. Hemodialysis is one of the most demanding elimination treatment methods of long-term character. Nursing care plays a very important role on hemodialysis. It must be effective, of high quality and particularly continuous as the patient only visits the hemodialysis centre on some days of a week. The nursing care has an irreplaceable role in healthcare. The patient before, during and after hemodialysis depends on quality nursing care provided by a nurse. Nursing process based on knowing the patient and active identification of his/her needs is a characteristic feature of modern nursing care. It stresses elaborate continuity, complexity and individuality of the patient, the sequence of the care and satisfaction of needs in partial steps of the nursing process. The nursing process requires continuous interaction between the nurse and the patient. Flexibility, currency, modification and repeated evaluation of the process are advantageous not only for nurses but also for the patients and often leads to timely solution of problems and satisfaction of patient's needs. The theoretical work reveals that hemodialysis is very closely related to the nursing process and contributes to patient's substantial satisfaction. It points out the importance of planning and preparation of nursing diagnoses. A feedback, not only for a nurse, but also for the patient for possible changes or preparation of a new care plan is also an important aspect of preparation of the nursing care plan. The obtained information on the nursing process in a hemodialysed patient are dealt with by the individual chapters of this bachelor thesis. This bachelor thesis is a guide in planning the nursing process and focusing on the most important problems during hemodialytic therapy not only for experienced nurses but also for tertiary school students. It also contributes to recognition of the necessity to create and apply the nursing process in the care of hemodialysed patients. A comprehensive view of the issue in question is the result. This study material for tertiary school students is the result of careful and thorough study of specialized literature.
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The assessment of the NPR Řežabinec pond ecosystem stability.
ŠRÁMEK, Pavel
The first part is characterized by a pond ecosystem and National Nature Reserve Řežabinec in terms of its historical development and creation. Are mentioned methods , the method and system of protection of the site. The paper describes a method of fish farming during the period of the individual plans of care farming in the last five years and the water conditions in the area . The ecosystem is assessed on the basis of available data in the literature to me In our own work we focus on monitoring water chemistry and state recovery tank , especially in terms of development and biomass of zooplankton species representation in the course of one growing season. He also details the fishing and agricultural management and water management conditions in the locality. Marginally judging submerged and littoral vegetation and the presence of water birds. This work demonstrated the dependence of the size of the fish stock on the frequency of a generic representation of zooplankton and the positive impact of lower stocking on the development and stability of the entire ecosystem. Contributes to the stability and sensitive farming in the last period.
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Nursing process and its significance to seniors according the perspective of retirement home nurses
FRÜHAUFOVÁ, Hana
Modern nursing care is characterized by seeking, planning and satisfying needs of a healthy or an ill person. All this is performed by means of the nursing care process. The nursing care process is considered the basic scientific method of advanced nursing care leading to solution of problems. It has already become an inherent form of individual care planning. Thanks to the nursing care process a nurse has a holistic view of a patient and is able to provide quality care. Nursing care is provided in compliance with the nursing care process principles with regard to the specifics of geriatric care in senior homes. A senior home nurse takes into consideration the specifics of the individual phases of nursing care process in seniors. Senior homes provide residential services to people with lower self-sufficiency particularly caused by higher age and to those who need regular care in the field of self-sufficiency and personal care. Unfavourable social situation does not allow these people to live in their domestic environment. Complex care provided in senior homes substitutes for domestic environment. Seniors are also given health care provided by general nurses. The aim of the thesis was to examine nursing care process application in a senior home and the importance of the nursing care process from the point of view of senior home nurses. The following research questions were set: Which nursing care process phases are applied by nurses taking care about seniors in the senior home? How do senior home nurses feel the importance of nursing care process? Qualitative research by means of in-depth interview and questioning of nurses in a selected senior home in South Bohemia was chosen for collection of necessary information. The interviews were recorded and subsequently literally transcribed. The transcribed interviews were deeply analyzed by means of paper and pencil method by open coding. Four categories were created from the data analysis: Nursing care process, Nursing care process in practice, Nursing care process phases and Compilation of nursing care diagnosis and maintenance of nursing care documentation. Subcategories, where the core data are coded, are assigned to the individual categories, everything is illustrated by clear diagrams of the individual categories. The research shows that nurses have general knowledge of nursing care process. They were able to define nursing care process, to name its phases and to express their attitude to this method. They actively apply the process, but they say it is demanding for them from time and administration point of view. The fact that the knowledge of nursing care diagnosis is very poor among nurses is surprising. With regard to the limited awareness of nursing care diagnoses I propose a seminar explaining this issue.
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