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Management of chronic wound healing in post-surgical patients
ŠKORNIČKA, Matěj
The theoretical part of the thesis presents the definition of the term chronic wound and its specification after surgery. The second part is focused on the factors that support its formation and healing. The third section presents aspects related to patient interaction and management of chronic wound healing. In addition, there are innovations in the healing of chronic wounds. The aim of the diploma thesis was to find out what assessment methods nurses use to assess wounds and map how they implement the care of a patient with a chronic wound after surgery. The effort was to find out the maximum aspects and then get answers to the research questions. The empirical part is processed by qualitative research using the technique of semi-structured interviews and non-participant observation in surgical departments. The interview was given by 11 informants from different regions and different departments, and 6 observations were also made. The results revealed that one of the most important methods used is their senses, evaluation tools or scales and photo documentation. Nurses like to use these methods. According to the nurses, education and professional assertive communication is an integral part of the wound healing process. Supporting methods in the treatment of the wound are regular debridement and the use of current methods, which include moist healing and negative pressure methods. From the results, it can be concluded that nurses like to use new methods and techniques, but everything depends on the doctor's office. An important aspect that the nurses mention is the cooperation between health professions.
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Detection, Localization and Determination of Chronic Wounds
Gulán, Filip ; Dvořák, Michal (referee) ; Drahanský, Martin (advisor)
The aim of this diploma thesis is to design and implement a multiplatform application for detection, localization and determination of the extent of chronic wounds. The application is intended to assist nurses, doctors and healthcare assistants to monitor and evaluate chronic wounds in the course of treatment. The application is based on the Typescript programming language, on the Ionic hybrid application framework and on the Electron desktop application framework. Chronic wound assessment runs on the server-side where the Python programming language is used. The Flask application framework is used for the RESTful application interface and the OpenCV library is used for image processing.
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Chronic wound care - shin ulcer
Kümmelová, Tereza ; Hromádková, Jaroslava (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis Chronic wound care - shin ulcer deals with the issue of chronic wounds focusing on tibial ulcers. The aim of the thesis was: To collect data on treatment options for and to study the available resources. To obtain data from the database "Care of the patient with a non-healing wound" at the University Hospital in Motol. These data were then assessed and statistically processed. To calculate a qualified estimate of the burden of nursing staff related to the care of patients with shin ulcer in internal medicine units, surgical units and in general in the University Hospital in Motol. The theoretical part of the thesis gives a basic overview of the problem. The empirical part of the thesis presents the results of the own investigation and their comparison with the results of previously conducted studies. The method of the research investigation was secondary data analysis from the database "Care of a patient with a non-healing wound" at the University Hospital in Motol. The research investigation included 164 patients with shin ulcer hospitalized in the period from January 1, 2022 to June 31, 2022 at the University Hospital in Motol. Results: It was found that more males were hospitalized with shin ulcer than females in Motol University Hospital during the period. More patients with...
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Changing the role of a nurse in chronic wounds
LUSKOVÁ, Pavlína
The bachelor thesis is focused on the care of chronic wounds. It seeks to map the education of nurses in this field, to present the cooperation between physician and nurse, to introduce relationships in the workplace, to examine what influences physician and nurse in choosing material, such as success in wound healing, and last but not least to announce more products of wet healing. A chronic wound is a disorder of the integrity of the skin cover, which, despite adequate treatment for the period of 6-9 weeks, fails to show some signs of healing. Chronic wounds are a nursing problem and the care of a patient with a chronic wound carries certain specifics with it. Knowledge of phase healing and modern products are the main pillar of success, thanks to which it is possible to substantially help in the treatment of chronic wounds. The objective of the thesis was to underline the remarkable progress in the care of chronic wounds and also to get deeper into the whole issue. The bachelor thesis was divided into two parts, theoretical and empirical. The first part of this work introduces the concepts of chronic wound, the types of chronic wounds and the healing of wounds in general as well as the stages of healing and the means by which healing can be influenced. It also focuses on wound evaluation, wound dressing, document management, modern wet healing products, the role of nurses and, finally, education in this area. The second part of this work was dedicated to research investigation. Two goals were set in the practical part of the work. The first one: To map the cooperation between a physician and a nurse in the care of chronic wounds. The second one: To map the nurse's decision-making in the choice of material in the care of chronic wounds. Therein, four research questions have been identified: 1. How do nurse and physician work together in the care of chronic wounds? 2. What material do nurses most often use to heal chronic wounds? 3. What factors influence the nurse when choosing material in the care of chronic wounds? 4. What role does the nurse play in caring for a chronic wound? The research part was processed by a qualitative method using a semi-structured interview with selected nurses and physicians who take care of chronic wounds day-to-day. The interview consisted of 16-18 questions that were more elaborated during the interview so that respondents could present their ideas and impressions in relation to the topic more. The results obtained from the responses were then categorized and further processed. The results of the investigation showed that the cooperation between the nurse and the physician is generally effective, communication and trust between them is at a good level, and therefore the nurses are very strongly involved in the decision-making process regarding the choice of material. However, the cost of some products does not allow staff to work with them, although they find it particularly useful. Nevertheless, the wet healing method is economically less demanding, very effective and more comfortable for patients. It can also be stated that nurses are well trained with individual products and their workplaces offer them many opportunities in the development of education, which most of them are interested in. The conclusion of the work summarizes that a number of new products in the care of chronic wounds is still increasing, and therefore it is vital to constantly learn in this area. This work can serve as information material for people who are interested in this issue. It also brings with it useful opinions from nurses and physicians.
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Knowledge of nurses about methods of treatment of the leg ulcer
Dvouletá, Zuzana ; Sojková, Monika (advisor) ; Pekara, Jaroslav (referee)
The topic of this thesis is "Knowledge of nurses about methods of treatment of the leg ulcer". The purpose of this thesis was to document current methods of treatment of the leg ulcer and to evaluate nurse's knowledge of this area. The thesis is divided into two sections - a theoretical and an empirical one. The theoretical section is devoted to the leg ulcer as a term and its causes, then it concerns wound healing and factors, which it is influenced by. It also describes the currently used methods of treatment of the leg ulcer and other chronic wounds. The empirical section is based on a quantitative research performed as a questionnaire study, which has been carried out in medical and surgical wards in three teaching hospitals in Prague. The goal of this research was to determine nurse's knowledge of chronic wounds, the leg ulcer, its risk factors and prevention, of wound healing, compression therapy and to find out, in which ways nurses get access to information on wound healing and treatment of the leg ulcer. This goal was met. The findings of the research are summarized in the conclusion of the thesis. Key words: moist wound healing; leg ulcer; wound; chronic wound; debridement; compression therapy; nursing care
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Detection, Localization and Determination of Chronic Wounds
Gulán, Filip ; Dvořák, Michal (referee) ; Drahanský, Martin (advisor)
The aim of this diploma thesis is to design and implement a multiplatform application for detection, localization and determination of the extent of chronic wounds. The application is intended to assist nurses, doctors and healthcare assistants to monitor and evaluate chronic wounds in the course of treatment. The application is based on the Typescript programming language, on the Ionic hybrid application framework and on the Electron desktop application framework. Chronic wound assessment runs on the server-side where the Python programming language is used. The Flask application framework is used for the RESTful application interface and the OpenCV library is used for image processing.
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Best practice in wound care
Pelikánová, Markéta ; Heczková, Jana (advisor) ; Kratinová, Zuzana (referee)
The topic of this Bachelors' Thesis is "Best Practices in Wound Care". The thesis focuses on acute and chronic wounds. It sets the following objectives: The main objective of the research was to evaluate the current practice of general nurses in surgical departments of regional health hospitals in the Usti region. The research was focused on the ways of education regarding the dressing material innovations, participation in conferences and seminars and eventually on its frequency and benefits. Subsequently the thesis addresses the issues of wound healing. In this part of the thesis the goal was to evaluate the current practice of care for acute and chronic wound and to compare it with the best practices in this field. The thesis is divided into two parts: theoretical and empirical. The theoretical part deals with the wound characteristics, describes wound classification, causes, healing and healing complications. Then it describes acute and chronic wounds, while it is focused also on the dressing materials and subsequent wound treatment. The empirical part was conducted using quantitative research method. The research was executed using an anonymous questionnaire. The respondents chosen are general nurses working in surgical departments of Regional health hospitals in the Usti region. The total...
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Knowledge of nurses about methods of treatment of the leg ulcer
Dvouletá, Zuzana ; Sojková, Monika (advisor) ; Pekara, Jaroslav (referee)
The topic of this thesis is "Knowledge of nurses about methods of treatment of the leg ulcer". The purpose of this thesis was to document current methods of treatment of the leg ulcer and to evaluate nurse's knowledge of this area. The thesis is divided into two sections - a theoretical and an empirical one. The theoretical section is devoted to the leg ulcer as a term and its causes, then it concerns wound healing and factors, which it is influenced by. It also describes the currently used methods of treatment of the leg ulcer and other chronic wounds. The empirical section is based on a quantitative research performed as a questionnaire study, which has been carried out in medical and surgical wards in three teaching hospitals in Prague. The goal of this research was to determine nurse's knowledge of chronic wounds, the leg ulcer, its risk factors and prevention, of wound healing, compression therapy and to find out, in which ways nurses get access to information on wound healing and treatment of the leg ulcer. This goal was met. The findings of the research are summarized in the conclusion of the thesis. Key words: moist wound healing; leg ulcer; wound; chronic wound; debridement; compression therapy; nursing care
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Specific needs of patients during negative pressure wound therapy
ŠTĚPÁNOVÁ, Hana
The diploma thesis entitled Specific needs of patients during negative pressure wound therapy, consists of two main parts, a theoretical and a practical part. The theoretical part includes findings from research and publications dealing with the issues of wound healing through local application of vacuum therapy, treatment with other methods of wet healing, the impact of long-term non-healing wounds on human needs and the role of the nurse in this scenario. The practical part of the diploma thesis refers to the quantitative research carried out by 46 respondents who were treated with a negative vacuum method, another method of wet healing or a combined form.
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