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Case study of physiotherapeutic treatment of a patient with left-handed hemiparesis.
Malá, Kristýna ; Stupková, Michaela (advisor) ; Čajka, Vladimír (referee)
Title: Case study of physiotherapeutic treatment of a patient with left-handed hemiparesis. Objectives: The main target of this bachelor thesis was to compile a complete case study of physiotherapeutic treatment, which was carried out in the course of clinical work placement, including evaluation of the effect of therapies. Another objective was to obtain theoretical knowledge about the diagnosis of the patient, namely the craniocerebral trauma. Summary The bachelor thesis is divided into two parts, general and special. The general part is theoretical and compiles information about craniocerebral trauma. It deals with the anatomical description of the brain, blood supply of the brain and it explains the neurophysiological background of motion. It also deal with kinds of craniocerebral trauma, including disorders of consciousness and their treatment. The last part presents physiotherapeutic methods and techniques that can affect the state after brain injury. A special part is a case study of physiotherapeutic treatment of patient (V. H.) after craniocerebral trauma with left side hemiparesis. The work includes a complete in-and-out kinesiological examination, process of therapies and a final evaluation of the effect of the therapies. This special part is based on a three-week work with a patient in...
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Prehospital emergency care in neurotraumas
KADLEC, Josef
The Bachelor thesis is focused on the topic of Prehospital emergency care in neurotraumas, especially on the approach of paramedics and their knowledge about Prehospital emergency care in neurotraumas. Globally, for children and adults to 45 aged, neurotrauma could be placed in the highest position of death causes. This statistic testifies about the importance of the professional and early intervention in prehospital emergency care. In the thesis qualitative research was used and two purposes and questions were defined. The method used was a semi-structured interview with paramedics in Vysočina Region and South Bohemian Region. The first aim of the thesis was to chart knowledge and approaches of paramedics in Prehospital emergency care and the second aim was comparison of the previous aim in Regions mentioned above. From the outcome of my research results that paramedics are not qualified enough and they lack information about Prehospital emergency care. In interviews, information mentioned was incomplete and their approaches were inconclusive. However, it was detected that approaches used in both regions are nearly identical. In Vysočina Region, cooperation with workplaces of the follow-up hospital care is really difficult. This fact could be considered as a side result of the thesis. The workplaces mentioned are mainly traumacentres with neurosurgery workplace accessible 24 hours per day. To sum it up for the further use in practice, the educational system of paramedics is inadequate and improvement would be highly recommended.
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Nursing care for patients with craniocerebral trauma
PILNÁČKOVÁ, Jitka
The topic of this thesis is ?Nursing care for patients with craniocerebral trauma?. Three goals were set. We tried to find what the specifics of nursing care for patients with craniocerebral trauma are. We also examined whether nurses were aware of the specifics of nursing care for patients with craniocerebral trauma. The last goal was to find out whether nurses used basal stimulation in these patients. The research was based on a non-standardized interview. The interviews were performed with twelve nurses caring about these patients in the České Budějovice Hospital and the Faculty Hospital Královské Vinohrady. Three research questions were set. 1: What are the specifics of nursing care for patients with craniocerebral trauma? The research has shown that elevated head position, monitoring of GCS, pupil state and response, administering of bolus analgosedation doses in some nursing activities, ensuring detention administration and list of valuables are the specifics. We have also included CT examination, pre-operation preparation, care of invasive inputs, drains, operation wounds, careful handling with patients, constipation problems, care of a disturbed or aggressive patient and special approach to communication with these patients. 2: Are nurses aware of the specifics of nursing care for patients with craniocerebral trauma? We found that respondents knew the above mentioned specifics. However we found two drawbacks. The first one was in the unawareness of the possibility to increase ICP during defecation among the respondents, the other one was in communication with disturbed or aggressive patients. 3: Do nurses use basal stimulation in patients with craniocerebral trauma? The research has shown that the respondents do apply the concept of basal stimulation, but they only use some of the stimulation elements. This thesis may serve as study material for new nurses starting at the department, where they will care about these patients. The research results and the Standard nursing procedure of Basal stimulation elaborated by us will be offered to managers of both the hospitals where the interviews with nurses were performed.
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Psychopatological result of schock
JELÍNKOVÁ, Hana
Topics of this diploma thesis are psychopathological consequences after craniocerebral trauma. This thesis focus on rising cognitive deficit after different brain damage. I solve rising of brain trauma and psychopathological deficits. I describe medical examination, which define diagnosis and individual form of rehabilitation. After that follows somatic and functional diabilities of central nervous system. The last chapter is about casuistry of young boy, who was injured in the crash. He had head injury with another psychopathological deficits.
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