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Activation use of dogs in the care of the elderly
FUJDLOVÁ, Radka
The objective of my thesis is to find out about the activating potential of the use of dogs in the care of elderly people with dementia. Dementia in the population is mainly found in elderly people. The theoretical part focuses on aging, dementia and canistherapy. It defines the basic characteristics of the dementia syndrome, treatment and care of clients affected by dementia, and the possibility of their activation. It also explains the term ``canistherapy{\crq}q, and the forms and methods of canistherapy are presented here. The practical part deals with the application of canistherapy in the Home for the Elderly at Hluboká nad Vltavou. To collect data, the strategy of qualitative research was used applying the methods of case studies, interviewing, document analysis, and a complementary technique of photographs. The objective of the thesis is to find out about the activating potential of the use of dogs in the care of elderly people with dementia. The research results can be used in the practical application of canistherapy in the given clients and as informative material and educational material for those interested in the issue of canistherapy.
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Health and Social Problems of Alzheimers Disease in the District Jihlava
VESELÁ, Hana
A theoretical part of the thesis is focused on Alzheimer´s disease (hereinafter only AD), its development, diagnosis and treatment. It describes communication problems with a person with dementia. It is also focused on a family caregiver and social services which are available for persons with AD. One objective was defined for the practical part. The aim of the thesis was to describe health and social care of people with AD in the district of Jihlava. A partial objective was to chart problems which lay caregivers, caring of a person with AD at home, fumble with. To realize the research I used an interviewing method and a technique of a semi-structured interview at six caregivers who care of a person with AD in the district of Jihlava and a method of a document analysis, a technique of a secondary data analysis. The research was carried out in the period from 20th January to 4th March, 2011 in caregivers´ households from the district of Jihlava. During interviews with respondents their anonymity was preserved. There was found out that 4 of 6 caregivers live in a common household with the person with AD from the analysed and evaluated interviews. All interviewed caregivers underestimated early symptoms of AD and confused them with symptoms of physiologic ageing. 5 of 6 caregivers do not know the Czech Alzheimer Society. All interviewed caregivers indicate the caregiver´s mental stress as the most difficult thing in the care of the person with AD. There was created a table of facilities providing residential health and social services for persons with AD in the region of Vysočina within the secondary data analysis. The bachelor thesis will serve as a basis for Diaconate ECBB in Myslibořice for a consultancy provided in an area of the residential health and social services in the region of Vysočina. The thesis could be used as a basis for a preparation of a community plan of the social services in the region of Vysočina.
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Psychological distress of the nursing staff at the Residential Care Home {--} Nursing Home Dobrá Voda at České Budějovice.
PAŤHOVÁ, Eva
The bachelor thesis deals with the issue of psychological distress of the nursing staff at the Residential Care Home {--} Nursing Home Dobrá Voda at České Budějovice. A nursing home is a facility providing its clients who are partially self-sufficient due to organic brain damage or dementia with social and residential services. A nursing team (consisting of medical staff and staff providing direct care) provides its clients with 24-hour-a-day nursing care. There are a number of specifications associated with the nursing care due to the mental health of clients. Two goals were defined in the bachelor thesis {--} to depict factors causing distress of the nursing staff at the Nursing Home Dobrá Voda at České Budějovice when providing the clients suffering from dementia with nursing care and to find out how the nursing staff at the Nursing Home Dobrá Voda at České Budějovice perceives the psychological distress. A qualitative method of data collection {--} a semi-conducted interview {--} was used as the main technique in the research part. A quantitative method of data collection using a scale questionnaire {--} ``Inventář projevů syndromu vyhoření`` by T. and J. Tošnerovi {--} was used only as a supplementary technique. The research set consisted of 12 members of the nursing team at the Nursing Home Dobrá Voda at České Budějovice. The goals of the thesis were met.
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Memory disorders in old age
KROUPOVÁ, Jitka
Memory changes or disorders are typical for old age. The ability to absorb new information, to store it in memory and the subsequent information processing decline in old age. The dividing line between memory impairment and dementia is very vague. Czech Alzheimer Society deals with people affected by dementia. The organisation was launched in June 2008 under a project called Days of memory, project of the early memory disorders detection promotion. The practical part of my thesis deals with the project Days of memory. The first goal of the practical part is to find the reasons why clients suffering from memory disorders seek help at the ČALS contact point {--} the Centre for the Elderly PATUP in ZSF JU. The second aim of the practical part is to compare experiences of the ČALS contact point workers who are involved in the Project of the early memory disorders detection promotion, "Days of Memory", in memory scanning. The data required for the practical part of the thesis were obtained by a combination of a qualitative and quantitative research.
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STRATEGY OF CARE WITH DEMENTIAL PROBLEMS AT A SPECIALIZED DEPARTMENT OF CARE UNIT AT KOBYLISY SENIOR HOME
LELÁKOVÁ, Dagmar
In my bachelor´s thesis I focus on the efficiency of the working methods of the personnel in the integration of activization programs and in the development of predispositions and abilities of individual clients with dementia at the Department of Specialized Care for People with Dementia, hic his a part of the Home for the Elderly, Prague-Kobylisy. In the theoretical part I explain the notion of dementia, describing the types of dementia, its manifestations, stadia and therapeutical methods. Furthermore, I describe the principles of communication with persons stricken by this disease, the evaluation of cognitive and functional abilities of afflicted people, needs of the personnel, activities and therapeutical methods used in the institutional care. The practical part relied on the qualitative research. Techniques applied for data gathering included concerned and unconcerned observation, interview and case studies. The secondary data analysis served as an auxiliary method. The central criteria applied in the selection of CASE was dementia and the terminated adaptation period. For the present research there were selected altogether 20 respondents aged 63 - 97 years afflicted by dementia of various types and in different stages of development. Out of the selected group of 20 respondents 6 persons were chosen for detailed case studies. The central objective of the work was to find out whether this group of clients with dementia can really benefit from the working methods applied at this particular specialized department. The target no. 2 was to find out whether the applied methods contribute to the longest possible preservation of self-sufficiency of clients with dementia. The target no. 3 was to convince family members to maximally collaborate with the personnel. In my view, the targets no. 1 and 3 were fully accomplished. The accomplishment of target no. 2 is relative and differs in individual CASE since the self-sufficiency of respondents gradually diminishes depending on their aging and disease advancement. Persons stricken by dementia are unable to take care of themselves, they have problems in expressing themselves, as if living in their own world, however, they do have their own needs, experiences and joys. These needs can be met by a caring family. However, the strength of the family is limited and very often it happens that the family is totally exhausted and unable to take care of the client. At that point it is necessary to provide institutional care by trained personnel that would ensure clients with dementia a kind and secure atmosphere.
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Influence of the Taoist Tai Chi practice on health of seniors
ŠMEJDOVÁ, Veronika
In this thesis, titled ?The Effect of Taoist Tai Chi on the Health of Senior Citizens?, I focused on the factors influencing the physical and mental welfare of seniors who practiced Chinese health exercises - Taoist tai chi. My observations lasted seven months; they took place once a week for 45 minutes. All the clients volunteered in the exercise activities. The research group consisted of the clients of the Home for Senior Citizens and the Home with Special Regimen in Kobylisy. The theoretical part provides the explanations of old age, dementia and its manifestations, the importance of exercise for seniors, and I also introduce the Taoist Tai Chi Society. The last section is devoted to Taoist movements and their effects on the human organism. The practical part describes the individual tai chi movements, the principles of practicing Taoist tai chi and I answer research questions. The objective of the thesis was to learn whether tai chi exercise affects in some way the physical condition of the facility?s clients and whether it is beneficial for these clients. To obtain the results, I chose a qualitative research. The methods and techniques of data collection are based on participating observation, interviews and data analysis. The research group consisted of the clients of the Home for Senior Citizens and the Home with Special Regimen in Kobylisy. I focused on the ways Taoist tai chi influenced the physical and mental welfare of the clients. Semi-controlled interviews were conducted with clients without dementia. The target group consisted of six clients without dementia syndrome, and 6 seniors with the disease. The total number of 30 clients participated in the exercises. The results were processed in the form of a case study. The research shows that the seniors experienced improvements in joint and muscle mobility and the exercises usually affected their mood in a positive way. Better coordination could not be fully demonstrated for all movements. Based on the information obtained and the research results reached, the thesis will be beneficial for the Taoist Tai Chi Society and the homes for senior citizens in Kobylisy. It may also serve to organizations concerned with the use of seniors? free time, social care facilities, as well as feedback to instructors and the institutions mentioned.
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Knowledge of the Family with Alzheimer´s Disease Patient about Communication Specifics
ČERNÁ, Irena
Alzheimer´s disease belongs to the most common forms of dementia. The occurence of this disease rises with increasing life expectancy of population. The more serious the disease is the lower and more difficult is the possibility of patients to communicate with other people. Close relatives usually bear this situation with difficulties. The nurse should both be involved in the treatment and education of patients´ families. The aim of this work was to find out if family members are informed on specifics concerning communication with the patients and are interested in getting more information. The first hypothesis was based on the fact that family members do not know how to communicate with their close relatives suffering from Alzheimer´s disease and the second hypothesis was that family members are interested in getting more information on mutual communication. Quantitative research methods such as questioning and questionnaires for collecting data were used to analyse the work. Ninety-six respondents were asked. All of them were family members of Alzheimer´s disease patients who have been accommodated in Prácheň sanatorium in Písek and in Loucký mlýn. All data collected were analysed and projected into graphs. As a result, the first hypothesis was rifuted and the second was proved. The conclusions of this work will be used for further education of family members of Alzheimer´s disease patients. It will be organised professional seminars in both sanatoria, in Písek and Loucký mlýn. This way I would like to contribute to better communication between patients and their families.
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Institutional care of mentally disabled seniors
PROCHÁZKOVÁ, Helena
Population is aging. Along with increase in dementia and other old-age related conditions new effective services and residential facilities will become a necessity in following years. A need for institutional care rises with age and severity of dementia. Currently, there is deficiency of services providing this care and services are limited by resource availability. A demented person in institutional care quality of life requires stable safe environment, sufficient staff and frequent contact by family. Special dementia and related conditions care units were incorporated into residential care facilities for elderly designed for this special group of residents. The aim of the work is to review and evaluate a quality of care at the special units for elderly with dementia and similar mental conditions is provided within two residential homes in České Budějovice. Both surveyed units were found understaffed and some technical imperfections were found due to limited budgets but under these restrictive conditions both units mostly met requirements for elderly with dementia quality of care.
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Aspects of adaptation syndrome in patient ad retirement home
JŮNOVÁ, Miluše
This thesis concentrates on the issues of both negative manifestation of adaptation syndrome and individual nursing care planning in elderly patients during their first days after the admission to the rest home.The theoretical part is engaged in the problems of process of adaptation and adaptation syndrome itself. The results of the research projectare presented in the practical part of the thesis.In the realization of this research there has been used such techniques and methods and as direct observation, analysis of the residents documentetion, the review of causation initiating into the issue of adaptation of a women client suffering the severe form of dementia.
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Public awareness concerning problematic of dementia
GALLASOVÁ, Martina
Public awareness concerning problematic of dementia Dementia is a problem that is socially becoming a very serious topic. Consequently, with the increasing aging of the population, the number of people who are suffering from it is growing. The symptoms of dementia include a decreasing of the intellectual and memory abilities in comparison with the level on which they were acquired before the illness started. Nonetheless dementia does not include the defects in intellect and memory only; it also includes other psychical functions. For example, dementia strongly affects the person in virtually all social situations and has a big impact on the quality of the patient´s life, as well as the life of his/her family and other people that are close to them. In most cases this illness starts very slowly. Thus, diagnosing dementia in advance gives the possibility of an early start of symptomatic treatment as well as maximum use of the therapeutical procedures available nowadays. At the same time it gives patients and their family time to prepare for future health, financial and law problems. The public cannot distinguish the pathological aspects of aging from the normal aspects of aging. Consequently, the usual idea of aging is still a perception that includes forgetting, change of personality and aggression. These symptoms are not the indivisible part of aging, but they can be the symptoms of pathological process. I believe that if the public accepts this fact, it can change its attitude to the elderly. The problem is that the public is still not informed enough. Considering the facts mentioned above which I regard as important, it seems we should make an effort to find out how much the public informed about the problems of dementia. The theoretical part of this work gives the basic information about the problems of dementia. It defines dementia, its epidemiology, etiopatogenezy, and it classifies the different kinds of dementia. It also deals with differential diagnostics, risk factors, diagnostics, treatment and prevention; and it also contains chapters dealing with dementia from the social, financial and law point of view. At the same time it gives information about the present possibilities of help in the institution of social care, and it also gives the list of the organizations in the Czech Republic which offer help in the care of people suffering with dementia. In the practical part of my theses I wanted to find out how much the adult population of Písek is informed about the problems of dementia. I used a method of a standardized questionnaire that consisted of 18 questions; and the research was done on a statistically significant group of adult inhabitants of the town Písek. The total number of distributed questionnaires was 250, 220 were filled in, out of which 25 were filled in a wrong way. The final number was 195 correctly filled in questionnaires that were possible to use. The hypothesis as stated :{\crqq} The adult population in the town of Písek is not informed enough about the problems of dementia{\crqq} has been confirmed, because the respondents were informed about it enough in only 42% of the sub-questions. I believe that it is important to inform the public. It would help to prevent or lower the risk of neglecting and disregard of the warning symptoms of the pathological process of aging. I wish this theses was available to the people working in health and social services and mainly to the public. Such an availability of the material would give them well-arranged basic information about the problems of dementia.
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