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Pharmaceutical care for diabetic patients in the field of podiatry
Mazánková, Anna ; Kolmanová, Eliška (advisor) ; Šolínová, Jana (referee)
Pharmaceutical care for diabetic patients in the field of podiatry Author: Anna Mazánková Tutor: PharmDr. Eliška Kolmanová Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction and objective: Diabetic foot syndrome (DFS) is one of the most common chronic complications of diabetes mellitus (DM), which significantly reduces the quality of life of patients. Emphasis on the prevention of DFU development is essential to care of diabetic patients, and pharmacists can play an important role in achieving this goal, especially in the education of regime measures and glycemic self-monitoring. The aim of this work is to analyze the attitudes of pharmacists in the Czech Republic to the provision of pharmaceutical care for diabetic patients in the field of podiatry. Methods: The data were colected by a questionnaire survey from September 2021 to November 2021. The electronic anonymous questionnaire was distributed by e-mail to members of 4 District Pharmacists' Associations (OSL Kurná Hora, OSL Jičín, OSL Beroun, OSL Mělník) and to members of the closed group Mladí lékárníci via the social network Facebook. The questionnaire consisted of 23 questions focusing on the pharmacist confidence in providing professional information to the...
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Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population
Novák, Martin ; Šídlo, Luděk (advisor) ; Kraus, Jaroslav (referee) ; Hnilicová, Helena (referee)
Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population Abstract Public healthcare is a subject that affects us all. The health and medical status of the population is a key measure of how advanced a country is. That is why healthcare issues attract so much debate. A number of factors affect the health of a nation. On one hand there are factors such as how individuals look after their health. Dietary habits, sufficient physical exercise and preventive care are all factors that the individual has control over. On the other hand, however, there are determinants affecting whether healthcare take-up is adequate. The cost of providing healthcare and medical equipment together with healthcare accessibility - the topic of this thesis - are factors affecting the population's health. It is the duty of all public healthcare stakeholders to limit the impact of these determiners. One of the main barriers to healthcare take-up is accessibility. On 1 January 2013 government decree no. 307/2012 Coll. came into effect quantifying healthcare accessibility for the first time. This law stipulates the local and travel time accessibility that ensures accessibility depending on type of healthcare on the basis of an upper travel time limit or waiting period....
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Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population
Novák, Martin
Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population Abstract Public healthcare is a subject that affects us all. The health and medical status of the population is a key measure of how advanced a country is. That is why healthcare issues attract so much debate. A number of factors affect the health of a nation. On one hand there are factors such as how individuals look after their health. Dietary habits, sufficient physical exercise and preventive care are all factors that the individual has control over. On the other hand, however, there are determinants affecting whether healthcare take-up is adequate. The cost of providing healthcare and medical equipment together with healthcare accessibility - the topic of this thesis - are factors affecting the population's health. It is the duty of all public healthcare stakeholders to limit the impact of these determiners. One of the main barriers to healthcare take-up is accessibility. On 1 January 2013 government decree no. 307/2012 Coll. came into effect quantifying healthcare accessibility for the first time. This law stipulates the local and travel time accessibility that ensures accessibility depending on type of healthcare on the basis of an upper travel time limit or waiting period....
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Knowledge of patients with type 2 diabetes mellitus about nutrition and physical activity
Valentová, Lucie ; Matoulek, Martin (advisor) ; Hásková, Aneta (referee)
This diploma thesis is focused on the knowledge of patients suffering from type 2 diabetes mellitus. The main aim of this work is to determine how well these patients are educated about type 2 diabetes mellitus depending on both the duration of the disease and whether they attend a nutritional therapist. The work is divided into a theoretical and a practical part. The theoretical part provides general information about diabetes mellitus. There is a marginal description of pancreatic function and the history, definition and classification of diabetes mellitus. Type 2 diabetes mellitus, its pathogenesis, clinical picture, diagnosis, screening, therapy and associated complications, both acute and chronic, are discussed in more detail. As part of type 2 diabetes therapy there is the most discussed non-pharmacological treatment, which includes dietary measures and physical activity. The practical part was formulated on the basis of quantitative research, which was carried out using a questionnaire survey. Data were collected from November 2019 to March 2020. 150 questionnaires were distributed to different inpatient departments and clinics in Jičín Hospital. 106 completed questionnaires were returned, but 24 of them had to be rejected due to incomplete or incorrect completion. The research sample...
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Individual nutritional intervention for patients with diabetes mellitus type 2.
Bohnerová, Beáta ; Matoulek, Martin (advisor) ; Váchová, Alena (referee)
The goal of this diploma thesis is to evaluate changes in the body structure, selected laboratory values and blood pressure for patients with prediabetes or diabetes mellitus of 2nd type who attended nutritional therapy in diabetic ambulance. The patients were divided in 2 groups based on their preferences. The first monitored group monitored energy intakes and expenditures on web page www.kaloricketabulky.cz. The first group had also an opportunity to be supervised or to communicate with its nutritional therapist on web page www.casprozdravi.cz. The second monitored group monitored energy intakes and expenditures manually in the diabetic notebook. The body changes were monitored by bioelectric impedance scale Tanita BC-545 N during each consultation. Laboratory values were taken on consultation 1 and 5. The blood pressure was measured on consultation 1 and 5. Rated values - overall body weight, waistline, percentage of body fat, glycemia, HbA1c, overall cholesterol, HDL cholesterol, LDL cholesterol, triglycerides and blood pressure. The results of this research were weight reduction in both groups by an average of 3.2 %, waistline by 4.5 %, body fat by 1.7 %, glycemia by 16 %, HbA1C by 28.6 %, overall cholesterol by 15.1 %, HDL cholesterol by 6.5 %, LDL cholesterol by 23.6 %, triglycerides by...
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Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population
Novák, Martin ; Šídlo, Luděk (advisor) ; Kraus, Jaroslav (referee) ; Hnilicová, Helena (referee)
Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population Abstract Public healthcare is a subject that affects us all. The health and medical status of the population is a key measure of how advanced a country is. That is why healthcare issues attract so much debate. A number of factors affect the health of a nation. On one hand there are factors such as how individuals look after their health. Dietary habits, sufficient physical exercise and preventive care are all factors that the individual has control over. On the other hand, however, there are determinants affecting whether healthcare take-up is adequate. The cost of providing healthcare and medical equipment together with healthcare accessibility - the topic of this thesis - are factors affecting the population's health. It is the duty of all public healthcare stakeholders to limit the impact of these determiners. One of the main barriers to healthcare take-up is accessibility. On 1 January 2013 government decree no. 307/2012 Coll. came into effect quantifying healthcare accessibility for the first time. This law stipulates the local and travel time accessibility that ensures accessibility depending on type of healthcare on the basis of an upper travel time limit or waiting period....
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Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population
Novák, Martin
Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population Abstract Public healthcare is a subject that affects us all. The health and medical status of the population is a key measure of how advanced a country is. That is why healthcare issues attract so much debate. A number of factors affect the health of a nation. On one hand there are factors such as how individuals look after their health. Dietary habits, sufficient physical exercise and preventive care are all factors that the individual has control over. On the other hand, however, there are determinants affecting whether healthcare take-up is adequate. The cost of providing healthcare and medical equipment together with healthcare accessibility - the topic of this thesis - are factors affecting the population's health. It is the duty of all public healthcare stakeholders to limit the impact of these determiners. One of the main barriers to healthcare take-up is accessibility. On 1 January 2013 government decree no. 307/2012 Coll. came into effect quantifying healthcare accessibility for the first time. This law stipulates the local and travel time accessibility that ensures accessibility depending on type of healthcare on the basis of an upper travel time limit or waiting period....
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Comprehensive care of patient with insulin pump.
HUBKOVÁ, Šárka
This bachelor thesis deals with the issue of diabetes mellitus and specializes mainly in the treatment of the disease with insulin pump. Insulin pump is most commonly used in the treatment of type 1 diabetes. The aim of the thesis was to find out what the specifics in treating the patient with an insulin pump are. To achieve this, the empirical part of the thesis was elaborated by means of a qualitative research survey, which was carried out through semi-structured interviews with insulin pump users and nurses working in diabetes counselling. We have achieved many interesting results through research. Every patient who wants to be treated with an insulin pump undergoes 6-day hospitalization during which insulin pump handling is learned. From patient interviews, we also learn that the most common complication is hypoglycaemia. Hypoglycaemia is most often caused by a dietary mistake or an incorrect amount of insulin administered to the body. However, hypoglycaemia can be prevented by using a sensor that is inserted into the subcutaneous tissue and reads the blood glucose every five to ten minutes. It was also found that nurses are not the main source of information for insulin pump users. The results of the research revealed that the most frequent use of the patient education is the representative of the company from which the patient has an insulin pump. Thanks to this thesis, there is now a well-arranged material which not just the medical staff can use to learn about the biggest difficulties and its possible solutions for the patients with insulin pumps. Thanks to this material, nurses in ordinary wards can also understand the needs of an insulin pump patient.
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The position of nurses in internal expert outpatients{\crq} departments.
ŠŤASTNÁ, Věra
This bachelor thesis deals with the position of nurses in internal expert outpatients{\crq} departments. The current position of nurses in the internal outpatients{\crq} departments is special and demanding. We cannot imagine how the health care service would work without them. An outpatients{\crq} nurse has several tasks that she should master and carry out smoothly {--} it is the role of an educator, an attorney, a manager, a provider of health care, a mentor, a researcher and a carrier of all changes. The relation between the doctor and the nurse is also highly important; it should be friendly, considerate and mutually respectful, and their cooperation should be based on equal rights. Internal outpatients{\crq} department provide health care to patients with various diseases of internal organs. Nurses are a significant part of the medical team. The departments serve as places of the first contact of the client with the medical staff. Professional approach and communication with the patient are expected. A quality medical and nursing care is unthinkable without communication between the client and the nurse. Patients vary in their behaviour and reactions but certain manifestations of behaviour are common to certain groups of people. The objective of my work is to find out the position of nurses in selected internal expert outpatients{\crq} departments. In order to fulfil this objective I applied the qualitative research. The method of collection of data consisted in half-structured interviews with 35 standardized questions carried out with nurses in selected internal outpatients{\crq} departments. The interviews were completely anonymous. Three nurses were interviewed in every selected internal outpatients{\crq} department. The whole research was carried out in the Motol University Hospital in Prague. 9 nurses took part in the research (3 nurses from the department of diabetology, 3 nurses from the department of endocrinology and 3 nurses from the rheumatologic department). The interviews with nurses from individual outpatients{\crq} departments were the basis of case histories. Those served as the research groundwork for elaboration of 11 categorizing charts that summarize the most important results of the research. Thanks to our research findings and meeting the objective of our research we found out that the position of nurses in selected expert internal outpatients{\crq} departments is good though financially undervalued. High demands, mainly in the sphere of communication with patients and other medical staff, are placed on them. The research further showed that the nurses mainly work as educators and their job description mostly consists in administrative and nursing work. They have adequate working conditions. They also provide information to patients orally as well as by means of practical demonstrations. On the other hand, nurses in outpatients{\crq} departments suffer from more displays of stress.
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