National Repository of Grey Literature 2 records found  Search took 0.00 seconds. 
Nursing Care for Patients with Peritoneal Dialysis.
HRUŠKOVÁ, Barbora
Peritoneal dialysis, together with hemodialysis, is one of the options for the renal function replacement. These days is the treatment with the help of peritoneal dialysis being used by more and more patients. One of the big advantages of peritoneal dialysis is the ability to care for yourself in the comfort of home, and that the patient doesn´t have to visit the center for dialysis several times a week. Theoretical part of this thesis is dedicated to peritoneal dialysis. Its physiology and types, types of peritoneal catheter and care of the floating tip. All the aids the patient needs for peritoneal dialysis are described here. You can find here description of the possible infectious on non-infectious complications. The last part is devoted to role of nurse in care of patients with peritoneal dialysis. The empirical part of this thesis was processed with help of a qualitative research. Our goal was to find out the most common problems of the peritoneal dialysis patient in their home environment. Based on the objective, there were made semi-structured interviews, that were performed with patients, who have or who used to have peritoneal dialysis. Information received from the patients was analyzed and divided into categories. The results of the research showed the most common problems of the patient with the peritoneal dialysis. The most common problems include the first reconciliation with peritoneal dialysis, fear of infection, but also fear of being able to go to work and others. This bachelor thesis could be helpful to the patients, who already experienced some kidney diseases or are just starting the medical treatment with help of peritoneal dialysis or are being treated by hemodialysis and are considering this option. This thesis may be also helpful to the students or already graduated nurses, who start working in hemodialysis center.
Treatment of vascular input for patients on hemodialysis department as a nursing problem
ŠTRBOVÁ, Kateřina
The bachelor?s thesis focuses on current problems of dialyzed patients with a dialysis catheter. A properly functioning catheter and minimum complications during its use form essential preconditions of the dialysis treatment. Emphasis is put on observance of aseptic approach when handling the dialysis catheter. The aim of the thesis is to find out whether nurses observe the treatment standard when treating the blood vessel entries and if the nurses of a standard ward find the handling of the catheter for hemodialysis problematic. The objective is also to map the most problematic area of blood vessel entries from the nurses? view. The following research queries result from the objectives set above. 1. Do the nurses observe the treatment standard when treating the blood vessel entries? 2. Do the nurses of a standard ward find the handling of the hemodialysis catheter problematic? 3. What is the most problematic area of blood vessel entries treatment from the view of the nurses? The qualitative research was carried out by means of hidden observation. Participants of the research included 5 nurses from the dialysis centre of Fresenius Medical Care in Benešov and 5 nurses from the internal medicine ward of Nemocnice Rudolfa a Stefanie a.s. (Hospital of Rudolf and Stefanie) in Benešov. The observation was supplemented by an anonymous survey carried out also at the dialysis centre and at a standard internal medicine ward. Hypotheses can be set based on the obtained results. The medical treatment standard for treatment of blood vessel entries is not observed by all nurses, the standard ward nurses find handling the hemodialysis catheter difficult and the most problematic area of the treatment of blood vessel entries is the failure to observe the aseptic procedures during the treatment as well as the fact that patients do not get extra bandage material for home use. The research results shall serve for preparation of a draft for the medical treatment standard ??Medical treatment for dialysis catheter??. The draft can be presented to medical management of the given wards to achieve higher quality of treatment of patients with dialysis catheter.

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