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Needs of the patient undergoing radioiodine therapy
PAVLOVIČOVÁ, Adéla
The aim of this bachelor thesis was to map the needs of patients who are treated by radioiodine therapy. Two research questions were chosenin connection with the main objective of the thesis. The research questions are: "What are the specifics of the biological needs of patients undergoing radioiodine treatment?" and "What are the specifics of the psycho-social needs of patients undergoing radioiodine treatment?" The empirical part of the bachelor thesis was elaborated by method of qualitative research. The research itself was conducted in the form of semi-structured interview. Each interview consisted of 19 pre-repaired questions, which were supplemented by additional sub-questions, if it was possible. The interviews took place in the private environment of the Department of Nuclear Medicine and Endocrinology. There were also made the audio recording of this interviews, based on the consent of all interviews. The recordings were rewritten and processed by using the open-coding method - ,,pencil-paper'' technique. There were 8 informants aged 19-72 years, in the research group. The results of the research are presented in the form of three categories and two of them are also divided into subcategories. The subcategories are shown schematically, because of the clarity. These thematically selected categories represent answers of the previously mentioned research questions of this bachelor thesis. The results of the research allow a complex view of the period before, after and also application the radioiodine. These results can be used like educational material for nurses who take care of patients with thyroid disease, or as s source of information for patients waiting for this treatment.
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Presentation of the environmental quality and its influence on the human organism through geostatistic tools, multidisciplinary approach
Stramová, Andrea ; Trubač, Jakub (advisor) ; Štych, Přemysl (referee)
Nowadays exists large amount of data which characterizes environment on base of different parametres. Due to existence of such large amount of data which is difficult to understand and comprehensively visualize, it is necessary to find tools for their proper visualization. The main goal of this thesis is present current environment in place of residence and show possible influence of environmental factors on health. For achieving the goal it was necessary to obtain individual sets of data and prepare them for each analysis and also for their presentation. In thesis there are described various aspects of environment in the area of Příbram region. Also in text is described in detail spatial determined medical data. Thesis contains O2PLS analysis which will create regression model for thyroid function parameters. Output of whole thesis is creating a web application that clearly presents input data (environmental and medical), geostatical and 02PLS analysis. Due to this work has been developed procedure how to prepare a analyze different type of data and also created detailed describtion of presentation results. Till now has not been proven what aspects can affect thyroid function. Many diseases are affected by the environment. This thesis focuses on influence of environment on thyroid function. Main...
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The role of the nurse in endocrinology
HEDÁNKOVÁ, Kamila
Endocrinological ambulance is a specialized professional workplace, which pursues diagnosis and treatment of endocrine glands diseases. Endocrinological ambulance is used by children, men and women of any age. The goal of this bachelor thesis was to map the nurse's work load at the endocrinological ambulance. A research question, which asks: "What particularities exist in the work load of an endocrinological ambulance?" was determined in connection with this goal. The empirical part was compiled through the method of a qualitative research survey, in which the data were collected using the technique of semi-structured interviews. The interviews with six nurses working at endocrinological ambulances took place based on eighteen questions prepared in advance. Because of some respondents' disapproval concerning dictation machine recording, manual transcription was used during the implementation of interviews with three of the nurses. Another three respondents carried out the interview over email due to the impossibility of meeting caused by a great distance. The research survey's condition was an assurance of preserving respondents' anonymity. We found out that the work load of nurses working in this kind of ambulance consists not only of the proper running of the ambulance, nursing activities and administrative activities, but also of covering certain roles and partaking on education. The education of nurses at endocrinological ambulances is mediated through professional seminars, publications or nurses search additional information on the Internet. Most often, stress arises in response to an increased number of patients, phone calls or the physicians' bad temper. The most usual manifestations of stress are weariness and nervousness. Two conclusions ensue, a negative and a positive one. Within the positive finding we can state that nurses of endocrinological ambulances provide sufficient nursing activity, they manage to assume multiple roles and are adequately educated. The negative conclusion concerns an unsatisfactory transmission of information to patients during the time pressure. Next there is the cause of stress, which can lead to a situation when the quality and professional nursing care is not secured.
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Specifics of nursing care in children with growth disorder
PLCHOVÁ, Aneta
Growth is a process by which the body's height and weight increase, and the body's proportions change. Specific growth factors are critical for foetal development in the womb, and in post-natal life they control heredity, sex, nutrition, health, social abilities and emotional balance of the child as well as hormonal functions. Just as growth disorders can be a failure in growth, they also encompass growth that exceeds normal measurements. Both of these are, under certain conditions, physiological variants of growth; but they are often the first signs of a serious health complication. The growth of the body is evaluated by anthropometrical signs including body weight, body length and after two years of age, body height. It is also possible to evaluate body growth using measurements of the circumference of various parts of the body. Most often used is the circumference of the head which is measured in children up to eighteen months. Body Mass Index (BMI) and the ratio of weight and height is also used in evaluations. A nurse will evaluate the precise height and weight, and in some cases the circumference of the head of the child. The results will be presented on an appropriate percentile chart. All previous measurements must be written on the chart, so that the overall growth and the rate of growth can be established. The nurse should, apart from taking measurements and records, be vigilant and inform the doctor if they feel that the child is not growing uniformly. If the child appears to grow taller or shorter than what was predicted by the percentile chart, further steps are taken via the evaluation of data from anamnesis, psychological state, pubertal development and the appearance of the child. After this the nurse will, at the doctors instruction, take blood and urine samples. The child is then often sent to an endocrinologist who will request further evaluations of bone age and special tests of endocrinal function, whereby the nurse will take blood during stimulation tests. The nurse therefore has a vital role in the evaluation of growth as well as in therapy. Children who present a need for treatment using growth hormones will have the hormones administered by the nurse via injection, and the nurse will later teach the parents and the child how to administer the injection themselves. Throughout the entire process of evaluation and therapy the nurse will observe the child and will address nursing diagnoses with them; the most important of which are the risks of disproportional growth and late growth and development. This Bachelor's thesis entitled Nursing Care of Children with Growth Disorders is a theoretical thesis produced by a method of content analysis of Czech and overseas sources of information. It was necessary to study many expert and specialized books, electronic journals and websites of professional societies. The majority of these expert informations are dedicated to growth disorders from a medical point of view; the job of the nurse in these situations is certainly not in the forefront. That was the foundation for this bachelor's thesis, which will first summarize the theoretical knowledge about growth and its disorders; for without this information this thesis would not be complete. Subsequently, it will cover the role of the nurse in intervention during diagnosis and therapy. A painstaking effort has been made to read into as many expert sources as possible so that an accurate outline distinguishing growth disorders, diagnoses, current indications for treatment and the treatments themselves is created. Furthermore, as much information as possible on the role of nurses through intervention during evaluation of growth and nursing care of children with growth disorders has been compiled.
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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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Use of methods nuclear medicine in endocrinology
PEŠTÁLOVÁ, Petra
The contemporary situation of the nuclear medicine is desrcibed and its head using in heamadenology is hit in my diploma thesis. The most important points of anatomy and physiology concerning endocrines are revised in brief in the begining of my thesis. The next part is devoted to the possibilities of nuclear medicine in thyroid gland diagnosis. In the following part the possibilities of adrenal cortex and adrenal medulla investigation are presented. The entire part of nuclear medicine and its using in heamadenology is the open emmiters therapy. Therefore the last part of my thesis is dedicated to thyroid gland tumour therapy per radioactive iodine.Thyroid gland carcinoma can recur after many years. Therefore all the patients having this diagnosis are observed for life. Some nuclear medicine methods also serve for it.
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