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Case Study of Physiotherapeutic Care for a Patient after Stroke with Left-Sided Hemiparesis
Dvorská, Kateřina ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
v Abstract Author: Kateřina Dvorská Title: Case study of physiotherapeutic care for a patient after stroke with left-sided hemiparesis Objective: Acquisition and processing of theoretical knowledge about stroke. Further development of a case study of a patient after stroke with left-sided hemiparesis, including own examination, subsequent therapy proposal, and its practical implementation. Methods: This bachelor thesis is divided into two parts - general and special. The general part offers the theoretical description of the disease, its examination, and selected physiotherapeutic procedures. Information provided for this part was retrieved from textbooks, studies, and scientific literature. Special part includes a case study of a patient after stroke with left-sided hemiparesis, which contains medical history, initial kinesiological analysis, ten therapeutic units, and a final kinesiological analysis. To conclude the special part, there is an evaluation of the therapy's effectiveness, a discussion comparing the methods used in therapy and their results with information from relevant research articles. Results: During the therapy, gradual improvement in the patient's condition was observed. Thanks to the progress in mobility of the left upper and lower extremities, there were significant improvements in...
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Attitudes of active smokers, patients of outpatient services, after a stroke towards smoking
Horvátová, Tatiana ; Svěcená, Kateřina (advisor) ; Kulhánek, Adam (referee)
Background: "A stroke is a brain disease caused by a sudden vascular supply malfunction" (Růžička, 2019, p. 213) and "nn the Czech Republic, it affects more than 50,000 people every year" (Zámečník et al., 2019, p. 676). Smoking is one of the most common modifiable risk factors of its occurrence. Chemicals in cigarettes are involved in the development of atherosclerosis and other pathologies leading to stroke and heart disease (Kim et al., 2012). Research suggests that even a complex life event, such as a stroke, does not lead to quitting smoking in many patients. This may be related to the low awareness of the population that smoking is a risk factor for stroke despite relatively high awareness of the negative effects of cigarettes in general. The emotional relationship of smokers to smoking is strong and the rationalization of smoking is strong as well. Aim: The aim of the thesis is to find out the attitudes of active smokers after a stroke towards smoking. The thesis is divided into a theoretical part and a research part. The theoretical part focuses on the issue of stroke, risk factors for its occurrence and explains the conative, cognitive, and emotional components of attitudes. In the research part, the attitudes towards smoking of active smokers after a stroke are determined. Methods: Data...
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Nutritional interventions for patients with brain injuries and movement limitations
Kadečková, Klára ; Sládková, Petra (advisor) ; Svěcená, Kateřina (referee)
Patients with acquired brain damage, who are attending rehabilitation day-care center on the Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University in Prague, are often limited by fatigue and lack of energy. Patients are attending day hospital mainly with brain damage acquired after stroke and less often also after brain trauma. Secondary prevention of atherosclerosis development or progression and prevention of stroke relapse is very important with these patients. Nutritional intervention plays significant role in prevention and treatment of many risk factors of an atherosclerotic artery damage. Common consequence of brain damage is development of secondary sarcopenia. Patient in day hospital must bring their own food. Individualized program as a result from examination by the multidisciplinary team doesn't include nutritional assessment. Study with patients with acquired brain damage was carried out on Department of Rehabilitation. Study used bioelectrical impedance analysis provided by InBody 370 S. Body composition of patients was measured. This data and anthropometric measurements were evaluated for presence of metabolic and cardiovascular disease risk factors. Muscle mass percentage was evaluated as well. Study found out that most...
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A case report of physiotherapeutic care of a patient after ischemic stroke
Kozerawska, Natália ; Sohrová, Jana (advisor) ; Křížková, Štěpánka (referee)
Title: A case report of physiotherapeutic care of a patient after ischemic stroke Objective: The aim of this thesis is to summarize the theoretical information on the topic of stroke and then to develop a case report of a patient after ischemic stroke with right-sided hemiparesis. Methods: This bachelor thesis deals with stroke and is divided into two parts - general and special. The general part contains the main theoretical information about stroke. In addition, the physiotherapist's examination typical of the diagnosis is described, together with a selection of methods and procedures most commonly used in the physiotherapeutic care of these patients. The special section includes a case report of a patient after ischemic stroke with subsequent right-sided hemiparesis, including the initial and final kinesiological examination, the course of individual therapies and a summary of the effect of therapy. The background for the special part was obtained during the continuous professional practice at the Department of Post- operative Rehabilitation at the Regional Hospital Kladno from 9 January to 3 February 2023 under the supervision of the supervisor Mgr. Dita Hamouzová. Results: The patient improved in several aspects, especially in overall stability and range of active motion. However, there was...
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Organization of the care and nursing process at the stroke center
ŠESTAUBEROVÁ, Anna
This bachelor thesis deals with the organization of care and the nursing process at the stroke centre. The bachelor thesis is divided into a theoretical and research part. The theoretical part deals mainly with stroke, patient care at the stroke centre and associations after stroke. The main goal of the theoretical part was to describe a stroke, its treatment and nursing care by a nurse in a patient with stroke. The research part of the bachelor thesis is processed using qualitative research, for which two goals were set and one research question for each goal. The first goal of the research survey mapped the organization of care at the stroke centre. The first research question is related to this goal and examined the course of the organization of care in the stroke centre. The second set goal of the research survey was to determine the course of the nursing process at the stroke centre. To achieve the second goal, a second research question was set asking about the way the nursing process takes place at the stroke centre. Data collection was performed using semi-structured interviews with nurses working at the stroke centre. The research group consisted of six nurses. The interviews were recorded and then literally transcribed. The obtained data were processed using the coding method, the "pencil and paper" technique. The results were then categorized and evaluated. The research showed that we qualify care at the stroke centre as intensive, focusing on patients after stroke. With regard to ischemic stroke, the patient is hospitalized at a stroke centre with ongoing thrombolysis, which has been applied by the nurse at the emergency department after CT scan. In the case of hemorrhagic stroke, the patient is treated conservatively at the stroke centre. At the same time, we learned how the nursing process takes place in a patient after stroke who is hospitalized at a stroke centre. The results of the survey are used to create a basis for a seminar for nurses working at the stroke centre, which will serve to deepen their knowledge.
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Case study of physical therapy treatment of ischemic stroke patient with right-sided hemiparesis
Bárta, Tomáš ; Reckziegelová, Petra (advisor) ; Dědková, Miriama (referee)
Title: Case study of physical therapy treatment of ischemic stroke patient with right- sided hemiparesis Objectives: The purpose of this bachelor thesis was to process theoretical information about the diagnosis and to create case study of the ischemic stroke patient with right- sided hemiparesis. Summary: This bachelor thesis deals with stroke and is formed of theoretical general and practical special part. The general part includes the definition of stroke, anatomy of blood supply to the brain, types of stroke, stroke assumptions and its prevention, and post-stroke rehabilitation possibilities using physiotherapeutic methods and procedures applied depending on the stage of the disease. The special part describes the methodology of the thesis and contains a case study of the ischemic stroke patient with right-sided hemiparesis. The case study includes anamnesis, initial kinesiological analysis, course of performed therapies and final kinesiological analysis with evaluation of the therapeutic effect. Data for the processing of the special part of the theses were obtained within the continuous professional experience at the Rehabilitation Clinic of the FNKV during the period from 11-1-2021 to 5-2-2021. Keywords: ictus, cerebral infarction, stroke, cerebrovascular accident, cerebrovascular ischemia,...
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Informal client care after CMP.
VLNATÁ, Jana
The focus of the thesis is on the informal caregiver and family, who cares for a family member who has had a stroke. This topic is very relevant because CMP is one of the most common causes of disability and death, both in the Czech Republic and worldwide. The thesis consists of theoretical and practical part. The theoretical part is focused on the study of literature and is divided into 4 basic areas. The first area characterizes the concept of brain and stroke, describes the causes, distribution, symptoms, treatment and consequences of this health and life-threatening event. The second area is the division of coordinated rehabilitation, which is necessary after a stroke, whether it be medical, social, pedagogical, work rehabilitation or spa care. The third area focuses on poststroke therapies such as physiotherapy, speech therapy, occupational therapy and psychology. The next area focuses on forms of social assistance, without which home care for a close person would not be possible, and includes a care subsidy, a special aid subsidy, a mobility subsidy, a disability card and pension. Last but not least, terms such as formal and informal care are explained. The method of qualitative research using semi-structured interview technique was chosen for the elaboration of the practical part. The research group consisted of seven members of the South Bohemian Region who take care of a close member of their family for a long time at home. The interviews were recorded and then literally rewritten. In my research, I tried to answer the question: "What are the family's difficulties in caring for family members after having suffered from CMP and what are their most common problems?" In the discussion, I summarized the findings and hypothesised, based on research. The results of the diploma thesis can serve as a source of information for persons after the stroke and thein families and help to educate the public.
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A case Study of Physiotherapeutic care of patient with diagnosis of stroke
Sedláček, Jakub ; Reckziegelová, Petra (advisor) ; Hankovcová, Eva (referee)
Title: A Case study of physiotherapeutic care of patient with diagnosis of stroke. Objectives: The goal of this bachelor thesis has been set as processing a case study of patient after ischemic stroke, and summarising important theoretical knowledge regarding this diagnosis. Methods: This bachelor thesis is divided into two parts - a general part and a special part. The general part concerns a theory which is necessary to understand this issue thoroughly. That means anatomical basis of the disease, characteristic of the disease including clinical manifestation, epidemiology, risk factors and treatment. The special part includes a detailed case report of the patient including input analysis, performed therapies, output analysis and evaluation of the effect of the therapy. As the patient also suffers from diabetic polyneuropathy, this thesis also covers this topic shortly. Results: The patien's health condition improved. He doesn't tire so fast, tonus of lower extremities' muscles and abdominal wall's muscles has increased, stereotypes of gait and breathing has improved. Keywords: ischemy, stroke, rehabilitation, physiotherapy, polyneuropathy
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Case Study of Physiotherapy Treatment of a Patient After a Stroke
Srníková, Lucie ; Neuwirthová, Svatava (advisor) ; Hořejší, Jan (referee)
Name: CASE STUDY OF A PHYSIOTHERAPY TREATMENT OF A PATIENT AFTER A STROKE Aims: The aim of this thesis is to gain and collect theoretical information about theme "stroke" and the development of the case study of a patient with this diagnosis. Methods: The thesis is devided into two main parts - theoretical and practical. Theoretical part is devoted to a knowledge about stroke gained during university studies, and to information from specialized literature. This part summarizes basic findings about diagnosis, treatment and rehabilitation. Practical part comes out of exact case study of a patient after suffering ischemic stroke with cerebellar syndrome. Case study was prepared on a bassis of practice from 22nd of January till 16th of February 2018 at Vršovická zdravotní a.s. It consists of detailed input and output kinesiology analysis and also description of individual therapeutic units. Key words: stroke, cerebellar syndrome, ischemia, rehabilatation, therapy
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The Nursing Care as an Instrument of Prevention of Complications in a Patient in Stroke Centre
HULÍNSKÁ, Silvie
In the diploma thesis called Nursing Care as a Complication Prevention Tool in the Patient Stroke Center, we dealt with various aspects of nursing care in the stroke center. The development of nursing research in the stroke center lags behind the development of rapidly growing medical knowledge. With the development of medical care, nursing care should respond flexibly. The research intent was to get comprehensive information on preventing complications in patients in the stroke center using nursing care. We have investigated the complications that may arise in patients with acute stroke and how they can be affected by nursing care. We have set three goals: to find out what stroke complications can be influenced in the acute phase by nursing care, to identify nursing activities by nurses in stroke centers to prevent complications and to identify obstacles and limits of preventive nursing care in the stroke center. These objectives correspond to five identified research questions. We were interested in the opinions of the staff on the provided nursing care and we also wanted to know the perception of the care provided by the patients themselves. We have tried to identify key nursing care sites, identify weaknesses and possible shortcomings, and have sought to find the basis for possible improvement in care. The qualitative research strategy was chosen to achieve the objectives of the thesis. The technique of data collection was an individual depth semi-structured interview with ten respondents. The interviews were subjected to qualitative analysis using the ATLAS.ti program. By coding, a total of 104 codes have been identified, grouped into 20 categories. We identified 18 complications that can occur with a stroke patient. For all these complications, we have found interventions to be prevented or alleviated. The results also show that nurses working in the stroke center should have specialized education for intensive care rather than college education. Specialized education in neurological issues, which nurses can acquire through post-graduate stroke seminars and exercises, is also suitable. We have identified systemic barriers to nursing care, including lack of material, lack of time and lack of staff. As obstacles on the part of nursing staff we have identified nursing indifference, poor mood, poor collaboration with the patient, hurried care, physical limitations (back pain, fatigue), lack of awareness, knowledge or skills and inadequate teamwork. As obstacles on the part of the patient we have evaluated speech disorders, perception disorder, unconsciousness, faulty adaptation, lack of cooperation, lack of understanding, distrust, negation, aggression, restlessness, disorientation, apathy, depression, overvaluation of own abilities, conflict with the patient's family. During the research, other interesting facts emerged that do not directly relate to the goals and research questions.
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