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The importance of Anamnesis within the Treatment of Children in Various Development Stages
KUBIŠOVÁ, Pavla
The Bachelor{\crq}s work deals with a theme on Importance of Anamnesis within the Treatment of Children in Various Development Stages. The treatment documentation, in our case referred to as treatment anamnesis, is an essential part in order to provide a relevant treatment care. First of all, a nurse or other healthcare professional has to learn more about a patient as well as to find out detailed information in order to formulate a diagnosis and to decide on the most suitable treatment plan provided. Individual procedures and the principles followed when obtaining the information are as well very essential. There were two aims and two investigative questions established. The first aim of the Bachelor{\crq}s work was to focus on different ways that vary in obtaining the treatment anamnesis concerning children in various development stages. The second aim of the work was to draft a treatment documentation used for obtaining the anamnesis concerning children in particular stages of development. The first investigative question raises query if there are any distinctions in obtaining data or information about children{\crq}s patients in particular life stages. The second investigative question focuses on methods used by nurses or healthcare professionals to collect a medical history about children{\crq}s patients in particular life stages. The investigation was executed by a qualitative method using non standardized encounters, data analyses and observations. Nurses working in the children{\crq}s ward in the hospital in Strakonice and Písek were the subject to the research. The investigation was carried out during two weeks. It was ascertained during the investigation that the nurses working in the particular children{\crq}s wards in the hospital selected proceed differently when obtaining anamnesis information about particular children{\crq}s stages of life. The investigative question results in hypothesis no. 1: `Nurses who carry out the task vary in used methods of obtaining the anamnesis data concerning children.{\crq} Hypothesis no. 3: `Supporting documents used for obtaining the anamnesis data concerning children{\crq}s patients are not equal in healthcare centres.{\crq} The second investigative question result in findings that anthropometric measurements are ascertained in all children of different life stages. Some nurses do not follow the standard methods and principles of the encounters and not all nurses use correct methods when obtaining the information. Three further hypotheses result from the second investigative question: Hypothesis no. 2: `When collecting the anamnesis data, nurses do not follow the rules of guiding the interview with a patient.{\crq} Hypothesis no. 4: When collecting the anamnesis data concerning children{\crq}s patients, nurses always ascertain their anthropometrical features according to individual stages of development. Thus shows that the first aim was fulfilled as well as the second aim assessed. Within the context of the actual findings, we would recommend to propose documentation for obtaining the anamnesis data aimed for children{\crq}s wards in hospitals which would have the same, equal layout, best within the whole Czech Republic. It would be important to make the supporting documents simple and clear to understand in order to make nurses{\crq} job easier. The documentation would consequently simplify the formulations of treatment diagnoses, thus would contribute to provision of high quality of treatment in order to meet the patient{\crq}s needs. At the same time, it would be suitable to arrange courses and seminars focused on the stated theme aimed for individual hospitals and healthcare centres in the Czech Republic and to solve relevant problems concerning anamnesis documentation on the spot.
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