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Mouse King
Šrubařová, Zuzana ; Armutidisová, Irena (referee) ; Gabriel, Michal (advisor)
The topic of the bachelor's thesis is investigation of the feeling of uneasiness caused by a bizarre situation. It is human nature to try to get rid of confusing and disturbing feelings as quickly as possible, because they quickly grow inside us, intensify and cause us to lose control of our own behavior, but most people are irresistibly attracted to anything that deviates from the norm. The work tries to draw the viewer into an uncomfortable situation, represented by an encounter with an unnecessary, stupid and ironic death. The aim of the work is to create an artifact based on an animal theme that symbolizes and evokes feelings of restlessness, but a kind of disturbing, almost ritualistic subtext can also be read from it. The inspiration for this work was the phenomenon of the 'Rat King', the first records of which date back to the 15th century.
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Therapeutic restriction of a patient in a pediatric psychiatry department
KEJDOVÁ, Zdeňka
Theoretical basis: Therapeutic restrictions or limitations are often taboo, although they are also part of child psychiatry. It is used for restless, aggressive patients who endanger the health of themselves or others. Therapeutic limitations use must follow given regulations. The role of the nurse is irreplaceable and important in these situations. Goals: The aim of this work was to chart the issue od therapeutic restrictions in children psychiatry department. Four research questions were used to accomplish goals. Questions are: What kind of restraints are used in the children psychiatric ward? How is the safety of pediatric pacient ensured during the therapeutic restriction in children psychiatric ward? Are there some specifics in nursing care for the patient with therapeutic restrictions? How are nurses educated in the issue of therapeutic restriction in pediatric psychiatric department? Methods: The empirical part of the work was processed in the form of qualitative reseacher. Data were collected as a semi-structured interviews. Another metod of data collection was covert observation. Based on this data collection, there were created five categories and eleven subcategories. Reseacher file: The research group was consisted of twenty three nurses, who work in the department of child and adolescent psychiatry. The selection of patiens was purposeful. Results: Research proved that restraints are an integral part of child psychiatry. The most commonly used therapeutic restrictions are courts. Respondents have shown that the work is according to standards and adhere to the principles in terms of safety. The research has shown that proper nursing documentation and education are required. Research has shown that nurses act professionally, they also take care about patient needs and privacy. It turned out that nurses are on better level of knowledge about practical use than a knowledge of theoretical nursing standard. Conclusion: Therapeutic limitations of patients in the pediatric psychiatric ward cannot be neglected or omitted. This thesis could serve as an educational materiál for many nurses, especially if they are new to the field. Continuing education in this area is desirable for nurses. This work could serve as an educational material for the general public, who could possibly encouter therapeutic limitations, for example with their own child.
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Problematics of nursing care for restless patients
BARÁKOVÁ, Lucie
Bachelor thesis aims at a problematic of the nursing care of the restless patients. It studies restless behaviour, which is considered as a manifestation of current clinical state, therefore it cannot be evaluated as an intentional behaviour. With respect to the facts accompanied with the restless behaviour, an awareness about the problematic is crucial. Considering the specifics accompanied with the nurse caring of the restless patients, the medical staff should be well oriented within this field.The thesis is divided into theoretical and research part. In the theoretical part, restless behaviour and its causes are explained together with the approach to aggressive patients and restrictive interventions. Furthermore, nursing care before/during/after the restriction is examined together with communication methods and legal issues. The research part was realized using a semi-structured interview. The interview was built up out of 18 questions. Research subjects were carefully selected nurses from psychiatric, internal, and neurological clinics. Collected data were processed into 4 categories and 14 sub-categories. In the third category, a short observation focusing on all-round hygiene of the restless patients was conducted.The research shows, that it is essential to keep in mind communication rules with the restless patient, to know about a correct approach to such patient, and to be able to quickly react to any occurred situation.
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Non - pharmacological methods of a solution agitation in patients with dementia
BUCHTOVÁ, Kristýna
Current state: Dementia is a very actual theme. The occurance raises every year. My bachelor´s work is focused on behavioral symptoms of dementia and nonpharmacological methods of a solution agitation in patients with dementia. The theoretical part of my work dealts with primary division of dementia, causes of development, symptoms, diagnostics and treatment of dementia. The last part was focused on pharmacological and mainly non-farmacological methods in demented patients. The objective: 1. The mapping of all using non-pharmacological methods for demented patients which are used in solution of agitation. 2. The comparison of knowledge of nonprofessional carers and nurses in the field of non- pharmacological methods in patients with dementia. Methodology: There was chosen the qualitative research method and the intentional choice of respondents for research survey. In the field of evaluation of the results of interviews and observation there were determined three fields. The field focused on dialogues with nurses included 15 categories. The dialogues with laic tenders created 14 categories and 4 categories contained observations of nurses. The collection of information was made up by using observation and half-structured dialogues. The research was situated into the care centre with special mode for elderly people. The scientific sample: The research sample was created by 4 non-professional carers and 8 nurses. The research: The research checked out the most frequent using methods in practice: individual attitude to a client, keeping the principles of the right communication, relationship of the patient and nursing staff, memorial treatment, pet therapy (especially canistherapy), basal stimulation, validation method, energisation of the clients and enviromental improvements. The recommendation for practise: The results of our work confirmed importance of using non- pharmacological methods in prevention of the troubled behavior at the persons with disease. The research results can be used by all nurses and non-professional carers who are concerned with it.
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The specifics of working with children with ADHD
CVAJNOVÁ, Kateřina
My thesis deals with methods of work with children with ADHD. It describes hyperactivity in different evolutional periods of children and also how it affects families. This thesis describes the approach to education of children with ADHD and also characterizes different facilities that provide care for both children with ADHD and their parents. Appendices include case studies. Two of them show positive impact of ceramic art therapy, the third one describes how mother and daughter used available services and facilities to deal with ADHD problem.
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A difficult patient in the care of a nurse
ZUZÁKOVÁ, Marie
The topic of the bachelor{\crq}s thesis is the ``Difficult Patient in a Nurse{\crq}s Work.{\crqq} The thesis is divided into 10 chapters. The theoretical findings are listed in the chapter ``Current Situation.{\crqq} The theoretical part addresses more general topics such as the specific features of work of nurses in selected wards, the roles of nurses and their professional characteristics. However, particular attention is paid to the specific situations based on which the patient may be deemed ``difficult.{\crqq} These chapters describe the personality of the person affecting his role as a patient, the patient{\crq}s reaction to disease, aggressiveness, causes of aggressive behaviour and other aspects. The conclusion is devoted to the psychic burden on nurses and burnout syndrome. The objective of the bachelor{\crq}s thesis is to determine what criteria nurses have when selecting and stipulating the order of difficult patient. Two hypotheses were chosen: patients are deemed ``difficult by nurses in different ways, according to the specific features of the ward. The demands placed on treatment care affect the identification of a patient as difficult. A survey was performed at selected wards: ARO, JIP, ONP, CHO (anaesthesiology-resuscitation ward, intensive care unit, subsequent treatment ward, surgical ward) at the České Budějivice Hospital a.s. 140 questionnaires were handed out, of which 97 were returned. The return rate was 69%. The questionnaire contained 22 questions, which were to provide answers to the assumed hypotheses. The objective of the work was fulfilled and it was found that the most common criteria affecting the evaluation and order of a ``difficult{\crqq} patient are non-cooperation, unease, and alcohol or drug intoxication. Nurses determine the order of a ``difficult{\crqq} patient almost identically. The most difficult patients according to nurses are those that are aggressive, then those that are uneasy or confused. The first hypothesis was not confirmed, because when identifying a ``difficult{\crqq} patient, nurses almost always agreed, regardless of the specific features of the ward. The second hypothesis was confirmed, because the survey proved that care for a ``difficult{\crqq} patients places demands on staffing of the shift and the nurses{\crq} education. According to the respondents{\crq} demands, a recommendation for the future would be the possibility of attending more seminars and courses aimed at the given topic.
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