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Nursing care for patients with gastric and duodenal ulcer disease after surgery
JANKŮ, Jana
This bachelor thesis deals with nursing care for patients with gastroduodenal ulcer disease (GDUD). The goal of the thesis is to map specifics of nursing care for patients with GDUD in the pre-operational and post-operational period and to find out how satisfied patients were with the care given to them. The research included ten interviews with nurses working in the department of surgery and gastroenterology and ten interviews with patients who have undergone surgery with GDUD. The interviews were carried out using the in-depth interview method and later processed with a coding method. Based on interviews, it can be concluded that the first step done by nurses before the operation is monitoring basic physiological functions, followed by giving the patient informed consent for signature, and taking the patient's blood for testing and deposition. Meanwhile, patients get Controloc continually. Afterwards, patients get a nasogastric tube, and the nurses start preparing the operation field. Meanwhile, nurses apply bandages of inferior extremities, and they apply pre-medication. In terms of post-operational care, nurses monitor basic vital functions, draining from the nasogastric tube, and other drains. They also monitor bleeding, the level of the patient's pain, and the results of blood tests. Besides that, nurses must write down all interventions done by doctors and the patient's statistics to the documentation. This research shows that nurses are acquainted with knowledge of all the specifics and differences in the nursing care of patients with an acute and a chronic form of this disease. Nurses from the research are properly educated in the nursing care of patients with other associated diseases, such as DM, ischemic disease of the lower extremities, chronic obstructive pulmonary disease or cordial diseases. Nurses also have enough information about the most common complications associated with GDUD - perforation and bleeding. The research also shows that nurses know how to communicate with patients about necessary examinations, how to educate them, and explain possible complications as well as later home care. On the other hand, several patients stated that the communication from the doctors and the nurses was not always adequate. Patients usually explain this fact by the lack of nurses' time. Due to insufficient communication the patients are also forced to look up information by themselves. On the other hand, most patients state that the provided nursing care was sufficient. The nursing care that the patients described also agrees with the standards and recommendations. Based on the interviews, we can conclude that the patients who participated in the research are well informed about pre-operational and post-operational care. They are well educated about home care, regime measures, and ways that can decrease the risk of emergence of new peptic ulcers.
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Nursing process and its significance to seniors according the perspective of retirement home nurses
FRÜHAUFOVÁ, Hana
Modern nursing care is characterized by seeking, planning and satisfying needs of a healthy or an ill person. All this is performed by means of the nursing care process. The nursing care process is considered the basic scientific method of advanced nursing care leading to solution of problems. It has already become an inherent form of individual care planning. Thanks to the nursing care process a nurse has a holistic view of a patient and is able to provide quality care. Nursing care is provided in compliance with the nursing care process principles with regard to the specifics of geriatric care in senior homes. A senior home nurse takes into consideration the specifics of the individual phases of nursing care process in seniors. Senior homes provide residential services to people with lower self-sufficiency particularly caused by higher age and to those who need regular care in the field of self-sufficiency and personal care. Unfavourable social situation does not allow these people to live in their domestic environment. Complex care provided in senior homes substitutes for domestic environment. Seniors are also given health care provided by general nurses. The aim of the thesis was to examine nursing care process application in a senior home and the importance of the nursing care process from the point of view of senior home nurses. The following research questions were set: Which nursing care process phases are applied by nurses taking care about seniors in the senior home? How do senior home nurses feel the importance of nursing care process? Qualitative research by means of in-depth interview and questioning of nurses in a selected senior home in South Bohemia was chosen for collection of necessary information. The interviews were recorded and subsequently literally transcribed. The transcribed interviews were deeply analyzed by means of paper and pencil method by open coding. Four categories were created from the data analysis: Nursing care process, Nursing care process in practice, Nursing care process phases and Compilation of nursing care diagnosis and maintenance of nursing care documentation. Subcategories, where the core data are coded, are assigned to the individual categories, everything is illustrated by clear diagrams of the individual categories. The research shows that nurses have general knowledge of nursing care process. They were able to define nursing care process, to name its phases and to express their attitude to this method. They actively apply the process, but they say it is demanding for them from time and administration point of view. The fact that the knowledge of nursing care diagnosis is very poor among nurses is surprising. With regard to the limited awareness of nursing care diagnoses I propose a seminar explaining this issue.
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