National Repository of Grey Literature 856 records found  beginprevious845 - 854next  jump to record: Search took 0.01 seconds. 
Nursing of children on a transplant unit
Oncological disease is very stressful and worrying for everyone. In the second half of 20th century, tumor disease became the second most frequent cause of death of children and young adults. They bring a major intervention to the child´s life, to the life of his or her family and to the lives of people close to the child. The research was proceeded on transplant unit and standard unit in Children´s Cancer Hospital. The objective of the thesis was to find out the specifics of the care on the transplant unit and based on obtained results determine actions that could make the care for children in the transplant unit more pleasant and improve the quality of the care. The objectives were fulfiled. Based on the research four hypothesis were formed.
Specifical nutritional requirements of oncological patients
Nourishment in oncological patients is a very complicated problem. Up to half of the patients experience a lack of appetite that borders to food aversion which is often followed by an almost immediate sense of fullness after first few bites. Furthermore, some of the treatments themselves may lead to nausea, diarrhea and problems with swallowing. Malnutrition, consequently, will often worsen the prognosis for patient with a malignant tumor; lower his susceptibility to oncological treatment and increase the probability of further complications. A complete clinical picture of malnutrition, called cachexia, is characterized by noticeable gauntness, loss of both musculature and subcutaneous fat. Studies show that 30% to 90% of oncological patients suffer from malnutrition. Also, a continuous weight loss considerably lowers the quality of life, and this must not be overlooked for nutrition should not only lead to a prolonged survival, but also to an appropriate life-quality. The aim of this study was to find out how nutritive registry is kept at oncological wards in selected hospitals in the Czech Republic. Further, to find out if nurses are familiar with the causes of malnutrition in oncology patients and have sufficient knowledge of the specific nutritional principals. The hypotheses set were {--} 1) at the selected oncological wards nutritive registry is used, 2) the nurses there do know about causes of malnutrition while 3) nurses in other wards do not have this knowledge. 4) Nurses know about the necessary nutritional principals in oncology patients. Quantitative approach was used for this research. The questioning method was to collect data by distributing questionnaires. The results show that at oncology wards but at other, non-oncological wards as well, nutritive registry is used, and furthermore, a position of nutritional therapist has been appointed and nutritional staff established. The first hypothesis has been proven to be correct. The second and fourth hypotheses are correct as nurses do know the causes of malnutrition in oncology patients and have the knowledge of the necessary nutritional principals. The third hypothesis presumed that nurses from non-oncological wards lack this knowledge and has consequently been proven wrong. These nurses are indeed knowledgeable of the nutritional problems. In practice, a stressed necessity of nurses{\crq} efficient knowledge of the nutritional problem for patients with malnutrition and cachexia at both oncological and non-oncological wards is recommended, together with the introduction and observance of nursing standards concerning the nutritional problems of oncology patients, proper information given to the patients relating their special diet as a consequence of the illness and its subsequent treatment, and finally, a multidisciplinary approach and collaboration (nutritional staff).
Psycho-social supporting care for oncologically diseased persons
The Bachelor work deals with areas of supporting care in oncology. The aim of this work is to draw attention to the importance of psycho-social care as an integral part of complex care for oncologically diseased persons. The theoretic part contains characteristics of the influence of an oncological disease to the life quality of the ill person and his/her closed ones. It describes the process of the hard disease?s acceptance and overcoming the typical obstacles in various stages of the illness. At the same time it presents an outline of an oncological patient?s needs including the need of spiritual care. The theoretic-practical part is devoted to definition of the term supporting care. It surveys, whom psycho-social supporting care in the Czech Republic is provided to and in which health care institutes, hospitals and patients? organisations patients can find it. At the same time it pursues clarification of the term psycho-oncology and outlines the rise and development of psycho-oncology in the Czech Republic. The research part deals with the issue of psycho-social supporting care offer and demand. It also offers a view at the experiences of an oncological patient, the founder of the association Amelie o. s. This association offers psycho-social support and care to oncologically diseased persons and their closed ones.
Specifics of nursing care of a child patiens with oncological pain.
The topic of the thesis is: Specifics of nursing care of a child patient with oncologic pain. Children{\crq}s pain is a phenomenon surrounded by many myths and false information. It is also not sufficiently assessed and treated and often bagatelized by both nurses and doctors. Nurses play irreplaceable role in pain treatment, they are with the child patient more frequently then the doctor and are in close touch with the child{\crq}s parents. The care of a suffering child is a serious task in nursing. Treatment of a patient in pains requires a complex, holistic approach. Nurses, even if they diagnose pain properly, do not set an adequate nursing care plan and do not carry it out. Nurses have to defend interests of the sick child and must not let him/her suffer. The data was obtained by quantitative and qualitative research. The quantitative research was carried out by the technique of anonymous questionnaire. The questionnaire was made for the parents of children with oncologic disease. The qualitative research was carried out by the technique of semi-structured in-depth interview. The research sample consisted of nurses working at the Department of children{\crq}s oncology One of the aims of this thesis was to outline the problems in nursing care of a child patient with oncologic pain from the point of view of the parents. We observed if the parents had been informed about their child{\crq}s pain, if they know what symptoms they should watch in their child, if they know all the aspects of pain to be assessed and treatment methods to relieve the pain and also how nurses respond to their child{\crq}s pain. For this aim, a following hypothesis has been set forth: The parents of children patients with oncologic pain are educated about the possibilities of nursing care focused on relieving the pain. This hypothesis was confirmed by statistic testing. Another aim of this thesis was to find out the specifics of nursing care of a child patient with oncologic pain. Nurses think that the specifics of nursing care of a child patient with oncologic pain are not different from any other care of a child in pains. They just state that an oncologic disease is associated with pains caused by the disease itself or by diagnostic or therapeutic procedures. Therefore they consider a specific feature the fact that the pain is observed more intensively and the staff is more precise in relieving the pain. It is obvious from the research that it would be effective for both parties, both for the nurses and the parents, to use educational materials on pain intended for them. I suppose that if there were such materials available, the parents would not need to contact nurses repeatedly. There was also a positive finding in the research that 92.5% of parents stated that nurses respond to children{\crq}s pain within 10 minutes. Further, that nurses believe that the child has pains, which was stated by 98.2% of the parents.

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