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Physiotherapy in scoliosis after the surgery
Kačírková, Hana ; Šafářová, Marcela (advisor) ; Rampová, Michaela (referee)
The aim of the bachelor thesis is to present information regarding the surgical treatment of scoliosis and care for the operated patient. The options of the operation, its indications, contraindications, risks and goals are presented. The thesis describes the care of the patient preoperatively, perioperatively and postoperatively, and the procedures used and recommended measures are presented. The effect of scoliosis on the patient and the changes after surgery are mentioned. The assumption is that physiotherapy has a positive effect on the outcome of the surgical intervention. Part of the practical part is a case report of a patient with adolescent idiopathic scoliosis after surgery by the posterior approach fusion technique. This patient regularly attended physiotherapy and exercised intensively. As part of the case report, a kinesiological analysis was performed supplemented by functional tests from DNS, dynamic tests, examination of breathing stereotype and measurement of chest flexibility. The examination was carried out twice four months apart. The results were compared with each other with the assumption that continuous rehabilitation before and after surgery will bring improvement in the monitored tests. This assumption was confirmed.
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Care of patient with serious trauma in pre- hospital emergency care.
HAVLÍKOVÁ, Dominika
At the beginning this work is focused on the classification of injuries, scoring systems that are used in traumatology and ATLS (advanced trauma life support), which is a standardized procedure in the care of patients with trauma. Furthermore, the work deals with acute traumatic states and there are also briefly described the center for traumar and pre-hospital emergency care. The last thing that is mentioned in the theoretical part of the work is the procedure of the Emergency Medical Service at the scene of the accident. The research part contains the oucomes of interviews from ten randomly selected paramedics of the Medical Rescue Service from the South Bohemian Region and the Vysočina Region. A qualitative research strategy, a questioning method and a semi-structured interview technique were used. The interviews were held in March and April in 2021. In this part of the bachelor's thesis, three goals were set. The first goal was to find out whether there are prescribed procedures in the care of serious trauma in pre-hospital emergency care and whether the paramedics of the South Bohemian Region and the Vysočina Region know them and proceed according to them. The second goal was to map whether the procedures for caring for a patient with severe trauma are different in the regions. The last goal was to find out whether training for paramedics is taking place on the care of patients with severe trauma in pre-hospital emergency care. The results of the research show that all respondents know the prescribed procedures and, if the situation allows, they follow them. It was difficult to find out whether the procedures differed in the regions due to insufficient information. From the answers of the respondents, it can be said that the procedures in the care of severe trauma do not differ or differ only minimally. Research has also shown that everyone is trained in the care of severe trauma. This bachelor thesis could be used to provide information to proof satisfaction with the training. Furthermore, the work points to the fact that the way of transferring information and knowledge between lecturers and rescuers is effective.
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Caring for patients colonized with resistant microbial strains
Poláková, Stanislava ; Heczková, Jana (advisor) ; Novotná, Jindra (referee)
This thesis is focused on the complex nursing care of patients colonized with the resistant microbial strains. In the theoretical section I describe the major events of the history, the current issue of the antibiotic treatment and the species of occurring resistant strains of microbes. It also deals with recommended procedures in the care for these patients, such as patient isolation, use of the protective equipment, handling of the biological material , individualization of the aids, handling of the linen and the principles of health care. It also includes preventing the spread of disease resistant strains of the microorganisms and patient recolonization. The empirical part consists of the quantitative research conducted at the University Hospital in Pilsen with the help of a questionnaire survey. The questionnaires will be distributed to the nurses in intensive care units without the single - patient box system. The aim of the research is to determine nurses' knowledge of the disease resistant microbial strains and the ways they create patient isolation. Evaluation questionnaires will provide the pieces of information to compare the individual practices and knowledge of nurses in intensive care units. Results of this work can be used as a source of information or the study material. The benefit...
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