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Coordinated Rehabilitation in the Nursing Home
ZATLOUKALOVÁ, Taťána
The diploma thesis deals with the use of coordinated rehabilitation in a nursing home. The main goal of the thesis was to find out the possibilities and limits of providing coordinated rehabilitation in a nursing home from the perspective of members of a multidisciplinary team. In the theoretical part of the thesis, the basic concepts were defined. In the practical part, the main research question was answered: How do the members of the multidisciplinary team perceive the provision of coordinated rehabilitation in a nursing home? A qualitative research strategy, a questioning method and a semi-structured interview technique were chosen for the research survey. Data analysis was performed using elements of grounded theory. The research set consisting of 8 informants was selected through intentional selection and purposeful sampling. The research showed that the interviewed social workers are aware of coordinated rehabilitation, in contrast to the health and care workers, who perceive it only as medical rehabilitation. After clarifying the concept, these workers were also able to name and classify activities into individual components of coordinated rehabilitation. The research shows that informants perceive the improvement of care, provision of comprehensive care, effective cooperation of a multidisciplinary team, transmission of complete information about clients, provision of experts, education and expansion of the range of activities and therapies as possibilities for providing coordinated rehabilitation. As limits of the provision of coordinated rehabilitation, informants perceive the absence of legislative definition, which causes the lack of information about this concept, lack of funds and methodological procedures for coordinated rehabilitation, reluctance to cooperate, employee overload, lack of time and professional staff. The results of the research will serve as a basis for improving the quality of care provided using the concept of coordinated rehabilitation in a selected nursing home.
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The Interconnection of Components of the Coordinated Rehabilitation to Individuals after the Cerebrovascular Accident.
HEJZLAROVÁ, Petra
Cerebrovascular accident (CVA, stroke) is a disease that affects the central nervous system. Many people, even younger in age, have suffered the stroke, and especially in developed countries. For adults it falls into the most common causes of disability. Greater attention is now focused on medical rehabilitation, but all the elements of rehabilitation are important. The status after stroke results in physical, psychological and social consequences. Therefore, early and coordinated rehabilitation is important, since it increases the possibility of the person´s integration. The diploma thesis aims to describe particular components of coordinated rehabilitation granted to the patients after the CVA in the treatment and rehabilitation centre Chvaly. More specifically, the author tries to analyse the coherence of the individual components of coordinated rehabilitation. In the theoretical part, the author focuses at first on the definition of the CVA, follows up with a general treatise about the coordinated rehabilitation, and then she specifies coordinated rehabilitation for patients after the CVA, and briefly describes the facility under examination. To achieve the objective there has been used qualitative research, the method of questioning, the technique of a semistructured interview. The research sample includes people after the CVA, and the staff of the treatment and rehabilitation centre Chvaly, applying specific elements of rehabilitation. Research indicates that in the examined centre they use therapeutic and social elements, where the treatment dominates. The treatment center puts emphasis on self-sufficiency of a person after the CVA, working with the family and a multidisciplinary team, which is also perceived by the clients after the CVA. The results of the diploma thesis can serve as a feedback for the examined treatment centre, they can be used to improve the quality of coordinated rehabilitation. This work can be used as a source of information for people after the CVA and their families.
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