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A case report of physiotherapeutic care of a polytrauma patient
Rozínková, Lenka ; Martínek, Milan (advisor) ; Valentová, Zuzana (referee)
Title: A case report of physiotherapeutic care of a polytrauma patient Objectives: The main aim of this bachelor thesis is to develop a case report of a patient after polytrauma during continuous professional practice in ON Kladno, to summarize the theoretical knowledge in relation to the patient's diagnosis and the use of specific physiotherapeutic procedures. Methods: The thesis is divided into theoretical part and case study. The general part contains theoretical knowledge about polytrauma, anatomy and biomechanics of the knee joint obtained by the method of research. Furthermore, the types of fractures and their classification, bone healing, osteosynthesis and the procedure of subsequent rehabilitation of the patient after osteosynthesis are described. A special section is devoted to the complete case report of the patient, including the initial kinesiological analysis, the daily record of therapeutic units and the output kinesiological analysis. The final section then discusses the effect of therapy. Keywords: polytrauma, pneumothorax, knee joint, fractures, proximal tibia, osteosynthesis, rehabilitation
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Dechová rehabilitace u pacientů operovaných pro spontánní pneumothorax
DOLANSKÝ, Petr
This bachelor thesis deals with the issue of respiratory therapy after surgical treatment of spontaneous pneumothorax. Pneumothorax is defined as the presence of air or other gas in the pleural cavity. Patients experience high dyspnea, soreness, decreased respiratory parameters and changes in posture. The aim of the work was to map the possibility of respiratory rehabilitation in patients operated for spontaneous pneumothorax and to propose a procedure for respiratory rehabilitation in these patients. The theoretical part briefly describes the anatomy of the chest, describes the primary and auxiliary inspiratory and expiratory muscles. Furthermore, the problem of pneumothorax, its division, diagnosis, symptomatology, conservative and surgical treatment are described. At the end, the breathing rehabilitation techniques and other physiotherapeutic concepts, that can be used in patients after spontaneous pneumothorax surgery, are discussed. The practical part had been done in the form of qualitative research, in which three patients that were operated for spontaneous pneumothorax participated. Kinesiological examination took place the first day after the surgery. It consisted of the muscle test according to Janda, goniometric measurement of active range of motion in shoulder joint, anthropometric measurment of chest development, measurement of maximum inspiratory pressures using a Micro RPM, Borg's CR10 scale and measurement of hemoglobin oxygen saturation. In the following days, the therapy itself took place, ending with a final kinesiological examination. The measured values were compared with each other. Improvements were achieved in all probands, so it can be argued that the therapy had a positive effect.
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Chest injuries in prehospital emergency care
SOUČEK, Jan
Chest injuries are one of the very common injuries that often endanger the patient's life. Therefore, it is important to quickly determine the severity of the injury, to define further procedures, such as medication, and to ensure the most careful and fastest transport to the hospital. It is therefore important that health rescuers have the best knowledge, practical skills and awareness of possible complications, which can significantly influence the course of the injury and the state of health of the patient. Aim of this bachelor´s thesis is to map knowledge of paramedics about chest injuries in Pre-hospital Emergency Medicine (PHME) and compare rescuer´s procedures in care of patients with chest injury. Research questions are following: How different is the knowledge of medical procedures for chest injuries? What is the difference in medical procedures in chest injuries? Empirical part of the thesis is based on the qualitative survey. Semi-structured interviews with opened questions were arranged with paramedics of region Vysočina and South Bohemia. Based on the results of this work, it can be said that health rescuers have good knowledge in their field. Moderate shortcomings include uncertainty in competencies, and slight deficiencies in theoretical knowledge and awareness of the possibilities of using aids in the Ambulance car. These deficiencies may be a reflection of unified equipment, the different competencies of rescuers, and the possibilities and responsibilities to further educate and improve on the topic.
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