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Nursing care after spinal injury followed by plegia from the view of the patient and his family.
ČELOUDOVÁ, Nela
This thesis focuses on nursing care after a spinal injury which is followed by paralysis from the patient's and his family's point of view. Spinal or spinal cord injury is a very serious disability that influences patient's life. Depending on the type of the injury and its location in the spinal segments, loss of motoric, sensory and autonomous functions occurs. The nursing care for patients with spinal injuries is a very complicated and long term matter as much for the nursing personnel as for the patients themselves. Two goals were set for this thesis. The first one was to find out if the family is ready for taking care of a paralysed patient in a home environment post hospital release. Second goal was focusing on how patients with post injury paralysis perceive nursing care. The bachelor thesis was processed using qualitative research. The data was collected using the method of semi-structured interviews of patients with paralysis caused by spinal injuries and their family members. The results of the research show that the awareness of family members is small and the information submitted is considered insufficient. Information was missing both form the nursing care and administrative point of view. In addition, the research shows that patients with post-traumatic plegia are satisfied with the nursing care provided and that the communication with nurses is evaluated positively. Another piece of information resulting from the research is that the patient's family was prepared for home care of a paralysed individual only partially and the most significant complications come from the technical side of preparedness. This thesis is outlining the awareness of patients and their families after a spinal injury occurs. It is focusing on caring for the patients in their home environment, in a hospital or a rehabilitation facility.
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The thoracic and lumbar spine injury - role of imaging modalities in diagnostic and therapy
DOLEŽALOVÁ, Martina
This article provides information about thoracic and lumbar spine injury with reflection to the role of radiologic assistants. Spine injury belongs to the most serious injuries and its incidence is rising. These injuries are diagnosed using imaging methods like plain X-ray, computed tomography and magnetic resonance imaging. Radiologic assistant himself is the person, who is responsible for the correct examination. If these injuries are treated surgically, radiologic assistant meets them at operating theatres too. Here the assistant manipulates with fluoroscopy machines and helps the operator with procedure navigation. Important is that the radiologic assistant should know all the steps of each procedure and should take care of radiation protection. If the procedure is done inadequately, the patient can be misdiagnosed and the radiation dose for him and for the staff may be increased. Since 1st January 2006 to 31st December 2006, 84 patients (48 women, 36 men) were hospitalised at the Neurosurgery departement of University Hospital Hradec Králové under diagnosis of thoracic or lumbar spine fracture. The age, frequency of vertebral fractures in thoracic and lumbar region and percentual use of various therapeutic methods are noted. But the most important aim of the study are imaging methods used in these patients and mistakes done during these examinations.
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