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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Recommendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Balance ability of the patient is evaluated using the BESTest. Conclusion: It is important to maintain optimal health, independence and self- suffi- ciency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: cerebrovascular accident, brainstem stroke, falls...
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Falls in Geriatric Patients at the Follow-up Care Department
CARDOVÁ, Lenka
This diploma thesis is dedicated to falls in geriatric patients in the aftercare department. Thesis Objectives: To carry out a complex analysis of multifactorial causes in chosen cases of geriatric patients that occured during hospitalization in a chosen aftercare workplace from 2020 through 2021 in Nemocnice České Budějovice, a.s. To carry out SWOT analysis of a chosen aftercare workplace in Nemocnice České Budějovice, a.s. with the objective to evaluate interventions used in preventing falls of patients hospitalized in the given workplace. Suggestion of recommendation to improve current practice of the chosen aftercare workplace in Nemocnice České Budějovice, a.s. in preventing falls in hospitalized patients. Methodology and Research File: To reach the objectives, three research questions were chosen. What are multifactorial causes of chosen cases of falls in geriatric patients in the chosen aftercare workplace? What interventions are used to prevent falls in geriatric patients in the chosen aftercare workplace? What interventions might improve current practice in preventing falls in hospitalized geriatric patients in the chosen aftercare workplace? To implement a survey, a qualitative research strategy was chosen. For case study purposes, the following data collection techniques were used - medical documentation content analysis, reporting adverse events, controlled documentation etc., semi-structured interviews with doctors in specific fall cases. In the following part of the survey, where we were finding out about the intervention used and intervention meant for improving the current practice in fall prevention, semi-structured interviews were carried out with doctors and nurses. Interviews with the nurses were completed by participant observations. Based on the survey results, a SWOT analysis was processed. The research file consisted of 14 chosen falls that happened in hospitalized geriatric patients in the aftercare department from 2020 through 2021, of 12 nurses working in the aftercare department, of 9 doctors that were informed of a fall. A deliberate choice of both nurses and doctros was used, the criterium for being included in the research file was the minimum of a year-long practice in the aftercare deparment. The obtained data was processed using the pen-and-paper method, open coding, and data was subsequently categorized and noted down into tables and schemes. Results: Complex analysis of multifactorial causes of chosen fall cases proved that falls happened due to internal as well as external factors. The risk of a fall was increased by the pateints´ age, morbidity, polypharmacotherapy, cognitive deficit, sarcopenia, fragility syndrome, instability, bed siderails lifted, and human resource failure. Based on the results, we carried out SWOT analysis and we suggested a recommendation to improve the current practice in the chosen aftercare workplace. Practice Recommendations: Based on the survey, we would recommend for a repetitive evaluation of the risk of patients falling to be carrried out. Another recommendation would be educating the nursing staff in the area of fall prevention, in the area of communicating with geriatric patients and patients suffering from dementia. Further on, we would recommend ensuring the use of suitable positioning aids and securing a movement-detection system inside the bed. Last but not least, we would recommend increasing numbers of nursing staff.
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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Re- commendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Conclusion: It is important to maintain optimal health, independence and self- sufficiency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: stroke, brainstem stroke, cerebrovascular accident, falls prevention, Berg Balance Scale, BESTest
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The falls of senior people at home surroundings and their preventions
Trojáková, Iveta ; Vařeková, Jitka (advisor) ; Hošková, Blanka (referee)
The tittle: The falls of senior people at home surroundings and thein preventions The goal: The goal of this theses was to finf out the degrese of seniors knowing at preventative moves which can avoid falls and through question forms to analyze how the information about danger from the falls at home surroundings influenced the seniors effort to modify their homes. The mothod: At my thesis I used the mothod of quantity analyses. I obtained the data through questionn aires. The interviewed respondents are senior people at age of 65 and more. I interviewed 130 respondents in total and Theky were dividend into 2 groups according to the age or purposes of this thesis. In the first group are seniors between 65 and 74 and the other group is represented by people at age 75 and more. The questionnaire contained 23 questions and was split u pinto 6 domains. The first free questions were related to personal datas and social background of seniors. Next free questions find out the fall at anamnesis and the others are directed to home safeness, foreknowledge about preventive moves and the reslting behavior of respondents in relation to Pasove increase of home safeness. The results: The single points of the questionnaire are graphically illustrated and compared with available literature or other essays. The...
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Evaluation of the effects of different walking types on the postural stability in healthy seniors - a systematic review.
Novotová, Klára ; Pavlů, Dagmar (advisor) ; Pánek, David (referee)
Title: Evaluation of the effects of different walking types on the postural stability in healthy seniors - a systematic review. Objective: The main objective of this diploma thesis is the evaluation of the impact of different types of walking on the postural stability in healthy elderly, based on the available resources corresponding to the established inclusion criteria. Force platforms were used as the tool to evaluate and to objectify postural stability in all studies included. These platforms are capable of measurement the level of postural stability by recording stance excursions in multiple directions. This thesis makes efforts to review the level of the possible future inclusion of different walking types in the process of physical therapy among older patients, regarding to improve the postural stability as well as the fall prevention in these patients. The next goals of this diploma thesis are to determine which type of walking appears to be the most efficient comprising the fall prevention as well as to assess the optimal frequency of the ordinary walking performance to achieve the same objective. Methods: This diploma thesis is processed in the form of a systematic review based on the available literary resources. First part of the thesis comprises the theoretical basis and the...
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Evaluation of the effectiveness of physiotherapy practice in prevention of falls - literature review
Vychodilová, Markéta ; Pavlů, Dagmar (advisor) ; Reckziegelová, Petra (referee)
Autor Bc. Markéta Vychodilová Title Evaluation of the effectiveness of physiotherapy practice in prevention of falls -literature review Objectives The aim of this thesis is to find out which physiotherapeutic methods and techniques are currently used to prevent falls in seniors and which of these methods appear to be most effective in preventing falls. Furthermore, the work is focused on summarizing current knowledge of this issue. Methods The thesis is processed in the form of literature review and has an analytical-descriptive character. The studies used meet the predetermined criteria. The thesis is divided into several parts. In the first part, which is called theoretical basis, are described mainly physiotherapeutic methods and techniques, which are currently used to ensure the prevention of falls in seniors. The second part, part of the results, summarizes these physiotherapeutic techniques and methods and evaluates their effect. The thesis is concluded with a discussion, which is focused mainly on two basic research questions of the thesis. Results A total of 13 randomized controlled trials and 3 systematic searches and meta-analyzes that met the criteria for inclusion in this thesis were described. Studies, research and meta-analysis show that the following physiotherapeutic techniques and...
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The falls of seniors at home environment
DOČEKALOVÁ, Zuzana
This bachelor thesis focuses on one of frequently occuring problems affecting seniors which influence the senior´s and their family´s lives very negatively. It is falls of seniors in the home environment, usually leading to a long-term hospitalization of the seniors, often leading to their health-condition deterioration, or, in the worst cases, to the seniors´ death. That is why it is important for seniors and their families to be sufficiently informed about ways to prevent falling, and what measures to adopt to avoid falling. This thesis consists of two parts. The introducing chapter of the theoretical part describes the scientific fields of gerontology and geriatrics, and defines the terms of aging and old age. Further, the ways of geriatric patients examination are described. Falls, their etiology, phenomenology, their results and prevention are characterized in the following chapters of the theoretical part. The research part of the thesis defines four aims. It was trying to ascertain what specific circumstances to falls of seniors in the home environment there are, what consequences there are from the seniors´ and their family members´ point of view, whether seniors having suffered from a fall in the past have taken any preventive measures to avoid more falls, and what opinion is held by their family to fall prevention. 5 seniors having suffered a fall in the home environment, and 5 of their family members took part in the research. When processing the data obtained via interviewing the respondents, 5 categories and 6 sub-categories were created. The results have proven that the fall usually influences the future life of the given senior negatively. All of the questioned respondents had stated certain fear of fall repetition in the interview, some preventive measures were taken by some of the respondents only. Based on this bachelor thesis, a short educative material has been created, which may be further used as an educative leaflet serving to pass on practical information on preventing falls of seniors.
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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Recommendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Balance ability of the patient is evaluated using the BESTest. Conclusion: It is important to maintain optimal health, independence and self- suffi- ciency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: cerebrovascular accident, brainstem stroke, falls...
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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Re- commendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Conclusion: It is important to maintain optimal health, independence and self- sufficiency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: stroke, brainstem stroke, cerebrovascular accident, falls prevention, Berg Balance Scale, BESTest
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The falls of senior people at home surroundings and their preventions
Trojáková, Iveta ; Vařeková, Jitka (advisor) ; Hošková, Blanka (referee)
The tittle: The falls of senior people at home surroundings and thein preventions The goal: The goal of this theses was to finf out the degrese of seniors knowing at preventative moves which can avoid falls and through question forms to analyze how the information about danger from the falls at home surroundings influenced the seniors effort to modify their homes. The mothod: At my thesis I used the mothod of quantity analyses. I obtained the data through questionn aires. The interviewed respondents are senior people at age of 65 and more. I interviewed 130 respondents in total and Theky were dividend into 2 groups according to the age or purposes of this thesis. In the first group are seniors between 65 and 74 and the other group is represented by people at age 75 and more. The questionnaire contained 23 questions and was split u pinto 6 domains. The first free questions were related to personal datas and social background of seniors. Next free questions find out the fall at anamnesis and the others are directed to home safeness, foreknowledge about preventive moves and the reslting behavior of respondents in relation to Pasove increase of home safeness. The results: The single points of the questionnaire are graphically illustrated and compared with available literature or other essays. The...
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