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The physical handling of the patient with self-sufficiency impairment in home care.
ZAVADILOVÁ, Leona
The Bachelor thesis deals with the physical handling of a patient with a self-sufficiency disorder in home care. It defines physical handling as part of everyday nursing care. It presents the care of patients with self-sufficiency impairment in rehabilitation treatment using the kinaesthetic concept and handling aids. Unskilled handling carries risks that can negatively influence the physical and psychological well-being of all involved. The aim of the study was to investigate the use of handling aids in home care when physically handling a patient with impaired self-sufficiency. The research questions focused on the handling aids available to home caregivers and the complications of physical handling. The implementation of qualitative research using a semi-structured interview method with eight home care nurses provided information on the handling aids used as well as complications of physical handling in the home care setting. Five categories were created by categorizing the data using the pencil-paper method. Research shows that information for safe handling is provided to the patient's family by the nurse. Caregivers use a positioning mat for care. Very important, but sometimes unavailable, in home care is the reclining bed. Physical handling then becomes risky. Nurses do not use a slide sheet. Two of them do not know the aid at all. Complications of physical handling that occur to nurses and patients include musculoskeletal or skin injuries. The results of the research show the need to popularize the topic of safe physical handling. A leaflet has been produced for agencies involved in physical handling research. Another way to prevent the risk factors of physical handling in home care and to make it safe for the patient and the caregiver are courses and conferences with theoretical and practical content on safe physical handling for professionals and lay people.
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Issues of nursing care in prevention of contractures of immobile persons
KULAJEC, Lilija
Contractures as one of the physical symptoms of immobilization syndrome influence further components of a personality and the life quality. This is why prevention of the occurrence of contractures is one of the roles of a nurse. She does it by means of the rehabilitation treatment elements, i.e. positioning, mobilization, verticalization, in cooperation with a multidisciplinary team. The aim of the thesis was to examine to what extent nurses are informed on contractures in immobile persons and to learn about the role of a nurse in prevention of contractures in immobile persons and to examine the level of cooperation between a nurse and a physiotherapist on the prevention of contractures in immobile persons. To meet the goals, we chose qualitative research in the form of semi structured interviews with nurses and physiotherapists. We analysed the results by means of open coding, the pencil and paper method. The results processed this way were categorized. They have shown that the questioned nurses consider their theoretical knowledge and practical skills in prevention of contractures sufficient and they mainly achieved them through the practice. Nevertheless, some unclear points that might affect the provided care appear in some replies. The results indicate that insufficient attention is paid to contractions by the interviewed nurses. They particularly prevent them by positioning, but mobilization and verticalization stand aside. Some of the respondents add the elements of the basal stimulation. The questioned nurses except others cooperate with a physiotherapist, which leads to overleaping of their functions, particularly in positioning and verticalization. The work has revealed insufficient orientation of the nursing care to the prevention of the occurrence of contractions among the questioned nurses. This finding as well as the other results of the research might be used as an input for a seminar tailored to this topic.
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Preoperative rehabilitative preparation provided by a nurse
SOUKUPOVÁ, Pavla
Summary The bachelor thesis {\clqq}Preoperative Rehabilitation Provided by a Nurse`` is a research project. The thesis is devided into two parts theoretical and practical. In the theoretical part I deal with the branch of gynaecology, gynaecological surgeries, gynaecological treatment as well as the role of nurse working in a surgical gynaecology ward. Further I pay the attention to preoperative preparation and immobilization syndrom. Preoperative rehabilitation, however, forms the most essential part of the thesis.I am concerned with the prevention of postoperative complications occurance and practice of particular rehabilitation excercising. The practical part contains quantitative research provided by the technique of two questionnares ( for both nurses and clients), in which I try to confirm specified hypotheses related to project goals setting. The hypothesis 1 : {\clqq}The nurses in a surgical gynaecology ward don´t train postoperative rehabilitation practice with a client`` was confirmed but the hypothesis 2 : {\clqq}The reason for disusing postoperative rehabilitation by clients is non-practising rehabilitation in preoperative time`` wasn´t confirmed. During the research period there were distributed 156 questionnaires, 56 for nurses and the rest (100 questionnaires) for women after heavy gynaecological surgery. 139 questionnaires turned back , the rate of return was 89 %. The total set of acceptable and thoroughly completed questionnaires was formed by 51 questionnaires from nurses and 81 questionnaires from clients.
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