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Rehabilitative nursing of patients in department after-care
VOJČOVÁ, Lucie
Following batchelor´s thesis focuses on rehabilitative nursing of patients in department after-care and it is divided into two parts. In a theory part of the thesis elementary terms such as rehabilitation, nursing, and department after-care are briefly described. Close attention is paid to rehab treatment elements carried out within the frame of rehabilitative nursing. Individual elements are described in detail in individual chapters. The end of the theory part focuses on the issue of immobilization and on immobilizing syndrome. The practical part describes experimental research leading to verification of defined hypothesis. A quantitative method aided by questionnaire technique was used for the research. This research was carried out with nurses in department after-care in following hospitals: Nemocnice České Budějovice, a.s.; Nemocnice Prachatice a.s.; Nemocnice Český Krumlov, a.s. where 120 questionnaires were held out with 83,3% questionnaires returned. 100 questionnaires, made 100% were used for the final research. The aim of this thesis was to find out what rehab treatment elements are applied with patients in department after-care. The other aim was to verify knowledge of nurses in rehab care. To set targets hypothesis H1, H2 and H3 were made. H1: Nurses in department after-care apply especially elements of positioning. H1 was proved. H2: Nurses in department after-care more frequetly practice self service and self sufficiency with patients rather than practicing motoric skills. H2 was not proved. H3: Nurses have got the knowledge of rehab care. H3 was proved. Findings of this thesis will be provided to management of Nemocnice České Budějovice, a.s. who may use it as a base for lecture for nurses from department after- care. As a part of this lecture a practical illustration of individual rehab care elements would be appropriate to demonstrate. Hospital management will hereby support improval of quality of provided care in department after-care and also will support the nurses in this field.
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Rehabilitation Treatment of Patient with Stroke
BŘEZOVSKÁ, Lucie
This bachelor thesis is on the topic of rehabilitative nursing of stroke patients. It is analysing how the issue is dealt with in the rehabilitation department and Department of Neurology. The bachelor thesis is divided into two separate chapters, theoretical and practical. The theoretical part focuses on the causes, symptoms, diagnosis and Treatment of patients after a stroke and the current state of rehabilitative care. One of the parts of rehabilitative care is the collaboration of the nurse and the multidisciplinary team. Furthermore, the thesis describes the possible complications that may occur from the stroke. These complications include mainly pressure sores and immobilization syndrome. Rehabilitative treatment of patients with strokes include positioning, communication, passive movements, active movements, verticalization, breathing exercises. Other methods used in rehabilition nursing, application of heat and cold and basal stimulation. The thesis also includes chapters dealing with nursing management, medical documentation and evaluating the scale of a patient after a stroke. For the practical part there was a set goal, determine the working conditions for nurses who provide the patients rehabilitative treatment after a stroke. There were four main hypotheses defined, which were the subject of an anonymus questionnaire: Hypothesis - H1: There are only positioning aids available for nurses to provide rehabilitative treatment. Hypothesis - H2: Nurses are documenting the rehabilitative treatment regularly used in the nursing process. Hypothesis - H3: Nurses state that the problem of providing rehabilitative care is the lack of time. Hypothesis-H4: Results of rehabilitative nursing care are monitored by the nursing management. As additional research investigation case reports have been formulated with the Barthel index in four patients. Results of the research shows that nurses are using not only positioning aids, but other available tools as well. Rehabilitative care nurses regularly document treatments, especially in nursing documentation. Nurses stated that there is lack of time for providing rehabilitative nursing and nurses state that the treatment is monitored by nursing management.
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