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A nurse´s work in the care of clients in the home with the special regime.
MLÝNKOVÁ, Dana
The house with the special programme is an institucion providing specific services for the people with mental disorders, while respecting their rights and individual needs of them. This bachleor thesis pays attention to the work of nurse, who is taking care for the clients just in a such type of institution. It is focused on the specific care and the risks which are connected with its role. In the houses there are placed mainly clients with diagnosis as Schizophrenia, Alzheimer's disease or mental retardation. These diseases bring reduction of self-sufficience and self-control which family is not able to provide by itself. At these institutions we can often meet with the aggressive behaviour of client, going hand in hand with some of the noticed diseases. From the reason of specific care, which can appear in the work with the mental diseased clients and risks beginning here. It's necessary, that the nurses which are working in these houses are enough informed, self-reliant and well educated. Bachleors thesis is divided into two parts, both are theoretical and practical. In the theoretical part, there is description of the care history for mentally ill persons, further, there are named the present forms of care for mentally ill people and there is a short description of distribution of mental illnesses also. From the spectrum of diseases which are possible were chosen three of them Schizophrenia, Alzheimer´s disease and mental retardation. These were chosen for their highest representation in the houses with the special programme. Two goals were determined for treating of this thesis. Detection of the specifics of the nurses' work according to the care for clients in the house with the specific programme and identification of risks of the nurses' work, connected with the specific care for clients with mental disorder. For treating of this chosen topic, there was picked the qualitative method of research with the help of the semi-structual dialogue and the involved hidden observation. Practical part of thesis contains results, of the qualitative method of research, which were obtained from the dialogues with seven registrated nurses working in the house with the special programme. Nurses had various length of practice with the mentally ill clients in an interval 2-25 years. They were in the age of 35-52 years. Two interviewed nurses in the House Libníč and CSS Empatie, remaining five nurses in CSS Emausy. Both these institution are registred as the house with the special programme. Answers of the nurses were treating into two categories. Specific access of nurse and the risks for her in the house with the special programme. Every category was divided into sub-categories. The result of it was, that the specific access for the nurse is such a type of behaviour of staff, that is directed at the quiet and pleased life of client. As specific, the nurses see managing of aggression of client, activization at the house, work and duties of the key-employee and there is very special communication with the mentally ill client. Nurses expressed on the changes in the house with the special programme too. In the second category were nurses asked about the risks for them in these houses. It was found out, that the risks, termed by nurses, is aggression and negative influence of this work with mentally ill clients to psychical condition of nurse. In the dialogues, there haven´t been noticed any advantages or disadvantages for the nurses, who are engaged in these diseased.
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