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Nursing care of respiratory system of patient with a tracheostomy cannula at the Anesthesiology-Resuscitation Department
PEŠKOVÁ, Michaela
The thesis presents nursing care of respiratory system of a patient with a tracheostomy tube at the Anaesthesiology & Resuscitation Department. The thesis is divided into two parts, theory and practice. The theoretical part concerns anatomy and physiology of airway. Then it clarifies terms such as the Anaesthesiology & Resuscitation Department and tracheostomy. It briefly mentions the history of tracheostomy, its importance and types. It also describes nursing care of respiratory system. That part introduces the topic of aspiration, air moisturizing, airway lavage and also oral and nasal cavity care. The theoretical part also concerns the importance of communication with tracheostomy patients. Two objectives have been set for the empirical part. The first objective was to check the theoretical knowledge of tracheostomy patient care nurses at the Anaesthesiology & Resuscitation Department. The second objective was to check rule compliance during the tracheostomy patient care at the Anaesthesiology & Resuscitation Department. A qualitative research was conducted at the form of a structured interview where 22 questions prepared beforehand were asked. The research applied to a group of 10 nurses carrying out their duties at the Anaesthesiology & Resuscitation Department of České Budějovice Hospital. The results have shown that the theoretical knowledge of tracheostomy patient care nurses is quite good but in a few cases that knowledge could be deepened. Based on the results however we've come to the conclusion that patients are provided with a quality care. Although tracheostomy patient care nurses meet the required standard set by the department it would be beneficial to them as well as to the patient if they completed their knowledge at least in the form of self-study.
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The care of the airways in the patients hospitalized at the unit care in view of patients
Klozová, Ivana ; Hocková, Jana (advisor) ; Hladká, Petra (referee)
Introduction:The management of patients with a tracheostomy tube is still current. It brings stress situation not only for the patients but also staff who care for them. This issue occurs across all disciplines. The aim of this study was to determine how they feel patients at the care of the tracheotomy while hospitalization of the intensive care unit. Methodology: The research was carried out during 2015 and 2016 at the surgical intensive care unit. The group of respondents consisted of patients with established tracheostomy tube. 80 pieces were distributed questionnaires, 73 patients responded return reached 91.25%. Results: The investigation showed that the comprehensive care of a tracheostomy for patients burdensome and unpleasant. Everyone clearly stated as the most annoying and most exhausting bother them forced to cough. 90,41% of patients reported that their aspiration meets at regular intervals to be able to prepare this fact. All of the respondents perform respiratory physiotherapy and 67.12% felt that they benefit. 95.89% of respondents suffer from a sense of social isolation. 82.19% would welcome the presence of a psychologist at the ICU. Group 80.82% think that it is adequately cared about their tracheostomy during hospitalization and all have the possibility of alternative communication.
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Nursing Care for Patients with Tracheostomy
Ebertová, Barbora ; Hošťálková, Monika (advisor) ; Maňasová, Taťána (referee)
The thesis is focused on nursing care of patients with tracheostomy. The work consists of two parts. The first part is theoretical. This section is devoted to anatomy and physiology of the respiratory tract, additional chapters devoted itself already the main topic and that is tracheostomy. The implementation presented here tracheostomy history, engineering design, types of procedures, types of cannulas tracheostomických, indications for the performance and possible complications. Another big part of the total nursing is where nursing care is devoted to a patient with tracheostomy and care of respiratory toilet, replacing the tracheostomy cannula and decanting. Then there is included a chapter on communication with the patient and possible alternative ways of communication and nursing diagnosis. The empirical part focuses on qualitative research, the method of data collection are two case reports of nursing. The survey was conducted at the clinic anesthesia, resuscitation and intensive care in two patients with tracheostomy. The aim of the research was to find out how the nursing care of patients with tracheostomy, method of communication with tracheostomy patients and to determine their nursing problems. Key words Tracheostomy, airway, tracheostomy tube, airway toilet, communication, nursing care
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The care of the patiens with tracheostomy from the nursing staff perspective
Kritznerová, Tereza ; Hocková, Jana (advisor) ; Nejdlová, Tereza (referee)
The thesis is focused on nursing care of patient with tracheostomy cannula from the perspective of nurses at the Department of the intensive care or Intensive Care Units. It consists of theoretical and empirical part. Essential terminology, anatomy and physiology of the airways, historical aspects of surgical procedures and types of tracheostomy tubes are described in the theoretical part. Moreover, there are discussed modern surgical techniques, indication and possible complication. The next theoretical chapter is focused on the nursing care. The last chapter deals with the different alternatives of communication of the patient with tracheostomy tubes. The research part uses questionnaires as a quantitative research method. The aim of the thesis is to investigate the theoretical knowledge of the nurses in their care of the patient with tracheotomy tubes and knowledge how to communicate with this patient. The statistically significant results are also listed and discussed. The last part concludes with the recommendations of the best practice in the care of the patient with the tracheostomy tubes. keywords tracheostomy, airway, tracheostomy tube, nursing care
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Nursing care of the multiple trauma patient with communication barriers
Vojčíková, Žaneta ; Pražáková, Zuzana (advisor) ; Bauerová, Jana (referee)
Trauma is one of the most common causes of death in the population under the age of 40. Trauma causes irreversible and permanent disabilities and economically incalculable losses. In the Czech Republic, it ranks fifth among the most common causes of death. Trauma represents an extreme stressful situation for the human body. It burdens it and manifests itself with the disability of physical and mental functions. The man finds himself unexpectedly outside his social background and life security with an uncertain prognosis for a return to the lifestyle he had before the accident. In the theoretical part, this case study focuses on trauma and its division, specifically it deals with polytrauma and its pathophysiology and states the probability of survival. It points to the routinely used trauma protocol ATLS. The diagnostics and therapies in pre-hospital and hospital care are mentioned in the thesis as well as the most common complications of polytrauma. The conclusion of the theoretical part is devoted to communication, communication barriers and the definition of the nursing model according to V. Henderson. The practical part is represented by a specific case study of the patient. The nursing plan is created based on V. Henderson's concept and deals in detail with the main problem - communication...
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The care of the airways in the patients hospitalized at the unit care in view of patients
Klozová, Ivana ; Hocková, Jana (advisor) ; Hladká, Petra (referee)
Introduction:The management of patients with a tracheostomy tube is still current. It brings stress situation not only for the patients but also staff who care for them. This issue occurs across all disciplines. The aim of this study was to determine how they feel patients at the care of the tracheotomy while hospitalization of the intensive care unit. Methodology: The research was carried out during 2015 and 2016 at the surgical intensive care unit. The group of respondents consisted of patients with established tracheostomy tube. 80 pieces were distributed questionnaires, 73 patients responded return reached 91.25%. Results: The investigation showed that the comprehensive care of a tracheostomy for patients burdensome and unpleasant. Everyone clearly stated as the most annoying and most exhausting bother them forced to cough. 90,41% of patients reported that their aspiration meets at regular intervals to be able to prepare this fact. All of the respondents perform respiratory physiotherapy and 67.12% felt that they benefit. 95.89% of respondents suffer from a sense of social isolation. 82.19% would welcome the presence of a psychologist at the ICU. Group 80.82% think that it is adequately cared about their tracheostomy during hospitalization and all have the possibility of alternative communication.
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The care of the patiens with tracheostomy from the nursing staff perspective
Kritznerová, Tereza ; Hocková, Jana (advisor) ; Nejdlová, Tereza (referee)
The thesis is focused on nursing care of patient with tracheostomy cannula from the perspective of nurses at the Department of the intensive care or Intensive Care Units. It consists of theoretical and empirical part. Essential terminology, anatomy and physiology of the airways, historical aspects of surgical procedures and types of tracheostomy tubes are described in the theoretical part. Moreover, there are discussed modern surgical techniques, indication and possible complication. The next theoretical chapter is focused on the nursing care. The last chapter deals with the different alternatives of communication of the patient with tracheostomy tubes. The research part uses questionnaires as a quantitative research method. The aim of the thesis is to investigate the theoretical knowledge of the nurses in their care of the patient with tracheotomy tubes and knowledge how to communicate with this patient. The statistically significant results are also listed and discussed. The last part concludes with the recommendations of the best practice in the care of the patient with the tracheostomy tubes. keywords tracheostomy, airway, tracheostomy tube, nursing care
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Nursing Care for Patients with Tracheostomy
Ebertová, Barbora ; Hošťálková, Monika (advisor) ; Maňasová, Taťána (referee)
The thesis is focused on nursing care of patients with tracheostomy. The work consists of two parts. The first part is theoretical. This section is devoted to anatomy and physiology of the respiratory tract, additional chapters devoted itself already the main topic and that is tracheostomy. The implementation presented here tracheostomy history, engineering design, types of procedures, types of cannulas tracheostomických, indications for the performance and possible complications. Another big part of the total nursing is where nursing care is devoted to a patient with tracheostomy and care of respiratory toilet, replacing the tracheostomy cannula and decanting. Then there is included a chapter on communication with the patient and possible alternative ways of communication and nursing diagnosis. The empirical part focuses on qualitative research, the method of data collection are two case reports of nursing. The survey was conducted at the clinic anesthesia, resuscitation and intensive care in two patients with tracheostomy. The aim of the research was to find out how the nursing care of patients with tracheostomy, method of communication with tracheostomy patients and to determine their nursing problems. Key words Tracheostomy, airway, tracheostomy tube, airway toilet, communication, nursing care
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Securing the airway in pediatric patients at ARO
KUBEKOVÁ, Martina
The thesis titled Securing airways in pediatric patients on ARD deals with the specifics of nursing care of airways. Care of airways of children hospitalised at the Anaesthetic Resuscitation Department is an integral part of comprehensive nursing care. Each nurse must have a sufficient theoretical and practical knowledge, as well as experience to independently perform nursing care of airways of pediatric patients. Free and patent airway is a prerequisite for ensuring one of the basic life functions. The aim of the theoretical part of the thesis was to summarise the issue of securing airway in children and to focus on nursing care for airways in pediatric patients. The aim of the research was to determine the specifics of nursing care for children hospitalised at the Anaesthetic Resuscitation Department due to impaired breathing. Based on the aim of the thesis, the author set out four research questions: 1. What nursing activities are performed by nurses when securing an airway in a child? 2. How nurses treat airways of intubated children? 3. What nursing care do nurses provide for children before, during and after extubation? 4. What nursing care do nurses provide for children with a tracheostomy? In the empirical part of the thesis the author employed qualitative research. Data collection was performed by the use of individual interviews with nurses. The survey was conducted at a pediatric ICU and a children's Anaesthetic Resuscitation Department. Based on the research questions and information obtained from literature sources the author drew up the basic points for interviews with nurses. The interviews were supplemented by an observation performed on a children's Anaesthetic Resuscitation Department. Interviews and observation were complemented with two case reports of pediatric patients. The reports were processed in accordance with Henderson's model. The thesis's results show specifics and difficulties of nursing care of pediatric patients hospitalised at an Anaesthetic Resuscitation Department. The thesis maps nursing care for pediatric patients when securing airway, it focuses on intubation, tracheostomy tube, extubation, aspiration, and care for oral and nasal cavities. The objective of the thesis is to show not only the specifics of this kind of nursing care and also to demonstrate the importance of communication and emotional support to pediatric patients before, during, and after the medical intervention. The intensive nursing care is continuously improving thanks to new methods and devices. The results will be provided to the nursing management of the pediatric ICU and the children's Anaesthetic Resuscitation Department. They will also be presented at professional seminars and in professional journals.
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