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The temperature as a nursing problem
RAIŠLOVÁ, Jitka
This Bachelor's thesis deals with treating care of the people diseased with fever. At the beginning of the theoretical part, the term thermoregulation is defined and thermoregulatory systems are described. The following part contains description of body temperature and activities of a nurse during taking body temperature. In brief, accessible thermometers and sensors are also mentioned. In the most extensive part, there is described the term fever, causes of fever, clinical record, physiological impacts of fever, types of fever, diagnostics and possible methods of decreasing body temperature. Then there is mentioned treating care of the people diseased with fever and there are described activities of a nurse during the treating care. Two goals have been determined to fulfil the main purpose of this thesis. The goal number 1: To find out which treating techniques are the most frequent during treating a fever patient. The goal number 2: To find out which problems are the most frequent during treating a fever patient. There have also been determined two research questions. The research question number 1: Which treating techniques are the most frequent during treating a fever patient? The research question number 2: Which problems are the most frequent during treating a fever patient? The practical part of this thesis contains results of a qualitative research based on an in-depth partly structured interview. The interviewed persons were nurses from several medical facilities in Pilsen Region. There were spoken twenty nurses meeting the criterion. The criterion was their work at Anaesthesiology and Resuscitation Department, Intensive Care Unit, Surgery or Department of Internal Medicine. Using the method of Open Coding, the nurses were given the numbers. All the lines containing the nurses' answers were given the numbers to enable to refer to them later. Using the method "paper and pencil", all the important information was labelled. Then using the technique "reading the cards", all obtained data were sorted to four categories. There were also made subcategories. And the main categories were made to schemes. Using the research, both the research questions were answered. The nurses stated main treating procedures using during treating care of the people diseased with fever. They have good general knowledge about problems during treating a fever patient. All the nurses have already met a fever patient at work. They know causes of fever which they can meet at work. They stated wide range of symptoms and complications related to fever. During treating a patient, they always follow doctors' orders and make treating interventions. It is clear from the results that treating procedures differ partly according to the type of medical facility and also according to work at an intensive care or a standard department. Intensive Care Unit and Anaesthesiology and Resuscitation Department are better equipped and have more staffs for high-quality treating care. But also standard departments provide quality treating care according to the research. According to the results of the research, the nurses generally demonstrated their knowledge related to treating care of the people diseased with fever. They have also general knowledge about problems during treating a fever patient. Nevertheless, there are also possibilities how to enlarge theoretical knowledge and practical experience. On the basis of theoretical study of fever, treating care of the people diseased with fever, specifics during treating and evaluation of the research, there was made the handbook "Treating care of the people diseased with fever", which is enclosed as an appendix (the appendix number 6). The Bachelor's thesis can be also used as an information material for nurses in medical facilities, who meet the people diseased with fever at work.
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