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The role of nurses in the care of patients with acute pain in intensive care departments.
LINHARTOVÁ, Lucie
Diploma thesis entitled focuses on acute pain in general, as well as on post-operation pain, which is one of the types of acute pain. The first part of the thesis deals with acute pain as such and its characteristics. The second part deals with intensive care units (ICU). The third part contains description of post-surgery pain, treatment thereof, and the nurse?s role in taking care of clients suffering post-surgery pain. Three goals have been outlined. Goal 1: Identification of the techniques that nurses use at ICUs to sooth clients? pain. Goal 2: Map the monitoring the pain of clients hospitalized at ICUs. Goal 3: Find out whether the techniques for reducing pain of clients hospitalized at ICUs are effective. A quality-oriented research was applied for evaluation of the results, using a method of non-standardized interview with nurses and clients.The results can be used as a comparative overview of the most common pain-reducing techniques and proof of their effectiveness for clients.
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Impact of education on clients with leukemia.
DAVIDOVÁ, Adéla
The theoretical part of my bachelor thesis is focused on the description and characteristics of leukaemia, its diagnostics and treatment. Further, the theoretical part is focused on nursing care of clients suffering from leukaemia and meeting their bio-psycho-social needs. Last but not least, it deals with communication and the education process concerning leukaemia. The practical part of my bachelor thesis aims to find out the manner in which education is provided, the fields of the education conducted and how much clients suffering from leukaemia are contented with the education provided. To obtain data and process them, I used a qualitative research survey and the method of the semi-structured interview. I carried out anonymous interviews with two groups of respondents. The first group consisted of nurses working in a clinical haematology department, and the other were clients hospitalised in this department - clients with diagnosed leukaemia. The information that I obtained may help to improve communication between medical staff members and their clients, to improve the education of clients suffering from leukaemia, and, thanks to the correctly conducted education, to make dealing with the disease easier.
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The Issue of Nursing Care in Old People's Homes
MARKOVÁ, Štěpánka
The thesis deals with the issue of nursing care in old people's homes. Given the improving medical and nursing care and also the prevention of diseases, the human life extends. This leads to the aging of population. Therefore, it is essential to understand this issue, its interconnection with nursing care, but also to find the right approach to the elderly in residential facilities providing social services. The theoretical part of the thesis deals with old age and aging, behavioural changes in old age, specifics of communication with the elderly, long-term care for the elderly, care for a man in nursing homes. It deals with the work of nurses in old people's homes and with their education. Five objectives were set within the framework of the research. The first objective was to determine areas of nursing care, in which the nurses working in old people's homes have most problems. The second objective was to find out how the nurses manage physical strain. The third objective was to determine how the nurses manage psychical strain. The fourth objective was to find out what theoretical knowledge and practical skills the nurse must have. The fifth objective was to identify possibilities of further training for nurses working in old people's homes. Qualitative research was applied in the empirical part of the thesis. The method of non - standardized interview was used. The research group consisted of 10 nurses who work in residential facilities for the elderly in old people's homes. To process the interviews, the open coding technique was applied - a paper-and-pencil method. To complement psychical resilience of nurses, S.O.C questionnaire by A. Antonovsky was used. There were 42 questionnaires used in the research. The interviews with the respondents showed that the work of a nurse in homes for the elderly is physically and mentally demanding. And it is obvious that nurses feel the mental strain as more damaging. The physical demands are connected with the state of the client and his diseases but also with the space limitations of homes and night shifts. The mental burden is caused by similar factors and also by the family of the client, specifics of the communication with the elderly, cooperation with the hospital, working atmosphere, responsibility and keeping records. Next important factor that negatively influences mental state of the nurses is a lack of prestige and recognition of their work. Even though the nurses feel both types of stress, most of them cope with it without problems and they try to restore their balance in their leisure time. The conclusions of the thesis also point to the high demands and wide range of expertise and skills required from the nurses when providing care. Even specialized procedures are carried out in homes. Nurses must know how to communicate, handle conflict situations, co-operate with colleagues from different fields. Great emphasis is placed on independence in evaluating the health state of the client while ensuring the nursing care. The nurse must have personal qualities for work with the elderly. Another important component of their work is their knowledge and practical skills in the field of social work theoretically backed by the Act 108/2006 Coll.
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Contemporary situation at Helplines in Prague
Ročovská, Silvie ; Sivek, Vojtěch (advisor) ; Hálková, Petra (referee)
Crisis is a part of our lives. There are situations that we are not able to solve only by our power, so we need an expert assistance. The most approachable form of help is telephone crisis intervention (TCI). The TCI is focused on stabilisation of acute state. I dealed with four organizations of telephone hotlines - for children, general and elderly population and hotline for victims of houshold violation. I described their work. Their help is immediate, available, anonymous for both participants, financial inexpensive. All the clients need in situations of crises is safeness and acceptance. Acording to the new law of social services, the workers of crisis hotlines have to improve their education in area of telephone crisis intervention. The organizations which deal with TCI often encounter problems with repeated calling of certain clients. These clients demand attention of hotlines workers because of compensation of missing relationship. The staff should provide other services and motivate clients into real relationships in their lives. Powered by TCPDF (www.tcpdf.org)
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Diagnostics and therapy of spiritual emergency - orienting study
Janečková, Barbora ; Bahbouh, Radvan (advisor) ; Břicháček, Václav (referee) ; Hájek, Karel (referee)
The doctoral dissertation contains of a definition of spiritual emergency, differential diagnosis, description of kinds of spiritual emergency. It looks on the therapeutical possibilities in working with these states. Part of the dissertation is analysis of semistructured interviews with clients and therapists who work with these kinds of problems. In the analysis of the interviews with therapists I center on their experience with the dynamics of spiritual emergence, its manifestation and possible existence of similar traits of clients with this diagnosis. Important parts of the interviews are the most effective ways of working with these clients. I was also interested in their own perception on how spiritual emergence occurs and on the possible change in the quality of life of the client after this episode. In the analysis of the interviews with the clients I question when spiritual emergence occurred, how it started, how long did it last and what were the reactions from outside. Important part is centered on the interventions which the client experienced and their efficiency. Case studies demonstrate typical traits described at spiritual emergency, as quite dramatic beginning, complete recovery and also an important change in value system.
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Health and educational competence of nurses in GP surgeries for adults
BRYNDOVÁ, Jitka
This thesis deals with health education competences of nurses. The theoretical part deals with the term of health, factors, which influence it and health support In the research part, there are defined three objectives. Objective 1 aims to find out whether nurses in doctors´ surgeries use health education competencies. Objective 2 aims to determine how nurses carry out health education competencies. Objective 3 aims to determine the most common areas of health educational activities of nurses at general practitioners. There were given three research questions: the first research question: Do nurses utilize health education competencies in doctors´ surgeries? The second research question: How do nurses realize the health education competencies? The third research question: What are the most common areas of health educational activities of nurses at general practitioners? For the thesis we have chosen a form of qualitative research, method of semi-standardized interview. The interview consists of open questions, within which respondents can express individually. The group of respondents consisted of eight nurses working in GP surgeries for adults and in the research survey are marked as "S". Interviews were transcribed and subsequently a categorization was used. The categories are shown in the diagrams. The results show that nurses carry out and realize the health education activities in GP surgeries. Hereby the first research question is answered. What the nurses imagine under the concept of health education activities is clear from the results. The majority opinion is about population or client education in a certain area. For the second research question concerning the method of realization of health education activities, it was found that nurses most often educate clients by the interview, this response was included in all interviews. (See Diagram 2). The third research question is related to health education activities. The results show the age groups that nurses educate the most often. It is, in most cases the elderly. (See Diagram 5). In the thesis, there were defined three objectives. The first was to determine whether nurses in GP surgeries use health education competencies. Analyzing the results it was found that the nurses use it. All the nurses answered the questions concerning this objective positively. The second of the three objectives, which was to find out how nurses carry out health education competencies, was also fulfilled. Nurses educate clients most often by the interview, some of them use information leaflets, some use them minimally and two of the eight nurses use the TV in the waiting room. The third objective dealing with the most common area of health education activities of nurses at general practitioners was also fulfilled. Analyzing the interviews we examined the areas within nurses use the health education activities most often. Objectives of the thesis were fulfilled. It was found that nurses carry out health education activities, but they would like to have more time for it.
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Organization structure and activity of Probacy and Mediacy of Czech Republic in Prague with focus on activity of section Parole
Charvátová, Dagmar ; Matoušková, Andrea (advisor) ; Günzlová, Iva (referee)
In my bachelor work I'm engaged in questions regarding the probacy service and especially in subject of parole. In the work the are discussed particular parts of the service, however the main emphasis is placed on parole. The important part is also about historical roots, thanks to which we were able to reach the todays levels. And of course the need to move forward, educate and improve current systems. For the practital part of my work I have put together casuistries, which I met during my practice in Prague probacy centre. For each casuistry I'm trying to show its specifity and I'm thing over how they were figured out by the court and how the resulst have influented the clients future life. In my work I'm lininig out the part of the social worker in this sector and his role to improve the whole system. It is importnant to point out the connection with law, that means that working for probacy service is asking high profession demands. It is necessary to be well acquainted with the legal system and be professional in comunication with the client. However the most important role is to make the clients life easier in their hard times and help them to better and upstanding life.
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Bank fees in Czech Republic
Burešová, Adéla ; Steininger, Michal (advisor) ; Eva, Eva (referee)
This thesis deals with bank fees in the Czech Republic, which has been a topical issue in recent years. The objective of this thesis is to analyse and compare bank fees in the Czech Republic. It also aims to evaluate selected bank fees in terms of their importance for generating profit for the banks as well as from the clients perspective. The introduction to the theoretical part describes the basic characteristics of the banking system. The thesis then presents bank products and services, bank fees and the bank fee policy. The work includes a survey and analysis of the banking market in term of banking institutions in the years 2007 to 2014. It also includes a financial analysis for the years 2007 to 2015 and an analysis of the banking market from the perspective of the client, which compares selected banking institutions on the basis of charges and selected banking products based on fees. It defines three sample groups for which the most suitable banking products and banking institutions are recommended. In conclusion, the results are formulated together with recommendations for banks and clients. For the client Student came out best a current account UniCredit Bank, U Konto for youngsters. The Active client is also recommended by UniCredit Bank with banking product of U Konto. For target group Pensioner is the most suitable banking institution mBank where the monthly cost is CZK 70. The client can save thousands of CZK per year by making the right choice.
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SIP Client for Windows Mobile
Regueyra, Philip ; Müller, Jakub (referee) ; Číka, Petr (advisor)
The main objective of this thesis is the design and implementation of client software, which will be able to conduct a phone connection through the packet network. Signalling protocol SIP together with RTP, the protocol for the transmission of multimedia, is used for this intention. Structure and functioning of the SIP protocol and RTP protocol is analyzed in this thesis. This is introducing with the issue, not a detailed study of these instruments. In addition, a brief overview of the Windows Mobile operating system for which the application is intended primarily is released. The characteristic of several libraries that have been considered for use in the application is briefly described in this thesis. Next the design of solution and the analysis of the program follow. In the last part the functioning of the program is described and its behavior is tested in various model situations.
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Selection of the optimal financing housing for selected client
HOLÝ, Hubert
At the beginning of the thesis I am focused on gathering information on mortgage loans in the current financial market. At the beginning of the chapter on mortgage credit, I will discuss dividing the mortgage loans. I draw up a detailed procedure that has everything a client to do to get a loan, what are the procedures in banks and what banks need to know information about the client. The next chapter will bring information on building savings and conditions, which the client must satisfy in order to get a loan from the savings. Also characteristic of this product. In the last chapter of the theoretical part of the introductory acquainted readers with investments in mutual funds and bring their individual characteristics and procedures for negotiation. In the practical part will deal has particular offering selected companies, which will be compared using the methods of multi-criteria decision. The work is divided on the analysis of mortgage loans, building savings and investment products. Information from these analyzes will also be used for application to a specific customer with specific requirements for housing. From the client I find out any information about his wishes and requirements for their future with regards to housing. The client chooses the aspects that are most important for him and the order in which they should be respected. It is for this reason that it is often not important final amount that the client pays for the loan, but for him the current situation in life more important monthly installment. Finally, the client selected the optimal variant, as can finance their own housing.
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