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COMMUNICATION AS THE PART OF NURSING CARE
FIALOVÁ, Hana
My final project was divided into two parts- theoretical and practical one. In the theoretical part I focused on the definition of communication itself as well as the communication in terms of nursing care. In the practical part I am dealing with the results of the socilogical research based on the questionnaire. I interviewed the nurses in the Rest centre in České Budějovice and Žďár nad Sázavou. I also worked with a great deal of interviews with the clients in these two institutions.
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Nursing care of the patients with chronic pancreatitis
SKOŘEPOVÁ, Jana
Chronic pancreatitis is a serious disease, which despite the rapid development of diagnostics and treatment is often diagnosed in late stages. The disease cannot actually be cured, but change of lifestyle and adherence to diet regimen can influence not only the disease course and progression, but also occurrence of complications. This thesis deals with the problems of nursing care of patients with chronic pancreatitis, with the level of awareness of the disease and the regimen measures among patients. It also monitors willingness and ability of respondents to accept the change of lifestyle and diet habits. The goal of the thesis is to find out the specifics of nursing care of clients with chronic pancreatitis. Qualitative research methods were applied in the empiric part of the thesis to achieve the goal.The research was performed in clients with chronic pancreatitis visiting the gastroenterology outpatient department of Tábor Hospital and a group of ten respondents at different stages of the disease were subject to the research. Their selection was conditioned by their willingness to participate in the research and to cooperate. A semi-structured interview was conducted with each respondent. Thorough study of these problems and the results of the research led to a brief and clear information brochure for people suffering from chronic pancreatitis as the output of the activities. This manual should serve as a summary and specification of information, which the patient can read at home without fuss after being educated orally. With regard to the achievements of our work we would like to make this work and its results available to the nursing care public as much as possible. We hope that the results of our work will increase interest in this issue among professionals and will address further workers willing to participate in its solution
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Perioperative nursing care from the perspective of the patient
LHOTSKÁ, Jana
The bachelor's thesis deals with the nursing care which is provided to the patients before, during and after the surgery until discharge to home care. In the research nurses of surgery and their cooperation in the perioperative nursing care are also included. The theoretical part is focused on the issue of the perioperative nursing care, on the preoperative preparation and the postoperative care and how the patient perceives the time just before the surgery when he/she is passed to the operating room. In the theoretical part there is also the task of the nurses included providing the perioperative care and their mutual cooperation. The first aim of the thesis was to find what is the level of continuity of the care in the perioperative time from the perspective of the patient. The other aim of the thesis was to find the cooperation of healthcare workers in the perioperative care. The survey was conducted through the qualitative research, through the method of questioning. The data collection technique were the depth individual interviews with the patients and nurses. The choice of the patients was intentional, the patients had to be after a surgery and already in home care. The choice of the nurses was intentional, too, the surgical nurses had to care for patients after surgeries, the nurse anesthetists had to work in the surgical operating theatres. The results of the survey show that in the preoperative time the patients see the biggest problem in giving lack of information about the postoperative care. In ensuring the intraoperative care the nurse anesthetist introduced herself/himself only to one patient at the first contact. In the postoperative time none of the patients were in contact with the nurse after full awakening, they only had signalling device. Further the interviews with the patients show that no patients were instructed on the first postoperative getting out of bed and further postoperative rehabilitation. Out of the results of interviews with the surgical nurses and nurse anesthetists we find out that the nurse anesthetist participates in the preoperative preparation just on the day of surgery. The problem in the cooperation of the surgical nurses and nurse anesthetists is transmission of the information and documentation during the transfer of the patient from the operating room. In the postoperative rehabilitation the nurse can cooperate with the physiotherapist but only on weekdays. The results of my bachelor's thesis could be submitted to the head nurse of the hospital but especially to the head nurses of the surgical and anestheziology department to have opportunity to agree on better cooperation and communication. Because I work in the surgical postoperative department I suppose then it would be appropriate to consult together possible improvement of providing the nursing care with the colleagues in the department throughout the perioperative period, or to organize seminars focused on the issue of nursing perioperative care. The nurses can only point out that the establishment of a sleep-in room would be a benefit both for patients and for nurses however its establishment is not real. Then my bachelor's thesis could be used as an information resource for nurses working in surgical fields.
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The People with the Mental Impairment in the Role of Parents
Huclová, Miroslava ; Mašát, Vladimír (advisor) ; Klípová, Eva (referee)
My bachelor thesis is called "People with a mental impairment in the role of parents ". This work is divided into two parts. In the first part I describe the term mental retardation, its history and division. This problem has connection with human rights, particularly the right to marriage and the right to have children. I write about the social support for people with mental retardation before the childbirth and after the birth. I describe sexual competences according to the level of mental impairment and the problems in partner relations. I give suggestions how to prepare for the time of pregnancy, childbirth and care for the child. Some possibilities of living in the sheltered or supported housing are offered here. In the practical part of my bachelor thesis I try to find out the attitudes of people working with adults with a mental impairment. Should these people have babies? I used the method of questionnaire. Powered by TCPDF (www.tcpdf.org)
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Respecting human dignity in nursing care for patients in long stay hospitals
Řádová, Veronika ; Kutnohorská, Jana (advisor) ; Mareš, Jiří (referee) ; Pečenková, Jaroslava (referee)
88 Synopsis Author: Veronika Řádová Institutions: Charles University in Prague Faculty of Medicine in Hradec Králové Institute of Social Medicine Department of Nursing Title: Respecting human dignity in nursing care for patients in long stay hospitals Supervisor: doc. PhDr. Jana Kutnohorská, CSc. Number of pages: 102 Number of attachments: 3 Year of viva voice: 2010 Keywords: geriatrics, human dignity, respect for the patient, nursing care, nursing ethics The thesis deals with respect for human dignity in nursing care. The human dignity is a fact that becomes increasingly important with the length of human life. The care of geriatric patients has its own characteristics, due to changes, which pass through the body in old age. High demands are placed on the nursing staff not on only technical but also on human and ethical aspects of nursing care. The research tasks deal with specific types of human dignity, as the nursing staff encounters them during their work. The investigation is focused on the quantitative expression of respect for various types of human dignity in nursing practice from the perspective of the nursing staff. During the research, the staffs were also asked questions about the interpersonal response to the undignified behaviour, interviewees using their discretion were supposed to create a...
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The usage of supervision in medical facilities
ZETKOVÁ, Bohumila
There are basic concepts relating to the presented topic, such as supervision and health care institutions, explained in the theoretical part of this master thesis. In its practical part, there are results of the research undertaken by means of a questionnaire survey and amended by two half-standardized interviews in the end. The questionnaires were sent to health care institutions to the regions of Zlin and South Bohemia. Interviews were done with managers of health care institutions, on in the region of Zlin and the other in the region of South Bohemia. The target of research was to find out if supervisions are really provided in health care institutions in the regions of Zlin and South Bohemia. The partial target of research was to map occurrence of supervision used individual types of health care institutions (in the two mentioned region of Czech Republic). There are two hypotheses stated in the thesis. Hypothesis no. 1 is determined in the following way: ?Supervision is more often used in the region of Zlin than in the region of South Bohemia?. Hypothesis no. 2 is: ?Supervision is more often is ordered by a manager and regarded as a duty than prevention of a ?burnout? by nurses. Neither of the hypotheses is proved. I will be very pleased if the thesis provokes a few people at least to think about issues of supervision in health care institutions. Further, the thesis can serve as study material for students studying the field of health services. And last but not least, the thesis could serve as an initial impulse to perform other researches in the field of supervision in health care institutions in other regions.
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Nursing care for woman at minor gynecological surgeries
KÁPLOVÁ, Veronika
Minor gynecological surgeries are defined as surgeries after which the patients are dismissed from hospital to home care within 12 to 24 hours. The purpose of pre-surgery care provided by a midwife is to ensure thorough somatic and mental preparation of the patient for the surgery. The patient is required to sign all necessary consents with the surgery, she shall be informed about the course of pre-surgery care, the surgery itself, post-surgery recovery and naturally also about all risks involved. The result of a consistent instruction provided by a midwife shall be a patient who is calm and mentally prepared for the surgery (Henková, 2010; Repková, 2006). The bachelor thesis includes a theoretical part and a practical part with research. The theoretical part focuses on minor gynecological surgeries and nursing care before and after the surgery. The objective of the bachelor thesis was to survey the level of awareness among women about minor gynecological surgeries. Two research questions were formulated to meet the objective: what the level of awareness about minor gynecological surgeries is among women and which method of information provision would be appreciated by women. The research part of the bachelor thesis employed the method of qualitative survey. The data were collected by means of semi-structured interviews. The surveyed set of respondents consisted of 8 women. The interviews were conducted from the beginning of February to the end of March 2014. The survey was expected to provide information about whether the women had been sufficiently informed about minor gynecological surgeries. For the category of pre-surgery period we investigated the following: What is the experience of women with previous nursing care? To what extent were the women informed by their local gynecologists and were they sufficiently informed in the hospital before the surgery? The results have shown that most of the respondents did not have any previous experience with nursing care. Two respondents said that they had previously undergone a minor surgery and that they were content with the nursing care. Results of the survey have shown some gaps in the form and quantity of information provided in medical offices of the local gynecologists. One half of the respondents were not content with the information provided in the medical offices. The information provided in the hospital before the surgery was assessed positively by five respondents out of eight and they appreciated particularly the personal and accommodating approach, professional conduct and empathy. For the category of post-surgery period we investigated how the respondents saw the approach of the nursing staff in the operating room. The results have shown that the respondents evaluated positively particularly the fact that the physician introduced himself/herself to the patient and provided information about the subsequent care. For the category of post-surgery care we also investigated subjective feelings of the respondents after the surgery, their awareness of the post-surgery regime at home and the form of information provision. Results of the research suggest that patients are highly perceptive, particularly when it comes to friendly gestures and words. The information about the home post-surgery regime was rated positively by one half of the respondents and negatively by the other half. On the other hand, they appreciated the personal and accommodating approach and professional conduct. Most of the respondents were content with the form of information provision. Some of them would have appreciated to have a leaflet or information brochure containing all important information. The theoretical part of the bachelor thesis can be as used as a study material for future students of midwifery at the Faculty of Health and Social Studies of the University of South Bohemia.
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The Role of a Nurse in Care of a Patient with Mononucleosis
LAŽANSKÁ, Soňa
Theoretical background Infectious mononucleosis belongs to relatively widespread viral infectious diseases in the Czech Republic. Epstein-Baar virus (EBV) participates in occurrence of the infection by 80 %, infectious mononucleosis may more rarely be caused by cytomegalovirus. Each individual factually suffers from infection caused by EBV during his/her life, however its course is unapparent in most cases. An affected individual or an individual not affected, who is a virus carrier may be considered the source of the infection. Infectious mononucleosis usually affects children and teenagers, in older individuals the infection is quite rare. The disease might start rapidly or gradually with prodromes like headache, sore throat, nausea, fatigue and perspiration. Infectious mononucleosis is often confused with other diseases like e.g. tonsillitis, or more serious progress of flue, particularly for the symptoms accompanying the disease. Fever, lymphadenopathy and hepatosplenomegaly are the most frequent symptoms. The disease may also cause numerous unpleasant complications, particularly hematologic, neurologic, cardio-pulmonary and autoimmunity complications. A nurse plays a very substantial role in client care. It is very important for a nurse to have sufficient knowledge and to know the right procedure of all interventions he/she meets within diagnostics and treatment of infectious mononucleosis. These are particularly biological material collection, per os administration or intravenous administration of medicines. A nurse should also be familiar with the Priessnitz compress application technique. In non-self-sufficient clients a nurse is also responsible for client's hygiene. A nurse has an important role in client education providing information on dietetic measures. A nurse has to lead a client to adherence to the prescribed diet and body calm. Everything depends on client's current condition. A client should also avoid mental strain during convalescence. We should note that not all forms of infectious mononucleosis require hospitalization. The aim of the thesis The aim of the thesis was to find out the role of nurses in the care of patients with infectious mononucleosis and also to find how satisfied patients with the nursing care and education are after going through mononucleosis. This was why the following research questions were chosen: What is the role of a nurse in care of a patient with mononucleosis? How satisfied are patients with the nursing care after going through mononucleosis? How satisfied are patients with education in diet regime adherence after going through mononucleosis? Applied Methods Qualitative research was chosen for finding out the required information. The information was gained by means of deep interviews with nurses working at the infectious department of České Budějovice Hospital and with clients after going through infectious mononucleosis. All the interviews were recorded on a voice recorder and then transcribed. The transcribed interviews were subject to detailed analysis by the paper and pencil method with open coding. Results Six categories were set upon analysis of the interviews with nurses: Awareness of the infectious mononucleosis disease among nurses, Nursing care of a client with infectious mononucleosis, Regime measures, Information on dietetic measures, Recommendations after infectious mononucleosis and Education of a client with infectious mononucleosis. Five categories were set upon detailed analysis of the interviews with the clients: Recommended treatment, Nursing care, Recommended measures, Methods of information communication and Information sources for clients. Subcategories, in which the key data are coded, are assigned to the individual categories.
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Rehabilitation treatment at the spinal unit. Theoretical basis and practical experience
Punčochářová, Lenka ; Smolíková, Libuše (advisor) ; Špaňhelová, Šárka (referee)
After spinal cord injury occur a lot of complication, with resulting from neurological picture. These can be central, peripheral or mix paresis in some cases even plegie. Often an autonomic nervous system can be demaged, causing complication practice in nearly all body systems. Rehabilitation attend belongs to basic care of paretic patients and is closely connected with basic with basic nursing methods from which the physiotherapy of these patients arise. This survey gives a summary of procedures and methods of physiotherapy , which help the patient to prevent and better respond to the complication treatment e.g. on respiratory and movement apparatus. Complex physiotherapeutic treatment concentrates mainly on prevention of complications. The physiotherapist must anticipate formation of complications and adapt the comlexity of the treatment. Powered by TCPDF (www.tcpdf.org)
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