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Specifics of the nursing care for an adult patient with the extension of lower limb
JELÍNKOVÁ, Veronika
This bachelor thesis deals with the problematic of nursing care of the patients who have a patch extension or a Kirschner extension and are hospitalized on orthopedic and traumatological department. The extension of lower limb is a form of a conservative reposition procedure. It is used as a conservative treatment on some dislocated fractures, by which is a risk of a fragment movement or luxation. It is used as well for lightening the joints and relaxing the muscle contractures. The aim of the thesis was to find out peculiarities of the nursing care and possible complications, as well as to find out - how does the process of the complications prevention function? To the aims of the thesis were also set four research questions. Which are the specifics of nursing care, which complications can occur, how do the nurses prevent the complications and which problems do the nurses encounter when they take care of the patients? On the basis of set goals, half-structured interviews were created, which aim was to map out the knowledge of the nurses when it comes to nursing care of patients with lower limb extension. Moreover, a participating observation was made, according to which we found out if the nurses apply their knowledge in practice. The research set consisted of seven nurses. After processing all the data, it was found out that the specifics of nursing care show mainly in hygienic care, in observing and taking care of the extended limb and in the physical manipulation with the patient. It was also found out that the complications, which occur by the patients the most, are sore spots, lack of self-care and pain. The results also show, that the nurses have sufficient theoretical knowledge of the complications prevention. However this knowledge isn't always used in practice. This thesis can serve as a study and information guide for students of medical majors, but also for nurses who work with the patients who have lower limb extension. The information involved in this thesis could also be presented to the paramedical staff in the form of a seminar. It was also created a standard which describes the process of application of a patch extension.
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