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The role of nurses and their impact on the care of patients with total hip arthroplasty.
SLABÁKOVÁ, Květoslava
Total hip replacement is one of the most extensively and highly effective operating methods in orthopaedics. The patients are brought back the self-sufficiency, life without the pain and noticeably motion restriction. Irreplaceable function here is a role of the nurse, who helps the patient to return back to his common life...The aim of this work was to find out, how the patients feel the role of the nurse and its influence to given nursing care before and after the total hip replacement as the less fulfilled. There were following research questions set: How the patients feel the role of the nurse before and after the total hip replacement? How the patients before and after the total hip replacement feel the interpretation of the nurse roles? How the patients before and after the total hip replacement feel the role of the nurse and its influence to given nursing care. Which of the nurse roles are felt by the patient as the unsatisfactory in postoperative care? The patients before and after the total hip replacement feel through the everyday nurse activities the nurse in her role of the caregiver and education giving person, following the nurse vindicator and the nurse bearer of changes. The patients feel the care thanks these roles as a quality, holistic and continual. Nevertheless was the role of the education giving named as the least fulfilled. In connection with these research results was created a manual, a Guide book for the patients before and after the total hip replacement. This Guide book was given to testing purposes. This Guide book was appreciated by the patients very positive despite a large amount of information, which were surprising for many of them. We gained some data, which gave the impulse to complete the information in the Guide.The created Guide book can´t replace the effective communication of the patient with the medical staff, which could be always the most suitable "source" of information.
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Lifestyle of patients with peripheral arterial disease before and after surgery
REZKOVÁ, Helena
Theoretical background: Peripheral arterial disease is a serious disease of Loir limb arteries which originates from atherosclerosis. The theoretical part deals with the lifestyle. There are mentioned basic risk factors of chronic forms. Further described are the pathophysiology changes generated on the basis of atherosclerosis and related causes for the origin of the disease. Subsequently there are explained methods of classification, developed clinical symptoms, diagnosis and therapy. This section also looks at the role of a nurse in the care of patients with peripheral arterial disease. Objectives: The aim of this work was to evaluate how patients with peripheral arterial disease changed their lifestyle after invasive vascular surgery. There were provided the following research questions: How do patients with peripheral arterial disease approach to the prevention of risk factors? What is in patients with peripheral arterial disease the main impuls for the possible change of their lifestyle? What influences surgery patient's attitude to risk factors for peripheral arterial disease? How crucial is a lifestyle change in patients after surgery for peripheral arterial disease? Methods: The theoretical part is processed using expert sources. The empirical part of the theses was processed using qualitative research. The chosen technique for data collection was semi-structured interviews with patients, with prepared open questions. The research was done in several phases - the first interview was conducted at the patient admission department (before surgery), followed by the next phase after three months, and 6 months after surgery. The interviews were recorded on a prepared form, then transcribed into electronic form and analyzed by open coding method. Results: The research showed that surgery can sometimes be triggered by changes in the patient's lifestyle. The first interviews in the preoperative period focused on how respondents felt, what was their lifestyle before surgery for atherosclerotic changes of the lower extremities. One of the questions was focused on patient knowledge about risk factors for the development of PAD and possible prevention. The second phase of interviews took place 3 months after the surgery. It dealt with the question about the respndents´ lifestyle, the respondents in the postoperative period, whether there were any changes. Some positive changes occurred in eating and there were some changes in doing physical activity. The third stage was carried out six months after surgery, again in order to detect changes in lifestyle. Minor changes came in smoking habits, the issue of diet and physical aktivity. Questions were also focused on the psychological level. We found out who helped patients and what was most motivating in implementing changes. In the conclusion/summing up question the patients marked themselves ow they managed to make a change. Conclusion: The number of patients with peripheral arterial disease and other cardiovascular diseases is increasing. The basis is the start to modify risk factors, namely tobacco use,dietary habits, physical activity. The medical staff members participate on changes in patients´ lifestyle by appropriate education. The problem occurs when the patient despite the support of close people can not cope to carry a twist in their life. There should a medical staff member offer a professional help to deal with this important step. Practical use: The aim is to draw attention to the expansion of education about lifestyle changes for patients diagnosed with PAD also in the postoperative period. Patients who are released to home care should receive enough information that would convince them to change their attitude towards their health, and that surgery is only one of the ways to prevent further attacks and complications. Results can improve communication with patients and focus on increasing their awareness and possibly offer assistance.
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Students´ motivation for the work in social sphere
DUCHOŇOVÁ, Kristýna
The topic of this bachelor thesis is the motivation of students to work in the social sphere. Selecting a domain is an important milestone in the life of each of us, the aim of the work is to determine what factors affect the young person during the election field with a social focus and how his motives during his studies and during his practical experience varies.The work is divided into two parts, theoretical and practical. The theoretical part describes the social work and its history, definition, ethical standards and goals. The work deals with the role of a social worker and describes his competence. Presents preconditions for occupational choice and the factors that influence this choice. It also deals with motivation, defines it and acquaints us with concepts such as motive, value or need. Work is affected by motivation theories and recalls the hierarchy of needs of Maslow. In the seclusion does not stay the work motivation in helping professions, questionable motives or burnout, which occurs currently in the social sphere more frequently than in other sectors. The practical part is focused on quantitative research, when the survey begins with primary school pupils who have just chosen their future focus. This part aims to determine what percentage of these students opted for the social sphere and what lead to this decision. Further quantitative research conducted among high school and college students who attend branch with a social focus. Here, the work reveals the most common and most important motives of students, satisfaction with the chosen field of study and their expectations of future studies and career. Here we will also learn how many students want after graduation stay in the field. In the practical part there is also a qualitative research, which complements the whole job. Semi-structured interviews are conducted with students, but also with a social worker. These respondents describe us closer their motivation for working in the social sphere. According to the results which this research brought, it can be stated that most of the students choose a subject with a social focus to have the opportunity to help the others. But is true that many students are choosing a school prematurely and are influenced by the place of residence, their friends or the nature of the study, most of these people don´t know what they can expect from the field and are often discouraged during their studies. From this work could in practice benefit pupils and students who decide for the field of social affairs. For teachers working in schools where the research took place,could this work serve as a feedback. Especially the part which describes the differences between expectations and reality can be used.
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Pick´s disease and the specifics of the nursing care of a patient with this disease
KOPKAŠOVÁ, Lenka
Pick's disease is a degenerative-atrophic process that primarily affects the frontal and temporal lobes of the brain. Besides Alzheimer's disease, it is a lesser known form of dementia which affects people of younger age. Although the exact range of Pick's disease occurrence varies in the literature, the average reported age is between 50-60 years. The disease can change eating habits, cause emotional swings, inappropriate behaviour and sloppy appearance of the patients. The behaviour to others is often selfish, the patients are unable to listen to others and ignore their surroundings. Pick's disease is also characterized by inappropriate sexual behaviour. Globally, the number of dementia patients is still growing and according to expert guesses the increase will continue. Nursing care for patients with dementia is therefore becoming a very actual topic as dementia is called a quiet epidemic of our century. Nurses in their departments quite frequently encounter patients suffering from dementia of various origins at different stages of disability and the staff at healthcare facilities often regard these people as a burden. The aim of this thesis, which is called Pick's Disease and Specifics of Nursing Care for Patients with this Disease, is, based on the theoretical knowledge, to map definitions and diagnosis of Pick's disease, to define the needs of such a patient, and to list the most common problems in the nursing care. It focuses on people with dementia within medical facilities. For proper understanding of the problem, the thesis starts with the anatomy and physiology of the brain and the description of cognitive functions which are affected by the dementia syndrome and the definition of dementia. Based on the studied literature, dementia is divided according to various criteria. It has been found out that dividing dementia is not entirely uniform, but the essential facts and overall opinions of the authors do not diverge. Pick's disease belongs to a group of frontotemporal dementia and its position in this group has changed over time, as it is recorded in the literature. The thesis includes recommendations resulting from the studied literature in the approach to patients with dementia and emphasizes personal communication with the patients and empathetic and humane approach. Although medicine cannot prevent dementia, an early diagnosis of a specific type of dementia and correctly targeted treatment can increase the quality of life not only of the patients but also of their families. I have chosen this topic because I find it very current and interesting. During my nursing practice at the Surgery Department and Aftercare Department, I have met patients suffering from dementia and I did not know how to properly and efficiently communicate with them. For the theoretical part of my work, the methods of explanation, synthesis and induction on the basis of Czech and foreign information sources have been used. The most frequently quoted Czech authors in my thesis are doc. MD. Roman Jirák, PhD., the head of the center for diagnosis and therapy of Alzheimer's disease at the psychiatric clinic of the General University Hospital in Prague, the 1st Medical Faculty of Charles University. This thesis can serve as an informational and educational source both for nurses and the general public who may experience the disease within their families. It would be considered a great success if it helped nurses or family members to diagnose Pick's disease or other dementia at an early stage.
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Land Abandonment in the Mediterranean Effects on Butterfly Communities with Respect to Life History Traits
ŠLANCAROVÁ, Jana
This thesis deals with the effects of changing land use, following landscape abandonment, on butterfly communities in the Mediterranean Basin. It consists of three case studies. The first focuses on the effects of forest encroachment on butterflies in the Southern Balkans; the second studies butterfly communities in Portuguese 'montados' and the third explores demography and life histories of three co-occurring Papilionidae butterfly species (Archon apollinus, Zerynthia polyxena and Zerynthia cerisy) in Greek Thrace. The results describe shifts in butterfly communities, detectable even at the level of individual species life history traits, with increasing forest encroachment. The preference of range-restricted Mediterranean endemics for either grasslands or open woodland formations contributes to falsifying the forested Mediterranean hypothesis, favouring a hypothesis of finely grained landscape mosaic instead. This mosaic is currently threatened by land use change and biodiversity homogenisation. Maintaining habitat and landscape heterogeneity is crucial for conserving the Mediterranean biodiversity hot-spot.
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Psychological and social aspects of unemployment
Kyselová, Jitka ; Kebza, Vladimír (advisor)
This Master´s thesis deals with the issue of unemployment as a phenomenon of contemporary society. It highlights the impacts posed by the loss of jobs not only on individuals but also on entire families. It presents the definition of psychological, social and health aspects affecting the quality of life of people without a job. It also defines unemployment, its development, types, importance of work, ways to reduce unemployment, loss of social status. The research is focused on empirical investigation using a form of qualitative research. I am finding a subjective experience of unemployed persons, their opinions, but also their attitude towards the job search. The results of this research is to determine what impact unemployment has on the lives of people. The conclusion suggests possible solutions leading to the impact of an unemployment.
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Interpretation on the prayer from the Catechism of the Catholic Church viewpoint with focus on the work of the social workers
POLÁČKOVÁ, Ludmila
The thesis deals with interpretation on the prayer, relation to prayer and prayer´s methods of the priests and the social workers. Further, the thesis deals with opportunity of the cooperation between the social workers and priests; it defines the form and the scope of their cooperation. The first part defines the prayer, methods and forms of the prayer according to Catechism of the Catholic Church and book named Life from trust; it compares the texts of these books. The practical part determines: What is the prayer for priests? How the prayer is perceived? What prayer´s methods are preferred by the priests and social workers? It analyses the size of the cooperation between the social workers and priests with regard for relation to their trust. It maps the form and the scope of cooperation between the social workers of the relevant organization and priests from the client's spiritual needs point of view. Further, it describes main social groups, which is finding help from the priests, and what type of the questions and needs are they solved. It describes main types of the organizations, which cooperate with the priests with regard for meet their material and spiritual needs.
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The assessment of equine housing systems in terms of welfare
Morávková, Kateřina ; Hofmanová, Barbora (advisor) ; Majzlík, Ivan (referee)
Nowadays, the conditions of animals' breeding are better than they were in the past and bigger emphasis i sput on their compliance and improvement. To secure/provide a good welfare is not an easy task for the breeders. Generally, we know how good welfare should look like, but we do not know, if the animal is satisfied. Various studies and experiments of good and bad life conditions appear. On the other hand, there still are lots of things about the welfare topics, which could be discovered and explored. Other question is, if a bad welfare has something common with animals' cruelty, or does not. One of categories, which is welfare focused on is stablig. When horse breeding and stabling, we should consider their native lifestyle and behaviour. We should do this, if we want to secure a good welfare. In many of cases there is a problem, because as it has been said, there is no strict rule, what is a good and bad welfare. Some horses can be satisfied in a box, and the other can feel bad in the box -- they can have depression and they will feel best when they are out with other horses. Every system and style of stabling has its pluses and minuses. Some of the systems seem to be less suitable for horses, but it depends on the horses' character. But horses do not chooses their kind of stabling, it is choosen by the breeder. The stabling has been solved for centuries, and it must have been solved in the past, it is in the peresent, and it will be in the future. But we still come with new and improved ways of stabling. A modern guy can not imagine, that nowadays stabling should be the same as it was in the past. Today, we do not know, if this way of stabling was found as a good type of welfare and if horses were satisfied with it. It is a question, if better welfare is a box stabling or a styling out. For working horses the best stabling is the lashing one, where horses work in a wood and they want a lot of relax -- through this kind of stabling the rest can be enabled. But according to the law foals can not be roped. To stable the horse with the rope for 22 is a breach of a welfare. So we must alway take the reasons of stabling into consideration and if an exgerrated care about stabling does not verge on a horse's satisfaction. Through the behaviour and understading the horses a guy should be able to recognize, if the horse is fully satisfied and the welfare is arranged in the best way. It should be a reward for the breeders, if the horse has the good lifestyle.
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Jahn’s monument in Cheb. Commemoration of German "turnen" in Bohemia
Kessler, Vojtěch
The contribution takes the form of the case study which would describe the evolution of the movement, its creation and also its so called "second life" together with symbolic meaning of the movement and the importance of the biggest landmark connected with the German turner movement – the gigantic monument of F. L. Jahn in Cheb which is nearly forgotten in these days.
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