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The burnout syndrome of social workers in institutions for elderly
Šebková, Štěpánka ; Nováková, Ivana (advisor) ; Cintlová, Jitka (referee)
1 Annotation This thesis is focused on the issues of burnout syndrome and supervision as a form of prevention. The topic is focused on staff dedicated to the seniors with dementia in day-care centers. The thesis is divided into two parts. The theoretical part is devoted to the definition of basic terms related to burnout syndrome, dementia, daily care center and supervision. Results in the practical part come from the research methods used, specifically self-prepared questionnaire and questionnaire prepared by Ch. Maslachová and Ayala Pines "Tedium Measure". Furthermore I expanded the thesis with interview with selected expert. Using open questions the area of supervision and burnout syndrome is being discussed. The primary target of this thesis is to contribute to the prevention of burnout syndrome and also to map, whether supervision is being used in day-care facilities and whether it helps preventing the burnout syndrome.
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Ethics and Power in Social Health Services
Hradcová, Dana ; Holmerová, Iva (advisor) ; Bittnerová, Dana (referee) ; Parry Martínková, Irena (referee)
The following text is an ethnographical study of relations in which care is shaped. On the example of care homes with special regime I describe how power is made and how different ideals are enacted in care of people with dementia. Through the analysis of daily activities' micro practice, I introduce two possible ways (modes of ordering) of care for frail elderly with cognitive impairment. The first of the modes is based on an enactment of ideals introduced into the practice by the Social Services Act and related system of quality standards: autonomy, individualisation, activation, and inclusion. It relies on standardisation of procedures, detailed specification of actions and management by objectives. The second mode of ordering, which could be located in the stories from care homes, is founded on an inevitable human dependency and vulnerability, and on general human need of giving and receiving care. In it, relationships and care improvisation here and now play the key role. My ethnographic fieldwork has shown that in everyday practice these two ways of doing good care co-exist - they complement each other, overlap and sometimes clash. People in care homes, striving for the better and the best care, either keep together, or hold apart these different and non-coherent ways of care. In discourse of...
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Dementia seniros
Hvězdová, Kristýna ; Marková, Eva (advisor) ; Marsová, Jana (referee)
This bachelor's thesis deals with dementia. It describes kinds of dementia with their manifestations and changes of behaviour, depressive and anxiety conditions, which happends during this age period, too. Needs of such ill people and the principles of communication and work with them. The main objektive is to determine the needs and nursing interventions during disease progression in patient. In the practical part is to develop a case study of patient diagnosed with Alzheimer's disease with late onset. The research was carried out in a retirement home and a survey was conducted from March 2013 to October 2014. The technique of data collection was based on interwieves and tests of congnitive ability (MMSE) with measured points 17 and 0. The results of the research showed that the patient experienced mild cognitive impairment has been able to aktive, dignified and fulfilled life, Of course there was the fulfillment of daily needs alone. As the disease progresses, a year and a half later, they have to be these basic needs for self-care performed by another person. The differences were apparent in the food and fluid intake, excretion, movement and communication. Alzheimer's disease is currently incurable disease. Proper care, communications and sufficient emphaty can provide longer quality and...
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Cognitive Impairment in Parkinson's Disease
Bezdíček, Ondřej ; Růžička, Evžen (advisor) ; Papežová, Hana (referee) ; Hort, Jakub (referee)
Cognitive impairment is considered as essential feature of non-motor symptoms in Parkinson's disease (PD). It is a result of underlying pathological processes in the brain of PD patients and it leads to decreased quality of life. In this thesis an analysis of the structure and profile of cognitive impairment is presented with special emphasis on executive functions and memory. We take diagnostic entities developed for the description of PD cognitive spectrum such as mild cognitive impairment (PD-MCI) and dementia (PD-D) as examples of heterogeneity and different severity of cognitive impairment in PD. However, neuropsychological methods in Czech version that would measure these diagnotic units were not adequatly validated. In the experimental part we test a hypothesis, if gait disorder with falls in PD is interconnected with cognitive impairment, and if PD-fallers have more severe cognitive deficit than PD-non-fallers. On the basis of nine validity or normative data studies we show psychometric properties and clinical utility of several basic neuropsychological methods in the Czech population for memory (Rey Auditory Verbal Learning Test, California Verbal Learning Test, Second Edition, Memory For Intentions Screening Test and Enhanced Cued Recall Test), sustained attention and executive functions...
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Chosen Analogues Derived from Substance 7-MEOTA Action on Some Aspects of Cholinergic System
Sedláček, Lukáš ; Říčný, Jan (advisor) ; Hejnová, Lucie (referee)
This thesis deals with effects of some chosen 7-methoxitacrine (7-MEOTA) analogues on enzymatic activity of acetylcholinesterase (AChE). 7-MEOTA is a derivative of tacrine, which had been used for symptomatic treatment of Alzheimer's disease (AD), until drugs with better therapeutic index were developed. 7-MEOTA the same way as tacrine therapeutically acts by inhibition of acetylcholinesterase and a neurotransmitter acetylcholine rise in the organism. It shows similar strength and type of inhibition, but it's less toxic contrary to tacrine. Some of the previously examined analogues of 7-MEOTA were as strong or even stronger AChE inhibitors than 7-MEOTA and so promising future medicaments. However, all the compounds analyzed in this thesis showed weaker enzymatic reaction inhibition and AChE affinity. For each of the examined compounds IC50, Ki and Ki' were calculated and AChE inhibition type was determined. All the 7-MEOTA analogues showed a mixed type of the inhibition. The theoretical part of this thesis deals with manifestations and origins of AD, its genetic factors etc. and tries to show some of the anthropological findings a theories connected with the theme.
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Activating the elderly with dementia in residential homes
Zelená, Zora ; Zemková, Jaroslava (advisor) ; Novotný, Josef (referee)
In the theoretical section we have focused on the process of ageing and made a geographical and statistical assessment. The base was our country's legislative framework for providing care to the elderly with dementia, the issue of the illness of dementia, its causes, as well as the approach and care provided to people with dementia. We drew from the terminological definitions and theoretical resources for employing elderly people with dementia. We have made a note of the philosophical and psychological source. We lay emphasis on information concerning the possibilities of employing elderly people with dementia and their activation. We have followed theoretical resources which, in employing these people, are especially constructive for the users, providers and above all for the family. In all the items observed we respected the limit given by the diagnose of dementia. In the practical section, we have paid attention to already existing activities employed in residential homes for the elderly with dementia. We give a list of some types of homes where people with dementia are placed and where a survey was made. We see the chief asset of the master's thesis in creating a questionnaire, describing the administration and evaluating the gained information on employing the elderly with dementia. We have...
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