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The "integrated" rehabilitation in extrapyramidal diseases
KREMZOVÁ, Adéla
In my bachelor thesis I focus on the issues of the "integrated" rehabilitation in extrapyramidal disease. Due to large spectrum of extrapyramidal diseases and syndromes I mostly focused in my work on the clients afflicted with the Parkinson{\crq}s disease. In the theoretical part I first define the notion of extrapyramidal diseases, further I am describing the issues connected with the Parkinson{\crq}s disease from the health and social point of view. The last chapter of the theoretical part is devoted to the "integrated rehabilitation{\crq}q and the sequence of its individual components. I also mentioned the International Classification of Functioning, Disability and Health. In the practical part I focused on ascertaining of the scope, means and the resulting effect of the "integrated" rehabilitation from the perspective of the clients afflicted with Parkinson{\crq}s disease. Therefore, it was suitable to use qualitative research. I used the method of questioning and the technique of semi-standardized interview. Further to that the secondary data analysis as well as case studies {--} casuistry were used. The clients for this research were chosen among the patients with the Parkinson{\crq}s disease, who are registered with the Center of extrapyramidal disorders of the General Teaching Hospital in Prague. The aim of my work was to answer the following questions: 1. Whether the clients ever underwent some of the components of the ``integrated{\crq}q rehabilitation described in the theoretical part of this thesis. 2. How were they satisfied with the performance of the rehabilitation. 3. Whether they missed some of the said rehabilitation components. The client{\crq}s answers to the above questions are stated in the explanation. The case studies show that the patients underwent mostly the treatment component of rehabilitation. In the majority of cases, they were satisfied with the way it was performed. Some of them, however, experienced lack of information on the social assistance within the framework of social rehabilitation. The work could help to those people, who are interested in the issues in question, especially in order to get an overview of the sequence of individual components of the "integrated" rehabilitation in the Parkinson{\crq}s disease. It could be further instrumental to the patients and their families and last but not least for study purposes of workers in helping professions.
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Measure attendant stress on Neurology Department of Hospital in České Budějovice, a.s.
KAVKOVÁ, Darja
The present is a time rife with change, and healthcare is no exception. The aim is to provide the best quality healthcare at the lowest possible cost and with as few staff as possible so as to allow clients to recover quickly and ensure that they are satisfied with the services they have been provided with. České Budějovice Hospital is currently the fourth largest hospital in the Czech Republic. It provides medical care to the whole of South Bohemia. The Neurological Ward is situated in the internal pavilion of the hospital{\crq}s Upper complex. It provides 36 beds for seriously ill patients. Where patients are ill, the hospital tries to nurse them back to health as quickly as possible, while ensuring that they are self-sufficient and alleviating the after-effects of their illness. The standard of medical staff{\crq}s qualifications is rising to match the increased demands on the quality of care provided. In order to maintain standards a nurse needs not only to be skilful, but also well-educated and able to work independently. In this research I set three goals, from which there arose three hypotheses. In order to determine the workload and performance of the nurses on the Neurological Ward of České Budějovice Hospital I used two methods from the authors Karla and Otakar Pochylý. The method of quantifying nursing care to determine the number of nursing staff is based on three basic areas: assessment of the self-sufficiency of patients, a point rating for special nursing care, and daily one-off ratings which encompass all other activities. The ``new method{\crqq} is used to determine the number of nursing staff and the amount of workload. The research was carried out from 23.2.2009 to 20.3.2009, i.e. for 20 working days. The research set comprised the nurses on the morning eight-hour shift. After having assessed the results I came to the conclusion that the first two methods proved true, but the third did not, although this is disputable. In practical terms this research can be used as a general source of information about nursing workload, nurses{\crq} performance, and the number of people missing from the Neurological Ward. However, it should be followed up by more detailed long-term research which would eventually lead to modification of the staffing situation on the Neurological Ward.
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