|
|
Quality of Patient Education in the Home Parenteral Nutrition Programme
Koťátková, Michaela ; Tomová, Šárka (advisor) ; Hromádková, Jaroslava (referee)
The bachelor thesis deals with the quality of education of clients who were included in the home parenteral nutrition program. The thesis is divided into the theoretical and empirical parts. Indications, contraindications, and history of home parenteral nutrition are described in theoretical part. Also, its division by types and the most often used vascular entrances. The characteristics of education in nursing, the educational process, its goals, evaluation, and method of creating documentation for the implementation of all phases of the educational process are also described. The method of the survey investigation is described in the empirical part. It was conducted by using of a quantitative method by distributing non-standardized questionnaires to clients who have already been educated or will be educated during the survey. The purpose of this thesis is to gain the knowledge about how clients perceive the way of education conducted at our workplace, what information they consider to be insufficient, missing, or incomprehensible, and on what information or educational materials they would still like to have. Based on the information obtained in this way, the comprehensive information brochure will be created, to serve clients a clear and understandable whole about home parenteral nutrition. And,...
|
|
| |
|
|
Care of the diet for pacients in an Anesthesiologic-resuscitation unit
BABIKOVA, Taťána
This Bachelor Thesis is on the problems with care about the nutrition for patients at anesthesiologic-resuscitation unit. The oftenest causes of disability to get meals normally in the acute medicine are: extensive operations, injuries, tumors or infections. From the beginning the patient must be fed only parenterally. After the regeneration of the intestinal passage the intestinal tract is loaded only parenterally. So, it is very important to choose proper methods to make their effect the largest. This thesis is divided into two parts: the theoretical and the empiric. The objective of this work is to map care about the nutrition for patients at anesthesiologic-resuscitation unit. For this aim we determinated the following questions: How do nurses at anesthesiologic-resuscitation unit take care about patients with parenteral nutrition? How do nurses at anesthesiologic-resuscitation unit take care about patients with enteral nutrition? For the realization of the empiric part of the thesis we choose qualitative research investigations. The collection of data was carried out by means of demi-structured dialogues wit nurses. The dialogues were rewrote to Microsoft Word 2016 word for word. Thus, obtained information was coded and then categorizied. The research investigation took place during April 2020. The research showed that nurses have enough knowledge of the problem with nutrition and they will manage to take care about patients with parenteral and enteral nutrition. We found out that at anesthesiologic-resuscitation unit parenteral nutrition is primarily launched and that is mostly through central venous catether or exceptionally through peripheral venous catether. After the stabilization the patient gradually moves on to the enteral nutrition in the form of so-called sipping up to the total applying the enteral nutrition more often through nasogastric tube or oral. The results of the search are realized in the project of the seminary for nurses which will be used for the deepening of their knowledge about these problems.
|
|
|
The Nutrition Day at the standard and intensive care beds in the teaching hospital
Lupoměská, Petra ; Meisnerová, Eva (advisor) ; Novák, František (referee)
The Bachelor thesis consists of two parts - the theoretical and the practical one. The theoretical part is divided into several chapters; the first one is focused on the main information about malnutrition such as its definition, prevalence, classification, causes, impact and the methods of diagnosing. The following chapter describes the algorithm for nutritional care; the rest of the chapters deal with the artificial nutrition, where the indications, contraindications, complications and other essential information related to enteral and parenteral nutrition are described. The practical part is dedicated to the worldwide programme "Nutrition day" and also to the evaluation of the data given by patients of the 4th internal clinic VFN in Prague during the programme. The research part was carried out on grounds of quantitative survey through a standardized questionnaire. There are two aims to the study; the first one was to find out the food intake of all patients of the 4th internal clinic. This goal was not accomplished, because not every patient placed in the standard ward was willing to complete the questionnaire. However, the study showed that only 29 % out of 62 patients who completed the questionnaire ate the whole portion of meal. The second aim was to find out if the daily calorie intake...
|
|
| |
|
| |
|
|
Micronutrients in home parenteral nutrition
Petříčková, Dagmar ; Meisnerová, Eva (advisor) ; Čapková, Radka (referee)
The topic of the diploma thesis is micronutrients at home parenteral nutrition. In the theoretical part, parenteral nutrition is analyzed, including advantages and disadvantages, indications and contraindications. Intestinal failure is described as the most basic indication for the introduction of long-term / home parenteral nutrition. Following is the characterization and classification of micronutrients and a description of the consequences of their deficiency or surplus. Micronutrients are particularly important as cofactors and coenzymes in enzymatic reactions that would not be possible without them. The key question is whether the plasma levels show the actual state of the stock of the micronutrient in the organism, if the drop in most of the micronutrients that we find in patients reflects the actual deficiency to be substituted, or whether this decrease is an expression of their shift to other segments, the severity of the health condition. In the practical part of the diploma thesis are evaluated the levels of selected micronutrients (vitamin D, vitamin B12, folic acid, iron) in the group of patients with indication of home parenteral nutrition. The evaluation was based on laboratory analysis of patients' results. Key words: Parenteral nutrition, micronutrients, deficiency, surplus
|
|
|
Quality of life and development of nutritional status of patiens on home parenteral nutrition
Vítková, Martina ; Křížová, Jarmila (advisor) ; Trachta, Pavel (referee)
My Bachelor thesis focuses on life quality evaluation and nutritional status development in patients on a home parenteral nutrition (HPN). Theoretical part focuses on general information about patient examination after their arrival in a hospital. It further focuses on indication, division, composition and complications of parenteral nutrition and it gives a brief summary of basic knowledge about parenteral nutrition applied in home environment. HPN is most often recommended in patients with short bowel syndrom, ileus or some oncological diseases. The main expected benefit of HPN is an option for the patient to persist at home surrounded by family as opposed to being in a hospital. Even though HPN still comes with many complications, these patients still have a chance to live a relatively normal life. Two goals were set to evaluate the practical part of the thesis. First goal is to assesses the quality of life of patients on HPN and to determine whether the quality of life is changed and if so then how. Second goal is to describe the change of nutritional status in patients on home parenteral nutrition. These goals were achieved by using research questions focused on determining patient's feelings, health complications, ability to take part in physical activity and to integrate back into their work...
|
|
| |
|
| |
guest ::
