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Evacuation of Disabled Persons from Hight Buildings
Marek, Milan ; Mika, Otakar Jiří (referee) ; Kyselák, Jan (advisor)
In the introductory part the Bachelor´s thesis solves an evacuation of people complex, especially its inclusion in valid legislation of Czech Republic. Secondly, the categorization of incidents and means of separation of evacuation. Then, this work gradates to an evacuation of persons with reduced mobility, with a focus on social care sphere. The aim is to define an incident and all factors affecting the evacuation of persons and the identification of facilities of escape routes in buildings with residential care. In the last part of my work are described recent state solutions of people evacuation in social care institutions, based on monitoring made of selected residental care providers.
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Nursing process in prevention of immobilization syndrome
Havlasová, Anežka ; Průšová, Kateřina (advisor) ; Hromádková, Jaroslava (referee)
The bachelor's thesis deals with the issue of immobilization syndrome. It aims to point out the risks associated with long-term immobilization, recognize the early symptoms of immobilization syndrome and prevent complications. The theoretical part focuses on the characteristics of the immobilization syndrome in individual organ systems, where related changes and prevention are described in detail. The empirical part consists of a questionnaire survey, which focuses on the knowledge of nurses from the standard and ICU departments. The verified knowledge concerns the prevention and nature of the immobilization syndrome. A total of 99 respondents across the Faculty Hospital in Motola participated in the survey. The obtained data were processed and then the knowledge of nurses was compared based on education, type of workplace and length of practice. Objectives: The aim of the bachelor's thesis was to provide a comprehensive overview of relevant findings on immobilization syndrome. Furthermore, the goal was to find out, through a questionnaire, the nurses' own construction of knowledge about immobilization syndrome. Methods: The investigation was conducted through a quantitative research survey. The self- designed questionnaire was distributed in printed form to practical and general nurses. The...
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Comparison of knowledge of nurses and practrical nurses about the prevention and treatment of decubitus
Krajč, Lukáš ; Kordulová, Pavla (advisor) ; Kulhavá, Miluše (referee)
For my bachelor thesis I chose the area of decubitus.Dekubitus is a serious complicationthat affects all age groups of patients and reduces their quality of life. Occurrence of decubitus is one of the basic indicators of quality of treatment and nursing care and is carefully monitored. Nevertheless, despite the quality and professional care of nursing staff, they arise, as there are factors that can not affect the occurrence of pressure decay. At the stage when there is alreadya decubitus,treatment is coming. Just as today it is no longer possible to treat the decubitus as a separate problem, so its treatment must be conceived in a comprehensiveway. There are a large amount of moneyspent on prevention and treatment of bed sores. The most effective money spent is on prevention that deliberately protects patients from harming their health. In the theoretical part I open the issue of decubitus. In particular, I focus on diagnostics, treatment and prevention.The basis for the work was based on the research created in the National Medical Library. Also included was the European Pressure Ulcer Advisory Panel (EPUAP). In my work I use the ISO 690 citation standard. Methodology: I have chosen a quantitative form of research for the bachelor thesis. Quantitative data collection using a structured...
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Evacuation of Disabled Persons from Hight Buildings
Marek, Milan ; Mika, Otakar Jiří (referee) ; Kyselák, Jan (advisor)
In the introductory part the Bachelor´s thesis solves an evacuation of people complex, especially its inclusion in valid legislation of Czech Republic. Secondly, the categorization of incidents and means of separation of evacuation. Then, this work gradates to an evacuation of persons with reduced mobility, with a focus on social care sphere. The aim is to define an incident and all factors affecting the evacuation of persons and the identification of facilities of escape routes in buildings with residential care. In the last part of my work are described recent state solutions of people evacuation in social care institutions, based on monitoring made of selected residental care providers.
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Comparison of chosen nursing in prevention of immobility syndrome in a senior nursing home in Germany and the Czech Republic for lying immobile patients.
ČERNÁ, Lucie
As the population is getting older there is increased number of geriatric patients. However there is also increased number of immobile seniors, who are not able to take care of themselves. Comprehensive health and social security is being provided in homes for elderly, which fulfil the role of long-term institutional care. Nurses must be trained for this highly professional and knowledgeable nursing care aimed at geriatric problems. For geriatric clients of home for elderly it´s important realization of prevention, treatment and social measures in the form of an individual approach. That these measures can be implemented it is necessary to evaluate the health status of seniors, their physical performance, self-sufficiency and mental functions in connection with the social situation and to formulate a nursing diagnosis. As a result of long-term bed rest can lead to health complications affecting all body systems, so-called immobilization syndrome. How to prevent secondary damage that threatens the patients White Theo arge already ill is focused rehabilitation nursing. Among rehabilitation resources in the prevention of immobilization syndrome in nursing practice arge included: positioning, verticalization, mobilization. Inseparable part of prevention measures is preventing health complications in case of immobile clients homes for the elderly arge suitably selected positioning aids, mobilizing resources, well-equipped bed with antidekubitus system. In the thesis there were two objectives. To Compare keeping preventive measures which prevent the formation of pressure ulcers and muscle contractures in nursing care for immobile patients in the Czech and German retirement homes. To map out the possibilities of aids in the prevention of complications in immobile clients in the Czech and German retirement homes. Bachelor thesis has been made by using qualitative research. For collection of data was used a method in-depth interviews with four Czech and four German nurses. This method involved non-standardized interviews through open-ended questions that were recorded by dictaphone and transcribed verbatim. The data analysis was carried out by hand coding or using a pencil and paper. By analyzing the data four categories were created, each divided into the home for the elderly in the Czech Republic and the home for the elderly in Germany: 1.Nurses knowledge ,2.Implementation of preventive measures , 3.Equipment for immobile clients, 4.General knowledge related to immobile clients. Research survey found out that there is not a big difference in adherence to preventive measures to prevent the formation of decubitus and muscle contractures in nursing care for immobile patients in Czech and German homes for the elderly and comparable are also the possibilities of using tools to prevent complications in case of immobile clients. The biggest gap in nursing care for clients is bad knowledge of contractures in both homes for the elderly. Also keeping documentation and records relevant to the implementation of preventive measures in the Czech home for the elderly is not satisfactory. Mobilization record is missing and positioning record should be more detailed. We therefore propose the creation of positioning and mobilization recording modeled according to the German retirement home and handing it to the leadership of retirement home in the Czech.
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Dependence of the immobile and self-unsufficient clients on staff nursing in a rest home for the seniors
POTŮČKOVÁ, Marie
With increasing age expectancy the number of older people who become immobile, is increasing those people are not self-sufficient anymore, often suffering from dementia, and therefore they can become dependent on the care of other people. If this dependency is only of a small extent, the families usually try to take care of such older people themselves. But with decreasing self-sufficiency when seniors do not manage to be alone at home all day, they need to stay in some type of home for senior citizens. They then go into residential social institutions where the nursing staff takes care of them. How do these clients see such care and how do they cope with their situation. What is their experience with the staff? The thesis tries to answer the above mentioned questions. It also tries to review the biggest problems seen by the staff taking care of immobile, dependent clients often suffering dementia.
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Prevention of immobilization syndrome in elderly hospitalized at the Department of aftercare in the context of the multidisciplinary approach.
KRÁLOVÁ SOMMEROVÁ, Jana
This bachelor thesis focuses on an actual topic in the care of the elderly. It is prevention of immobilization syndrome of the elderly in context of a multidisciplinary approach. The thesis is focused on the elderly hospitalized at an after-care unit. In the introduction to the theoretical part the current state of a quality of an elderly life is assessed. Subsequently particular terms related to old age and senescence are defined. An inseparable part of the assessment of the quality of the elderly life is the classification of self-sufficiency and efficiency. Here the International Classification of Functioning, Disability and Health is mentioned as a meaningful tool for the availability of social services, but also as a clinical tool. The definition of immobilization syndrome emphasizes that this is a geriatric syndrome, which is closely connected to hypomobility, decondition, instability, falls, sarcopenia and other geriatric symptoms and syndromes. The main topic of the thesis - the multidisciplinary approach - is summarized in seventh subchapter and its sections. Individual team members and their basic activities while working with the client are defined here. The research part of the thesis is divided into several chapters. It is processed in a form of qualitative research. It follows the theoretical observations and assesses the work of particular members of the multidisciplinary team in practice. The analysis of personal documents was used on purpose, medical records of selected clients were used as source. Case reports were created afterwards. Case reports are processed using the medical records of clients from the after-care unit. They are also supplemented by the client's point of view, using questions within a semi-structured interview. In the course of case studies, commentary from involved observation is inserted. The conclusion consists of evaluation tables. Detailed expression , comparison of the results and overall summary are in chapter "Discussion". The research question should be answered whether the attitude to clients of the after-care unit is multidisciplinary and whether it corresponds with the needs of clients. The most important finding of this bachelor thesis is that a major factor is the client's diagnosis, and the individual team member's approach to the client. In "Discussion" chapter a comparison based on specialized literature is provided, discussing the long-term care in the international context. Research may be used as feedback to organizations providing long-term care to ensure better conditions of quality of elderly life. It can also be used as a basis for the realization of specific preventive measures. It would definitely be useful to chart the basic research situation in other healthcare facilities or private facilities providing health and social services.
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Home care in the Czech Republic and in Austria with emphasis on long-term entirely immobile clients
SVOBODOVÁ, Anna
Home care has already become an integral part of taking care of patients suffering of long-term sickness. I focused on the quality of home care and its current state in Czech Republic and in Austria. Experience earned in the Austrian domestic care attracted me the way that I decided to examine it closer. I set the objective to find the differences between the care in Czech and Austrian home care and the differences in relations between care workers and clients. I used available scientific literature, legislation valid in Austria and Czech Republic, and sources from the Internet related to the home care. My bachelor thesis consists of the theoretical part, which contains four chapters. In the first chapter I deal with immobility, where the main manifestation is the motion, which stimulates the motion apparatus and has a positive impact on the psyche of man. The target group for a long-term care are seniors, people with disabilities and chronically sick people. In the third chapter I characterize home and social care, which is described as highly qualified and professional form of care, which is linked with the health and social form. In Czech Republic, 2/3 of care delivered by agencies is focused on health issues, but it is in close cooperation with subsidiary agencies aimed at nursing services. Home care in Austria is not divided into health services, nursing or social services. This care provides complex services. Linking health and social care helps the client to find life stability. This care substitutes hospitalization and it shall be granted in its own environment, what affects the psyche of the client very favourably and it significantly affects whole recovery process. The fourth, and the last, chapter of the theoretical part deals with the personality of carer, when the carer is the worker, who carries out the care activity in the household of clients. Furthermore I describe here detailed assumptions to the work of the carer, the difference between committed and uncommitted worker, an integral part are competences and skill requirements placed upon the carer in Czech Republic and in Austria, and part of the conclusion is the sample of financial evaluation of carer in home care in concerned countries. The practical part of my bachelor thesis consists of collection of data, collected while using techniques of the qualitative research, the method of query based on using semi-structured interview, observation and analysis of personal data. Characteristic of the target group was created by communicative clients of Czech and Austrian home care, who carried II, III, IV degree of dependence. The respondents were three women from Dačice and three women from Raabs an der Thaya. Further I describe the process of the data collection and results of interviews. On the basis of my research, I came to the conclusion that there exists a difference in the relationship between carers and clients in compared services. Due to busyness, there is My research showed, that the Austrian care is historically older, so it may be the reason for better sophistication of whole system, it is economically more stable and, therefore, more financial sources flow to the system of this service, and that is reflected in the personnel and the financial evaluation of the staff. After pointing at the differences in the system of care, which is different in examined countries, my conclusion is, that the degree and the content of delivered services provided in both countries is the same, it is only provided in a different way. Clients are, in both home cares, health and socially secured, and this allows them, under the burden of their diseases, to stay at home in the environment, where they like it and where they feel safe. This theory is one of the objectives of home care, to ensure bio-psycho-socio needs of man. Czech and Austrian home care fully meets these basic objectives.
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