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Case study of physiotherapeutic treatment of a patient with left-handed hemiparesis.
Malá, Kristýna ; Stupková, Michaela (advisor) ; Čajka, Vladimír (referee)
Title: Case study of physiotherapeutic treatment of a patient with left-handed hemiparesis. Objectives: The main target of this bachelor thesis was to compile a complete case study of physiotherapeutic treatment, which was carried out in the course of clinical work placement, including evaluation of the effect of therapies. Another objective was to obtain theoretical knowledge about the diagnosis of the patient, namely the craniocerebral trauma. Summary The bachelor thesis is divided into two parts, general and special. The general part is theoretical and compiles information about craniocerebral trauma. It deals with the anatomical description of the brain, blood supply of the brain and it explains the neurophysiological background of motion. It also deal with kinds of craniocerebral trauma, including disorders of consciousness and their treatment. The last part presents physiotherapeutic methods and techniques that can affect the state after brain injury. A special part is a case study of physiotherapeutic treatment of patient (V. H.) after craniocerebral trauma with left side hemiparesis. The work includes a complete in-and-out kinesiological examination, process of therapies and a final evaluation of the effect of the therapies. This special part is based on a three-week work with a patient in...
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The role of the nurse in providing care to a patient with apalic syndrome.
ČASTORALOVÁ, Veronika
The aim of this bachelor work was to describe the role of the nurse providing care to a patient with apalic syndrome. Three research questions were based on this aim: "What nursing problems do the nurses deal with while taking care of a patient with apalic syndrome?" "What specific procedures do the nurses carry out providing care to a patient with apalic syndrome?" and "What are nurses's attitudes to ethical questions connected with the care of a patient with apalic syndrome?" The empirical part of the work was elaborated by qaualitative research method. The method was carried out by semi-structured interview. The keystone for making this interview (Attachment 1) consisted of 24 open questions which were, if necessary, extended by additional questions. The individual questions were aimed at the care of the patients with apalic syndrome, at rehabilitation and at communication with these patients and at ethical questions connected with this syndrome. The research was carried out with 9 nurses who work with the patients in vegetative state. The interviews were then processed by the method of priori coding, the technique - "pencil - paper". The research results were divided into categories and subcategories for better organization. These categories which were chosen according to the specific topics describe the individual spheres of the care of patients with apalic syndrome in the broad sense of consequences including cooperation with the patient's family and ethical problematics. The results of the work provide a complex perspective of the problematics dealing with care of the apalic patients from the nurses's point of view. That is why they can be used as studying material for students, nurses and families of the apalic patients and also for anybody who is interested in the given problematics.
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Specifics of nursing care in attitude to patients with apallic syndrome and patients in terminal stage of life.
SMETANOVÁ, Denisa
The main goal of this thesis was to discover the specifics of nursing care caring for apallic syndrome patients as well as terminal patients. In connection with this objective, eight research questions were addressed, focusing on the selected specifics. The empirical portion of the bachelor thesis was achieved through a qualitative research done in the the form of semi-structured interview which was then divided into two parts. The first part targeted patients with apallic syndrome while the second part adressed terminal patients. An open coding method was used to process obtained results. The research group consisted of nurses from the intensit care unit, nurses from the hospice and ICU aftercare department, as well as the ARO department. The results of the research - analyzed and subsequently categorized - revealed interesting findings, and we came to a conclusion that it is extremely demanding, both physically and psychologically, to care for the two groups. It seems the analysis of the results is consistent with other studies, as we discovered that nurses identify the specifics of nursing care in patients with apalic syndrom, especially in the field of hygienic care, nutrition and communication. Terminal patients are also provided with peace, quiet and to die with dignity. The bachelor thesis was written to provide an overview of the specifics of patient care with apalic syndrome and terminal patients. The result of the research is an informational material that serves not only to educate nurses and family, but also the public.
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Comparison of nursing care about apallic patients in domestic and institutional care from carer?s viewpoint
SOUSEDÍKOVÁ, Zuzana
As a result of urgent medicine acceleration and neurosurgery care improvement individuals that had minimum chance of life saving in the past survive brain insults. Increasing occurrence of people with apallic syndrome is a consequence of this progress. This thesis compares domestic and institutional care of apallic people. It examines whether the care quality and complexity are comparable. As the domestic care is more economical for the government it has to be supported in the times of insufficient funds for health care. Quantitative research technique of non-standardized interview was used for data collection. The research sample consisted of six healthcare workers and six family members caring for apallic patients. One respondent had a son in institutional care, however she took him temporarily to domestic care. Questions for healthcare staff and for caring family members were prepared separately. The results show that apallic patients in domestic care achieve substantially better results. The physical load is comparable, mental load is higher for family members. The basal stimulation, which is extremely important for apallic patients, is purposefully applied in institutional care only, as it is provided by trained staff there. The results of this work were presented at the 4th National Student Conference organized by the Faculty of Healthcare Studies of the Pardubice University. The data are published in the proceedings: SOUSEDÍKOVÁ, Zuzana. Comparison of nursing care about apallic patients in domestic and institutional care. In VI. National Student Scientific Conference of Bachelor and Master Programmes General Nurse, Midwife, Healthcare Rescuer, Nursing. Pardubice: Pardubice University, 2011. p. 18. ISBN 978-80-7395-391-1. The thesis will also be provided to the Cerebrum Association, which is going to publish it on its website and provide it to its clients, who are in touch with patients after brain injury. Distribution of this work among people having individuals with insulted brain around is the best way how to highlight the urgency of the problem.
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Utilization of the concept of Basal stimulation in the nursing process for apallic syndrome.
MÁŠOVÁ, Renata
The topic of this diploma paper is ``The Use of the Basal Stimulation Concept in Nursing Provided to Apalic Syndrome Patients{\crqq}. I have chosen this topic because I took part in a basal stimulation course and in order to describe the use of this concept in nursing. Basal stimulation is a programme for nursing. Thanks to its scientific basis and empathetic approach, basal stimulation is acquiring more and more sympathizers among nurses as well as physicians. It is a complex of nursing methods based on the use of appropriate stimuli instigating neural complexes. It has been proven that such impulses contribute to the regeneration of engrammes and facilitate overall rehabilitation of the patient. The concept of basal stimulation helps after craniocerebral injuries, cerebrovascular accidents, in comatose conditions and in apalic syndrome. The paper is divided into two sections. The first one is theoretical and it deals with the apalic syndrome and provides a detailed description of the basal stimulation concept. The other section, a practical one, provides the descriptions of individual case reports with a nursing plan based on the basal stimulation concept. The effects of this concept are assessed according to observations and questioning of nursing staff and family members. The observation of patients with the apalic syndrome has led us to conclude that the basal stimulation concept has very pleasing effects on the patients. This method has been incorporated into everyday nursing process and it should become a common standard in nursing. Frequently, the health state of such clients is stabilized for a long time and the prognosis is not favourable; the prevention of potential complications is mostly at play here. This scientific method has positive effects on such patients as seen by nursing staff as well as family members. It maintains the patient{\crq}s comfort, individual approach and a holistic being. The care for these seriously ill people is very physically and mentally demanding at common wards. Therefore, we think that it is necessary to establish specialized apalic units where such patients would receive individual care based on the basal stimulation concept. This care is practicable as much as possible in cooperation with family members and nursing staff providing all possible aids and background.
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Nursing Care in Patients Placed on the Clinitron Beds
PINCOVÁ, Dana
The functional principle of the air bed is ``fluidization{\crqq} which is a technological procedure keeping a layer of grainy material floating by an ascending stream of air. On the dry floating pillow, the patient feels as if he were in the state of zero gravity. At the points of increased pressure, the circulation is not affected and, at the same time, the stream of dry air prevents maceration. The weight of the body is reduced and spread more effectively which decreases the risk of decubites development. Further, it helps the hygienic upkeep, dries up the burnt areas and by doing so it prevents gramnegative ifection from developing. An in-built thermostat maintains the set temperature of the bed, which can be changed according to the need of the patient. The advantages (especially theurapeutical) of the air bed are incontestable, but the bed has also its disadvantages. However, in spite of these drawbacks it brings an efficient help to the nursing staff who cannot imagine providing care without these beds anymore.
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Evaluation of mental and physical stress of nurses treating clients with Apallic Syndrome
PROKEŠOVÁ, Helena
Thanks to modern medicine there is a growing number of patients with apallic syndrome. They are hospitalized in various hospital units. Treating such patients is without question demanding with regard to instruments needed in hospital units, with regard to staffing but high demands are also set on nursing staff who are supposed to provide specialist and difficult care. Providing such care is mostly in competence of a nurse for whom it may represent greater or smaller mental and physical stress. As a result the quality of provided care may be influenced. The objective of my thesis was to evaluate mental and physical stress of nurses providing care to clients with apallic syndrome depending on hospital unit.Two hypotheses were stated. H1: Mental stress of nurses working in apallic unit is lower than the stress of nurses working in other hospital units. H2: Physical stress of nurses working in apallic unit is lower than the stress of nurses working in other hospital units. I used the method of questioning (questionnaire method) to achieve the objective and to verify the hypotheses. The research set of data consisted of 87 nurses from three types of hospital units. Evaluation of results showed that: H1 - Mental stress of nurses working in apallic unit is lower than the stress of nurses working in other hospital units - was confirmed. H2 - Physical stress of nurses working in apallic unit is lower that the stress of nurses working in other hospital units - was not confirmed. In the last part of my thesis I suggested recommendations to key personnel of hospital units where the research work was carried out. The results of the research show that nurses working in standard units and in intensive care units suffer from greater mental stress while taking care of patients with apallic syndrome. Nurses working in apallic units suffer from greater physical stress while taking care of patients with apallic syndrome.
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Problems of nursing care about patient with apalic syndrom
DRÁBKOVÁ, Kateřina
This thesis deals with problems in nursing care of clients with apallic syndrome. There were 4 hypotheses. The first hypothesis presumes that nurses give patients care focused mostly on treating developed complications. After evaluation of the results focused on nursing care, we found out that some nurses know the correct processes while others do not. This means that patients are sometimes given the correct care and sometimes not. So hypothesis 1 was proved valid. The presumption for the other three hypotheses was that nurses do not have information about BS conception, do not know about possibilities of its usage, and do not use this conception in their care of clients with AS. However, the results concerning BS conception were very positive. Nurses know the conception and use it in their care about clients with AS. Hypotheses 2, 3, and 4 were not proved valid.
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