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Muscle metabolism and its effect on physical condition in patients with chronic renal failure receiving hemodialysis
Brůhová, Zuzana ; Mahrová, Andrea (advisor) ; Táborský, Petr (referee)
Title: Muscle metabolism and its effect on physical condition in patients with chronic renal failure receiving hemodialysis Objective: Assess the status of muscle metabolism in patients starting hemodialysis and patients receiving hemodialysis long time, to determine some changes in muscle metabolism in both groups in the time period and ultimately assess its impact on physical condition and quality of life of hemodialysis patients. Method: Fill anamnestic questionnaire and examination of body composition using bioimpedence device (BCM) in the group of patients with chronic renal failure who are beginning to be treated with hemodialysis and a group of patients treated with hemodialysis for several years. Compare the results of both groups. To obtain additional information from medical records. Results: It was found that hemodialysis therapy affects the status of muscle metabolism in terms of reducing muscle mass (LTM). The dependence of LTM, however, the duration of hemodialysis treatment assays. The study showed that if patients are nutritionally stable and regularly engaged in some physical activity, loss of muscle mass is lower than in individuals who have a passive way of life. Keywords: chronic renal failure, hemodilysis, muscle metabolism, physical condition
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The most frequent locomotor disorders in patients with chronic renal failure on dialysis
Jurová, Klára ; Mahrová, Andrea (advisor) ; Teplan, Vladimír (referee)
The diploma thesis deals with muskuloskeletal system disorders in hemodialysis pacients with chronic renal failure. Theoretic informations about the most frequent disorders of musculoskeletal system in uremic patients, patophysiologic consequences, clinical symptoms, posibility of investigations and common therapeutic management. Secondly this thesis interests about of annamnestic data, physiotherapeutic investigation and evaluation of the data. Aim of this study was supported importance of the physiotherapeutic intervention. Should be important complete the multidisciplinary team following long therm hemodialysis patients with physiotherapeut. Powered by TCPDF (www.tcpdf.org)
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Quality of life of hemodialysis patients
Kycltová, Pavlína ; Tomová, Šárka (advisor) ; Hlaváčová, Marie (referee)
Throughout the introduction to this bachelor thesis I would like to narrate the issue of a chronic kidney failure. The causes, symptoms, diagnosis, cure as well as the quality of life of patients diagnosed with this condition, will be mentioned. We will learn what principle hemodialysis is based on, what its complications might be and what requirements have to be met, in order for the patient to undergo a hemodialysis treatment. My aim will be to depict the problems caused by this illness in a family, work place and one's social life. The assessment of this issue will be based on information gathered from a survey conducted by myself at the hemodialysis center. My thesis will be concluded, with the use of a graphic and verbal description, by an analysis of the survey questionnaire and a disclosure of the data and final results about the quality of life of hemodialysis patients which participated in the research.
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Nursing care of a dialyzed patient
Mádlová, Marcela ; Di Cara, Veronika (advisor) ; Jankovcová, Kateřina (referee)
Background: Caring for dialyzed patients is demanding from several perspectives. As far as the patient is concerned, a psyche plays a big role here. Although it is a rule that patients are detailed to the hemodialysis program, some patients will not be mentally prepared for hemodialysis treatment and worsening their health condition. Some patients are mistaken with the fact that dialysis is now part of their life. A large number of patients initially have plenty of myths and misinformation about dialysis and are therefore stressed and scared at the first dialysis session. They are afraid of pain, they may be afraid of needles, and they are afraid of what is going to happen. One of the tasks of a nurse is to identify and adequately communicate with these patients, as this avoids many problems, and the patient is more likely to cope with his illness and realizes that even though their lifestyle has changed, they can still live high-quality and satisfying life. Methodology: A case study, a case study of a patient who was chosen by deliberate, purposeful selection, was used to prepare the final bachelor thesis, as this patient represents research issues, first of all inadequate education and psychological stress associated with chronic renal failure. The aim of the research was to describe and evaluate...
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Quality of life of hemodialysis patients
Kycltová, Pavlína ; Tomová, Šárka (advisor) ; Hlaváčová, Marie (referee)
Throughout the introduction to this bachelor thesis I would like to narrate the issue of a chronic kidney failure. The causes, symptoms, diagnosis, cure as well as the quality of life of patients diagnosed with this condition, will be mentioned. We will learn what principle hemodialysis is based on, what its complications might be and what requirements have to be met, in order for the patient to undergo a hemodialysis treatment. My aim will be to depict the problems caused by this illness in a family, work place and one's social life. The assessment of this issue will be based on information gathered from a survey conducted by myself at the hemodialysis center. My thesis will be concluded, with the use of a graphic and verbal description, by an analysis of the survey questionnaire and a disclosure of the data and final results about the quality of life of hemodialysis patients which participated in the research.
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Continuous Elimination methods in Intesice Care from The Perspective of Nurses (Theoretical work).
HOROVÁ, Petra
The purpose of the dissertation Continuous Elimination Methods in Intensive Care in Prospective of Hospital Nurse is to inform about acute kidney injury and chronic kidney disease. These are major reason to use elimination methods at intensive care units and anesthesiological resuscitation departments. We further determine elimination issues. Continuous elimination methods in intensive care medicine are important medical treatment at acute kidney injury and chronic kidney disease. Particularly, acute kidney injury belongs to frequent complications at critically diseased patients, therefore will be properly discussed. It is afraid, because decreased renal function leads to incapability to excrete waste products of metabolism and sustain homeostasis. Mortality at acute kidney injury is higher than at chronic kidney disease so support or renal replacement therapy, in order to save life, is the only accepted method of choice at present time. The techniques of renal support or replacement therapy are integral part of instensive care medicine. The aim of this thesis is to elaborate latest accessible findings and specialized nursing care at continuous elimination methods. Ve have tried to create integrated, comprehensible summary of knowledge of this topic. We expect these findings are fundamental to high-quality nursing at patients with this disorder. The dissertation was conducted as a method of review and synthesis. As long as this part is purely theoretical-based, it gathers informations from czech and also foreign sources. The data was acquired from scientific publications, technical papers, monographs and web. The outcome of this work can be used for further research of this topic or contribute to resource information for paramedical staff. In the thesis we analyze acute kidney injury, briefly chronic kidney disease, then we proceed through the history of dialysis and its specifications. These are closely explained. We focus on technical aspect of various elimination methods, the division, indication to initation, advantage and disadvantage, vascular access will also be described. The possibilities of anticoagulation have been defined, the types of membrane hemofiltrates and dialysators, substitutional and dialysing solutions have been characterized, the need of dietary measures has been emphasized. The complications that can happen during the use of elimination method have not been left out of consideration. We describe the intensive care units, nurse competencies, their work, monitoration, patients' and elimination unit preparation and vascular access care.
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