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Evaluation of children with fecal incontinence.
Damková, Adéla ; Lepšíková, Magdaléna (advisor) ; Havlíčková, Michaela (referee)
The bachelor's thesis on the possibilities of objective examination of children with fecal incontinence is presented in the form of a review with case studies. The introductory theoretical part is devoted to the basic anatomical knowledge of the pelvic floor, the physiology of the defecation process, micturition, and the mechanism of fecal incontinence, as well as the often associated urinary incontinence. Furthermore, the causes of fecal incontinence with regard to the pediatric population are mentioned. The special section includes methods of evaluation and examination of fecal incontinence used in pediatric patients, and last but not least, the issue of biofeedback as a therapy aimed at strengthening the pelvic floor muscles is presented. The practical part of the thesis includes two case studies of patients, which include an initial kinesiological examination, therapy description, and photo documentation.
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The role of nurse and family members in discharging of immobile patiens
PŘIBYLOVÁ, Radka
This thesis deals with immobile patients´ defecation. Even though people feel ashamed to speak about this delicate and intimate problem it should be concerned with. Healthy diet, drinking regime, exercises adequate to patient´s age and fitness, stress elimination and defecation reflex training seem to be the best prevention to the problem as the laxative treatment of subsequent complications is less suitable. The research survey was firstly aimed at mapping the role of nurses who take care of immobile patients´ defecation and the obstacles they face and secondly, at the role of family members and the financial means which they are able to spend on such care. The findings of the research survey fully result from the interviews with six nurses working at the long-stay ward and six family members of the patients staying at the long-stay ward of the Hospital in Jindřichův Hradec,a.s.. At the same time six patients of this ward were observed. The charge nurse provided the permit to do the research and the ward sister was informed orally. The analysis of research findings led to making up an information leaflet which instructs patients in keeping healthy diet so that they can avoid defecation problems. The research survey findings will be offered to the staff of the hospital long-stay ward where the survey was run to help them improve the care of immobile patients.
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Obstipacion as a problem in nursing
PETRŮ, Štěpánka
Obstipation as a problem in nursing. A growing portion of today{\crq}s population suffers from obstipation. Longer life expectancy and today{\crq}s lifestyle are seen as the most frequent reasons for it. Obstipation is a complaint nurses encounter in all kinds of health care institutions. Providing suitable nursing care may help the patient with defecation. The first part of the thesis is theoretical. It provides the definition of the disorder, its causes and proper nursing method, which is listed in chronological order according to the nursing procedure. The next part deals with a survey, which was carried out in hospitals in Pelhřimov, Jindřichův Hradec and Počátky at departments where higher incidence of obstipation is anticipated. The survey was anonymous, and the data were collected from 128 nurses in a quantitative research using the method of questionnaire. In order to remain objective, structured interviews containing the same questions were made with 11 inpatients hospitalized at the departments included in the survey. The thesis followed three goals. First, to find out whether nurses make an inquiry about obstipation that is to be included in the patient{\crq}s history. Second, to map out nursing care in patients with obstipation at departments with beds. Third, to identify current options nurses can choose from while dealing with obstipation as a problem in nursing. Based on the goals, three hypotheses were determined. First, nurses are concerned about the frequency of patient{\crq}s defecation at their homes while collecting details for patient{\crq}s history. Second, nurses do not keep the patients hydrated enough. Third, nurses secure intimate place for defecation when requested by the patient. Nurses themselves confirmed the first and third hypotheses and refused the second one. The patients` answers did not always match with nurses` responds. In conclusion, both surveys proved that nurses have theoretical knowledge related to looking after a person suffering from obstipation but they are not always ready to implement such knowledge. The thesis provides an overview of the current nursing care in patients with obstipation and is set to help implement a better and more effective usage of nursing methods in practice.
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Příjem potravy a metabolická aktivita .i.Galumna elimata./i. (C.L. Koch, 1841) (Acari: Oribatida) při různých teplotách
Šustr, Vladimír ; Hubert, J. ; Pekár, S.
The ability of the physiological compensation of respiration rate and feeding activity for temperature was tested in oribatid mite .i.Galumna elimata./i. to evaluate significance of the increase of amylolytic activity in the whole body homogenates of mite exposed to cold acclimation. Mites were reared on green bark algae (.i.Protococcus viridis./i.) at different constant temperatures (5-30°C) for 21 days. The temperature relationships of respiration rate, presence of animals on food and defecation were compared before acclimation (quick response to temperature change) and after acclimation to constant temperature (effects of adaptation). The relationship of oxygen consumption on temperature was similar in control and acclimated mites. Presence of animals on food increased exponentially with temperature before acclimation. It was higher at 15°C after acclimation at constant temperature.
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