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The role of the radiographer in gastroenterology
VOSEJPKA, Roman
This bachelor thesis focuses on radiological imaging methods that are used in gastroenterological examinations. In radiology, machines keep developing, improving and they become an inherent part of practically all branches of medicine. They are being applied in both, therapy as well as illness diagnosis. The thesis is divided into a theoretical and a practical part. The objective is to bring individual gastroenterological examinations closer using radiological assistance and to describe the role of a radiographer during these performances. The theoretical part mainly describes the anatomy of the digestive tract and its pathology. Further on, the theoretical part contains information on the individual gastroenterological examinations, contrast substances and radiological imaging methods. The practical part has been processed using the data collected from the NIS AKORD hospital system. Based on acquired data, tables and graphics were created, using percentage representation. NIS AKORD data has been accompanied by data that I aquired via a random choice from the Institute of Health Information and Statistics of the Czech Republic database. I have chosen a few figures that are linked to both, the area of radiology and imaging methods as well as gastroenterology. The objective is to describe the process of individual gastroenterology examinations utilizing radiological assistance and to bring the role of the radiographer in the above-mentioned performances to a closer focus.
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The Issue of Enteral Nutrition in Patients with a Diagnosis of Crohn's Disease
Kuchyňková, Monika ; Horová, Hana (advisor) ; Kubátová-Šafránková, Iva (referee)
Bachelor thesis is intended to bring the issue of use of artificial enteral nutrition in patients with inflammatory bowel disease called Crohn's disease. The theoretical part of this paper deals further with this serious illness, how and why it arises, its history and symptoms. Complications and treatment options. Further information on dietary measures, and finally describes in detail how the methods of administration of enteral nutrition, composition, types and recommended products. The paper defines the terms sipping, nasoenterální probe, endoscopic and other tests. The research is part of the questionnaire method for detecting not only the way patients with this disease receiving enteral nutrition, but also the difficulties and complications they bring. Whether rightly edukováni of enteral nutrition and truly understand the meaning of this treatment. Information was gathered from literature, which are listed in the conclusion. Key words: Crohn's disease, inflammatory bowel inflammation, sipping, artificial enteral nutrition, complications of enteral nutrition, education, nasoenteral probe.
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Nursing care of the patient with pancreatic carcinoma
BELLA, Inna
This bachelor thesis deals with the topic 'Nursing Care for Patients with an Oncological Disease of the Pancreas'. It maps the work of a nurse taking care of a patient, with regard to the investigative methods in proving the disease of carcinoma of the pancreas and with regard to an inpatient part of the gastroenterological department. Goals of this thesis are: 1. To find out specifics about the nursing care with respect to patients with an oncological disease of the pancreas, 2. To find out the role of a general nurse during the investigative methods regarding the oncological disease of the pancreas, 3. To find out possibilities of further education of nurses who provide nursing care for patients with an oncological disease of the pancreas. Three research questions were set beside these goals: 1. What are the specifics of a nurse caring for patients with an oncological disease of the pancreas? 2. What is the role of a general nurse during the investigative methods of an oncological disease of the pancreas?, 3. What are the possibilities of further education of nurses who provide nursing care for patients with an oncological disease of the pancreas? Part of this bachelor thesis research consists of the qualitative research investigation with the usage of a semi-structured interview. Research investigation took part in the gastroenterological department where there were situated both inpatient and endoscopic parts of the department. Endoscopic nurses were asked questions that focused on the care of a patient before, during, and after the examination. Nurses who work in the inpatient part of the gastroenterology spoke about the specifics of the nursing care of a patient with carcinoma of the pancreas. Endoscopic nurses agreed that the most important part in their work is the usage of endoscopic devices and instrumentarium, their disinfection and sterilization. Also, they agreed that equally important are preparation and care of a patient during and after an examination and an assistance to a doctor during the examination. Nurses in the inpatient department who take care of a patient with carcinoma of the pancreas state that their nursing care focuses on the preparation of a patient for examination, on dealing with pain and nutrition with respect to the patient, and also on a quality of nursing care in a terminal stage. Results of this bachelor thesis could be used as a study material for students who deal with this topic and especially for new nurses in the gastroenterological department.
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Nurse's work at gastroenterological out-patient's ward
KOTKOVÁ, Stanislava
This bachelor work "Nurse's work at gastroenterological out-patien's ward" maps the work of nurse at gastroenterological out-patient's ward, the nurse needs to have a technical qualification, needs to know how to organize her work and how to take care of a patient and how to communicate. The work of gastroenterological nurse is really challenging according to constantly developing technologies. The theoretical part describes nursing methods and specifics of nurse's work. The research part was realized through qualitative survey via semi-structured discussion. The aims of the work were: 1. To find specialties of the nurse's work at gastroenterological out-patient's ward and 2. Figure out choices in further education of nurses working at gastroenterological out-patient's ward. There were stated three research questions: 1) What is the content of the nurse's work at gastroenterological out-patient's ward? 2) What is specific about the communication between the nurse and the patient? 3. What possibilities do nurse working at the gastroenterological out-patient's ward have in further education? Although the research was made in two different hospitals, nurses almost agreed on the content of their work. The survey showed that nurses do a lot of work: they guarantee the functioning of out-patient's ward, they communicate with the doctor and the patient, they watch out for endoscopes, they take biological material etc. We found out that nurses have a lot of opportunities for further education which hospital offers such as courses, seminars and workshops. The results of this work could be used as a source of information for nurses working at gastroenterological out-patient's ward or as a studying material for new coming nurses. These results could also be presented in professional magazines and in professional conferences.
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Nursing issues in a patient indicaded for examination of the intestines.
DUDÁČKOVÁ, Simona
Gastroenterology is medicinal discipline dedicated to diagnostics and treatment of gastrointestinal tract diseases. Part of its diagnostics is among others, also intestinal examination, which is done in case of suspicion of inflammatory, non-inflammatory and tumorous disease and it belongs to current examination in the present. The thesis deals with nursing issues in a patient indicated for examination of the intestines and is divided into theoretical and empirical part. The theoretical part is focused on examination methods amongst which belongs anamnesis, physical examination, laboratory examination, imaging methods, endoscopic examination and puncture biopsy. Very important part is the role of a nurse and nursing care for patient, which blends through the whole thesis. The objective of the thesis is to map the role of nurse at chosen endoscopic examinations and to capture subjectively perceived feelings of the ill person during preparation for chosen endoscopic examinations. For processing the empirical part of the thesis was chosen qualitative research, using the method of semi-structured interview. The first research file were nurses from different endoscopic workplaces and second research file were patients, which underwent colonoscopy. The chosen method was questioning and technique of in-depth interview followed by analysis of gathered data using the method of coding, so called Paper-and-Pencil. The results of research mapped the role of a nurse at chosen endoscopic examinations. Her job at endoscopic workplace requires professional knowledge and abilities at nursing care before examination, during it and after it. Integral part of role of a nurse is also controlling instrumentation, working with a doctor and communication, thanks to which patient manages indicated examination with minimal difficulties. Within research framework are at patients, recorded subjective problems of patients during the preparation for chosen endoscopic examination.
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Porfyrie
ŠTEFKOVÁ, Michaela
This work summarises the causes of formation of a group of rare but serious diseases called Porphyria. This paper specifies the particular forms of these diseases and focuses mainly on their diagnostics. Typical symptoms and possible cures are assigned to each form of Porphyria.
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Implementace systému Omaha v komunitní praxi
BEŇOVÁ, Eva
Current situation: Standardized terminology of the Omaha system brings new opportunities for nurses providing community care. Objectives: Four objectives have been defined for this study: to implement the Omaha system in the nursing documentation for the purpose of verification of nursing care in community practice - to characterize the problems of patients with gastrointestinal diseases as per the Problem Classification Scheme - to map the links between problems and interventions as per the Intervention Scheme - to evaluate the problem results using the Problem Rating Scale for Outcomes of the Omaha system. Methodology: The research method used was based on the study by Kathryn H. Bowles (2000) addressing problems of patients and nurse interventions. The quantitative research method was implemented by inquiry using nursing documentation with the Omaha system implemented. The data acquired was tested using the software tools SPSS 22.0 and MS Excel. Research set: It consisted of 103 patients with gastrointestinal diseases. The inquiry was carried out by contact persons - nurses of the gastroenterology department. Results: Patients with gastrointestinal diseases suffering from a wide range of problems corresponding to given character of diseases, which predominantly occur in the Physiological Domain and Health-Related Behavior Domain. In terms of mapping of links between problems and interventions, the results have proven a high usability of the objectives defined in the Intervention Scheme in community practice. The interventions were mostly determined in the categories Treatments and Procedures and Surveillance. Statistical differences have been confirmed in the documentation of interventions in individual categories for patient problems as well as for the selection of interventions in individual categories with respect to the type of given gastrointestinal disease. The study results have proven a significant improvement of knowledge, behaviour and status for individual problems, which is shown in comparison of final values with the initial values of problem results. The implementation of the selected interventions as per the Intervention Scheme resulted in a reduction or elimination of ? of problems. Conclusions: The results of the research inquiry clearly show that the Omaha system is an appropriate tool for documentation of all stages of the nursing process in the community care. Implementation of the functional documentation in community practice requires the Czech version of the Omaha system and electronic form of the documentation, which are absent at present.
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Company Euresis s. r. o. – possibilities of marketing focus
Rokytová, Eliška ; Koudelka, Jan (advisor) ; Tejkal, Ondřej (referee)
The main goal of this bachelor thesis is to characterize the marketing focus of the gastroenterology healthcare facility. Marketing terminology, which is unique for healthcare industry, is characterized in the theoretical part of this thesis. In the practical part of the thesis selected company is presented together with the evaluation of its current marketing focus. The information mentioned in this part were primarily obtained from expert interviews with the owner of the company and their analyze. Subsequently, the patient satisfaction survey is evaluated. Appropriate recommendations for improvement of the marketing activities of the healthcare facility are presented at the end of the thesis.
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