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Mountain trekking in diabetic patients treated with an insulin pump
Bytelová, Sophie ; Daďová, Klára (advisor) ; Majorová, Simona (referee)
Title: Mountain tourism for diabetics with an insulin pump Objectives: The aim of this study is to find out whether it is suitable for patients with type 1 diabetes mellitus treated with an insulin pump to undergo physical activity in the form of mountain tourism, as the more intense physical aktivity affects blood glucose levels and whether patients are able to work with advanced insulin pump functions. Methods: The work is conceived as an observational study of the Medtronic educational project. One day mountain hike trip of a distance about 30 km was attended by 40 patients (men and women) with diabetes aged 15-25 years. Non-invasive methods were used. The data was obtained by monitoring insulin pump probes, glucometers and continuous monitoring, which were further evaluated using the CareLink Pro software. Results: Physical activity in the form of mountain tourism is suitable for patients with DM1 treated on an insulin pump. 80% of the probands did not have a risk status of hypoglycaemia, and even though the determined normoglycemia for research was performed by a larger number of adults as opposed to children, this FA has a demonstrable effect on blood glucose levels. It also brings positive benefits for patients because they learn how to work better with advanced insulin pump functions....
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Evaluation of quality of life in patients with DM with different methods of insulin delivery.
Nováková, Ilona ; Marsová, Jana (advisor) ; Kubátová-Šafránková, Iva (referee)
This thesis deals with the quality of life in patients with diabetes mellitus first type with different routes of administration of insulin. The work is divided into two parts, theoretical and research. The first describes the theoretical overall diabetes mellitus, as well as its basic distribution, complications and treatment options, focusing primarily on treatment with an insulin pump. It also outlines the concept of quality of life, both individually and in association with chronic disease. The second part is devoted to research, whose main objective is based on information obtained through a questionnaire survey to determine whether the application of insulin using an insulin pump improves the quality of life in patients with diabetes mellitus first types. Key words Diabetes mellitus, quality of life, insulin pump
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Mountain trekking in diabetic patients treated with an insulin pump
Bytelová, Sophie ; Daďová, Klára (advisor) ; Majorová, Simona (referee)
Title: Mountain tourism for diabetics with an insulin pump Objectives: The aim of this study is to find out whether it is suitable for patients with type 1 diabetes mellitus treated with an insulin pump to undergo physical activity in the form of mountain tourism, as the more intense physical aktivity affects blood glucose levels and whether patients are able to work with advanced insulin pump functions. Methods: The work is conceived as an observational study of the Medtronic educational project. One day mountain hike trip of a distance about 30 km was attended by 40 patients (men and women) with diabetes aged 15-25 years. Non-invasive methods were used. The data was obtained by monitoring insulin pump probes, glucometers and continuous monitoring, which were further evaluated using the CareLink Pro software. Results: Physical activity in the form of mountain tourism is suitable for patients with DM1 treated on an insulin pump. 80% of the probands did not have a risk status of hypoglycaemia, and even though the determined normoglycemia for research was performed by a larger number of adults as opposed to children, this FA has a demonstrable effect on blood glucose levels. It also brings positive benefits for patients because they learn how to work better with advanced insulin pump functions....
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Comprehensive care of patient with insulin pump.
HUBKOVÁ, Šárka
This bachelor thesis deals with the issue of diabetes mellitus and specializes mainly in the treatment of the disease with insulin pump. Insulin pump is most commonly used in the treatment of type 1 diabetes. The aim of the thesis was to find out what the specifics in treating the patient with an insulin pump are. To achieve this, the empirical part of the thesis was elaborated by means of a qualitative research survey, which was carried out through semi-structured interviews with insulin pump users and nurses working in diabetes counselling. We have achieved many interesting results through research. Every patient who wants to be treated with an insulin pump undergoes 6-day hospitalization during which insulin pump handling is learned. From patient interviews, we also learn that the most common complication is hypoglycaemia. Hypoglycaemia is most often caused by a dietary mistake or an incorrect amount of insulin administered to the body. However, hypoglycaemia can be prevented by using a sensor that is inserted into the subcutaneous tissue and reads the blood glucose every five to ten minutes. It was also found that nurses are not the main source of information for insulin pump users. The results of the research revealed that the most frequent use of the patient education is the representative of the company from which the patient has an insulin pump. Thanks to this thesis, there is now a well-arranged material which not just the medical staff can use to learn about the biggest difficulties and its possible solutions for the patients with insulin pumps. Thanks to this material, nurses in ordinary wards can also understand the needs of an insulin pump patient.
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Evaluation of quality of life in patients with DM with different methods of insulin delivery.
Nováková, Ilona ; Marsová, Jana (advisor) ; Kubátová-Šafránková, Iva (referee)
This thesis deals with the quality of life in patients with diabetes mellitus first type with different routes of administration of insulin. The work is divided into two parts, theoretical and research. The first describes the theoretical overall diabetes mellitus, as well as its basic distribution, complications and treatment options, focusing primarily on treatment with an insulin pump. It also outlines the concept of quality of life, both individually and in association with chronic disease. The second part is devoted to research, whose main objective is based on information obtained through a questionnaire survey to determine whether the application of insulin using an insulin pump improves the quality of life in patients with diabetes mellitus first types. Key words Diabetes mellitus, quality of life, insulin pump
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Child with Diabetes mellitus in Kindergarten
KALINOVSKÁ, Kateřina
This bachelor thesis deals with inclusion specialty of diabetic child to day-care centre. It is about the case study of the boy with diagnosis Diabetes mellitus of 1. type on insulin pump. The theoretical part is about illness Diabetes mellitus of 1. type, its symptoms, therapy and complications. The therapy way by insulin pump is described more in detail. The theoretical part contains the chapters regarding the psychological impacts to ill person and its family, the need to respect of the regime precautions and the legislative conditions of the sick child integration to the day-care centre. The practical part consists of a qualitative survey, which represents the boy's casuistry with diabetes. The practical part also includes an interview with the boy, his mother and a teacher at the day-care centre. Further the practical part consists of activities, which can help the pedagogues to incorporate a disadvantaged child such as this boy to the day-care group. From the findings it is clear that an insulation pump does not have any underlying influence on day to day activities in day-care centre however it makes it easier for the family and the unwell child.
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Nutrition of diabetics treated with the continual insulin pump
VALOVÁ, Barbora
My bachelor thesis focuses on nutrition of diabetic people with continuous insulin pump. The theoretical part describes diabetes mellitus as a disease. In this part I describe you treatment possibility and also I introduce you the way of eating. In my research there were involved ten respondents, who suffer from diabetes mellitus and all of them were treated with continuous diabetic pump. This research includes two parts. At first I want to findout and evaluate rating habits of diabetics who have insulin pump. And I will compare these results with recommendation of Diabetic Czech Society. To reach this, I used record dairy, where I follow these parameters: eaten food, measured blood glucose value and physical activity for 1 week. For second part of this research I use interview. I try to find out how patients, who live with continuous insulin pump evaluated their current rating habits. From analysed data it is clear that respondents have much less calorie intake than they really need. Despite the fact that most respondents have right food composition forms with recommendation of CDS. Amount of cholesterol in their diet do not exceed daily recommendation about 300 mg per day. On the other hand recommended daily dose offibres 30 grams and in our case respondents received half less. About 11 grams per day. The assessment of interviews shows that the diabetics are satisfied with continuous insulin pump. Thanks to this, they do not have to follow regular regime. They are also able to work in places where the regular regime is not possible. These results can be used as a study material for diabetic people who are treated with continuous insulin pump. Study material could be a leaflet in diabetic clinics.
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Paediatric nursing care of patients with type 1 diabetes mellitus on insulin pumps.
MARŠÁLKOVÁ, Blanka
The purpose of this thesis was to familiarise the care for the child patient with diabetes mellitus type 1, which is treated using an insulin pump. To highlight not only the positive aspects of this therapy, but also the difficulties that cause the paediatric patients and their parents' fear of change in treatment. The theoretical part comes from academic literature, credible scientific articles and Internet resources. It explains the nature and cause of the disease, highlights the acute and chronic complications, further clarifies the treatment using the insulin pump while it precedes the treatment of insulin pens and does not forget the role of a nurse, who is an irreplaceable element in the treatment and should be an equal partner of the physician and a support for the child and their parents. The empirical part establishes research goals, on which four research questions were based. Data were analysed by qualitative research using half standardized interview techniques, secret observation with content analysis of data. The first objective was to determine whether the family caring for a child with type 1 diabetes mellitus notice differences in care during the transfer from the insulin pen therapy to treatment with insulin pump. The second objective was to set out to determine the readiness of children with type 1 diabetes mellitus and their parents for treatment with an insulin pump. The third objective was to identify complications occurring in a paediatric patient with type 1 diabetes mellitus treated using an insulin pump. The fourth objective examined the role of nurses in treating children with type 1 diabetes mellitus using an insulin pen, insulin pump, and the transition from insulin pen therapy to treatment with an insulin pump. The research questions were as follows: 1. What are the differences in perception of family caring for a child with type 1 diabetes mellitus in its transition from Treatment using insulin pen to treatment using insulin pump? 2. Are the children with Type I diabetes and their parents using the given information relating to the change of treatment? 3. What complications occur in a child patient with Type 1 diabetes mellitus treated with insulin pump? 4. What are the roles of nurses in caring for a child with Type I diabetes mellitus treated with insulin pen, insulin pump, which has been transferred from treatment with insulin pen to an insulin pump therapy? Results of the investigation will help children with type 1 diabetes mellitus and their parents with better understanding of insulin pump therapy and will be used as a form of presentation during one of the educational meetings.
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Nursing care for patients suffered from diabetes mellitus, with severe eye disorder, being cured with insulin pumps
NOVÁKOVÁ, Kateřina
The reason why the issue of diabetes mellitus is a frequent topic is that diabetes is ranked among the most frequent diseases of infant as well as adult age. Diabetes has been accompanying the mankind for several centuries and the long-term research into diabetes treatment has brought substantial changes in recent years. From the original treatment, which our grand-parents still remember, by means of metal needles and metal syringes via disposable syringes with integrated needles, treatment with insulin pens, an insulin pump is becoming a great revolution in diabetes treatment. More and more diabetics are being converted to the insulin pump treatment and it is becoming a routine work of diabetologic nurses. Diabetologic nurses are those who are responsible for mastering the specifics of nursing care about diabetics during education in conversion to the insulin pump treatment. The late diabetes complication ? diabetic retinopathy is one of the most frequent indications for introduction of insulin pump treatment. The visual impairment caused by diabetic retinopathy means remarkable limitation for a diabetic in activities that might be a problem for a person without visual deficit. This is why these problems inspired me to elaboration of my Bachelor Thesis called ?Nursing care about patients with diabetes mellitus with heavy visual impairment, treated by insulin pump?. The theoretical part deals with the diabetes mellitus disease in general. It briefly summarizes definitions and the disease history, causes of occurrence and clinical picture of diabetes with complications. It also focuses on diabetes treatment. We are detailing the problems of diabetic retinopathy, visual impairment, insulin pump treatment and the specific of nursing care linked to the insulin pump treatment. The practical part is aimed at selected targets and research questions. The research sample consists of six respondents, diabetics with heavy visual impairment treated by insulin pump. Deep semi-standardized interviews were conducted with the respondents, extended by observation of the respondents during mastering the insulin pump operation. Sets of questions relating to the selected targets and research questions were prepared for all the respondents. The interviews were elaborated into case reports the research data into the output tables. Observation of the respondents during mastering the insulin pump operation was recorded into a prepared observation sheet. The output data were used for drawing conclusions and elaboration of recommendation for diabetologic nurses for providing nursing care to diabetics with heavy visual impairment, treated by insulin pump. The conclusion of the thesis summarizes the data obtained from interviews with the respondents and observation of the respondents during mastering the insulin pump operation and recommendation of possible procedures in problems arisen in providing nursing care to diabetics with heavy visual impairment, treated by insulin pump. This Bachelor Thesis may be applied as educational material for future medical staff ? students of secondary schools, higher professional schools and colleges focused on health care. It may also be used as study material for improvement of awareness among general nurses working not only in hospitals, but also external nurses from home care agencies at public seminars for general nurses.
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