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Nutrition and movement among patients with dementia in > nursing homes
Mesl, Jan ; Matoulek, Martin (advisor) ; Živný, Jan (referee)
Not only the ageing population, but also the pitfalls of the current lifestyle represented by high caloric intake and negligible physical activity lead to a significant increase in civilisation diseases, the most prominent of which are obesity, type 2 diabetes and hypertension. All of these, but not exclusively, contribute to the rise in neurodegenerative diseases such as dementia. This bachelor's thesis deals with the nutritional status and physical fitness of clients with dementia syndrome in a residential care home (one of the types of residential social care facility). The aim of the thesis was to perform nutritional screening, obtain body mass composition values and assess the nutritional status of this group of people. Another aim was to assess the physical fitness status and muscle volume. The research was conducted in the beginning of 2023 (from January to April) among the clients of the residential facility in the Home Velké Březno near Ústí nad Labem. Self- managing clients with different degrees of dementia syndrome were included in the research. A total of 31 people participated in the research, 25 women and 6 men with an average age of 79 years. Each participant underwent a standardized nutritional MNA screening, body mass composition was measured using the InBody S10 device, and...
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Educational needs of activity coordinators in the nursing homes
LUKESCH, Vít
The thesis deals with the educational needs of activity coordinators in the nursing homes. The theoretical part characterizes nursing homes, their function, services, their legislative definition and then focuses on the elderly, their needs and the changes they undergo in old age. It also describes activation activities in the nursing homes, focusing on the characteristics of activity coordinators and specific activation activities. The theoretical section concludes with a discussion of adult education in the context of selected theories of human needs and adult motivation for further learning. Furthermore, the general principles of adult education and the current situation in the education of activity coordinators are described. The practical part includes qualitative research in which aspects that influence the educational needs of activity coordinators in the nursing homes were identified and evaluated. A total of five activation workers from three different nursing homes located in the South Bohemia region participated in the research.
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The issue of evaluating and alleviating pain in the elderly in nursing homes
PANOVA, Vladislava
The bachelor's thesis "The issue of evaluating and alleviating pain in the elderly in nursing homes" deals with research into the nursing care of elderly people with pain who are permanently housed in social facilities, so-called nursing homes. The research was conducted in selected homes for the nursing homes in the South Bohemian Region. The thesis consists of two parts: theoretical and empirical. The theoretical part is divided into 3 individual chapters. The first is about gerontology and geriatrics, it describes different perspectives on aging, aspects of old age, society's view on the elderly, etc. The second clarifies the concept of pain and related areas: anatomy and physiology, collection of patient history, therapy, etc. The third tells about social facilities and legislation. The empirical part was carried out by a qualitative research investigation, using a semistructured interview method. Data analysis took place in the form of open coding, using the "pencil and paper" method. The codes created further were classified into individual categories and subcategories. According to the obtained data, we can say that nurses are well informed about the methods of pain assessment of their clients based on standardized methods and personal experience while working with them. They know well the pharmacological and nonpharmacological methods of pain relief and they are excellent at cooperating with the members of the multidisciplinary team who oversee implementing some of the given methods. In addition to the good aspects, the lack of a certain standard for the assessment of pain in seniors suffering from dementia syndrome is discovered, which needs to be created in the future not only for social, but also for medical facilities. The results of the bachelor's thesis can be used for further research in the field of nurses' work in social facilities and nursing care for elderly people with pain and inability to express themselves verbally.
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Satisfaction of clients in retirement homes with nursing care
KOTKOVÁ, Stanislava
The diploma thesis " Satisfaction of clients in retirement homes with nursing care" maps out clients´ contentment in nursing homes and simultaneously also how general nurses influence this contentment. With extending lifespan, the number of seniors who need institutionalised care is growing. Placing a senior in a nursing home and thus leaving his/her original home can influence his/her general contentment. The theoretical part deals with the changes in old age, nursing care of seniors, communication with seniors and contentment. The research part was implemented through a quantitative research construct with seniors through a structured interview based on a questionnaire. The second part was implemented through a qualitative research construct with general nurses through an in-depth interview. The aim of quantitative part of the thesis was to detect clients´ contentment with provided nursing care in nursing homes. There were 3 hypotheses determined. H1: Clients´ contentment in nursing home changes depending on gender. Based on the research construct, it emerged that contentment of nursing home clients does not change depending on gender; therefore, this hypothesis was refused. H2: Nursing personnel influences positively contentment of nursing home clients. Based on the research construct, it emerged that the nursing personnel influences positively contentment of nursing home clients, therefore this hypothesis was confirmed. H3: Contentment of nursing home clients changes depending on their self-sufficiency. This hypothesis was neither confirmed nor refused. Based on the research construct, it emerged that the clients´ contentment changes partially, depending on their self-sufficiency. The aim of the qualitative part was to identify factors influencing contentment of nursing home clients from the point of view of a nurse. For this target, one research question was determined. RQ1: How can nurses influence contentment of nursing home clients? From results it emerged that nurses can influence contentment of nursing home clients by all what they do for clients by their willingness and helpfulness. It was revealed that clients´ contentment is influenced not only by providing essential biological needs, such as hygiene, help with eating and hydration. Clients´ contentment is influenced by nurses´ presence and well-elected communication. From the research construct, it emerged that communication is perceived by nurses as one of the basic factors of contentment. The reason of this fact is that communication helps to get closer and thus the clients can feel more like at home. Furthermore, it emerged that seniors are influenced by nursing personnel, decent dealing and handling as well as by the environment where they live. The obtained results might be provided for the management of nursing homes and thus they might contribute to better quality of provided nursing care. Based on the results, an interactive seminar with nurses might be organised, which would focus, for example, on the field of communication, manipulation or self-sufficiency support of the clients.
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Cooperation between health care staff and social workers in retirement home
PETROVÁ, Lucie
The subject of this bachelor thesis is discussing cooperation between health care and social care professionals in nursing homes. The aim of this thesis is to show the meaning and importance of this symbiosis for making sure that all clients' needs are met. The work is structured into 4 chapters. First chapter is a brief characteristics of the specifics of senior age. Second chapter then describes care homes, their mission and what they focus on. The categories of different social and health care workers usually found in care homes are discussed in the third chapter. The last and the most important part deals with the cooperation between the professionals. This part is complemented by experience examples which then show the importance and meaning of the cooperation between above mentioned health and social care professionals.
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Quality of life and Physical Self in Senior Population
Polívková, Aneta ; Fialová, Ludmila (advisor) ; Hošková, Blanka (referee)
Title: Quality of life and Physical Self in Senior Population Objectives: The main aim of this thesis is to analyze the quality of life of the elderly with respect to the place where they live and the level of physical activities performed in the past and present. Respondents are divided into those living in nursing homes and those who live in their natural environment. In particular, we want to find out whether these two groups differ in the given areas of life or not. Another criterion by which we divide and compare the respondents is the amount of physical activity in the past and present. The aim of this division is to determine the effect of physical activity on the current quality of life of the elderly. Methods: The selected means of obtaining information for our thesis was a paper questionnaire. After analyzing several questionnaires focused on quality of life, the SQUALA questionnaire was selected. We used statistical methods for nonparametric data to evaluate the results. Results: The results confirmed the relationship between physical activity and a higher level of quality of life. On the contrary, we have refuted the expectations of a better quality of life in the health dimension of seniors living at home. Furthermore, we found out that seniors living in nursing homes overall rated...
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Quality of life of elderly people living in a retirement home
Šimánková, Simona ; Mareš, Jiří (advisor) ; Kutnohorská, Jana (referee)
Name and surname of the author: Simona Šimánková Institution: Charles University, Faculty of Medicine in Hradec Králové, Department of non- medical studies Title: Quality of Life of elderly people living in a retirent home Supervisor: prof. PhDr. Jiří Mareš, Csc Number of pages: 105 Number of of attachments: 7 Year of defense: 2020/2021 Keywords: Quality of life, gerontology, geriatrics, senior, old age, aging, health, illness, social care, nursing homes The bachelor's thesis deals with the issue of quality of life in a home for the elderly. The bachelor thesis is divided into theoretical and empirical part. In the theoretical part we discuss the concept of quality of life in a general context and quality of life focused on the quality of life of seniors. Furthermore, the theoretical part deals with the issues of old age, aging, geriatrics and gerontology, the needs of seniors, describes the changes that the elderly population is facing. The work also notes the various social care options for seniors, treatments for the elderly and health problems faced by older seniors. The empirical part is focused on determining the quality of life of seniors in the home for the elderly Oasis in Nové Město nad Metují. The research is conceived in the form of a mixed approach. In the quantitative part, an...
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Activation Activities in Nursing Homes
PAVELKOVÁ, Dominika
The Bachelor thesis is focused on the theme Activization activities in senior houses and deals with providing activization activities in the Senior House U lesíka Znojmo. The key objective of the Bachelor thesis was to research providing of activization: the form and type of activization activities, the process of activization activities, tools, the education of activization workers, the benefits of activization and SWOT analyse of activization activities) in the senior house. Partial objective was to research activities of a social worker in the context of providing activization activities. The Bachelor thesis is divided into two parts. It consists of a theoretical and practical part. The theoretical part contains information on activization activities, a senior house and ageing. The practical part was written on the base of the main research question: How are the activization activities provided in the senior house?; and partial research questions. The practical part was processed by a qualitative research and by a specific questioning method. The used technique of a semi-structured interview was done by three social workers, four activization workers and five users of the senior house. Results of the research show that social workers are satisfied with the course of activation activities in Nursing Home. Activation workers are not satisfied some of the questioned persons are satisfied with the activization activities and some of them has comments to the actual providing of activization activities. Unsatisfied are activation workers and users with premises and aids used in activation activities. Suggestions for better providing of activization activities are included in the resume of the Bachelor thesis. The Bachelor thesis will be used as a feedback for the Centre of Social Services Znojmo - The Senior House, where the research was made with the written consent of its director. The research results will be used to improve providing of activization activities in mentioned facility.
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Nutrition of seniors with Alzheimer's dementia
STAŇKOVÁ, Simona
The aim of the bachelor thesis is to evaluate, whether the nutrition state of the patients suffering Alzheimer's Disease is influenced by care provided. Using the qualitative research method, five patients suffering Alzheimer's disease from nursing home Velke Mezirici were compared to five patients suffering the same disease being provided home care. Semi-structured dialogues with nurses in nursing homes were used as well as dialogues with the nurses providing homecare. The aim was to elicit the level of patients' self-sufficiency, the chance of malnourishment and caregivers' burden. Another part was one-week recording of the food and liquids intake, which was consequently put in the NUTRISERVIS application to find out the amount of energy, nutrients and liquids intaking. Based on the BMI, the energy value and nutrients need were counted by every patient and the results were later compared to the results provided by NUTRISERVIS application. The research proves that the quality of the menus is usually better in nursing homes, which is caused by the nutrition specialist and planning the menus in advance as well as checking the patients' nourishment. By patients treated in the homecare, the menus are usually monotonous and not satisfactory. The reason seems to be not enough information about the importance of balanced menus or the lack of time of caregivers. The limits according to the NUTRISERVIS application are closer to the predetermined limits in nursing home Velke Mezirici. However, both by the nursing home and by the homecare there is a problem with the intake of both fluids and fiber. Based on the interviews done, it is obvious that most the participants do not take the link between Alzheimer's Disease and the nourishment into account. Having the menus regularly checked, however, is necessary by all the patients. What is more, homecare is preferred by the most of the patients that were asked. The thesis should be beneficial for homecare patients' caretakers. At the same time, it proves that the correct nourishment and menu making might have a positive effect on patients' well-being. The results provided should be taken into consideration by the nursing homes as well.
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