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Nurses's interventions in urgent conditions in otorhinolaryngology
LAIBRTOVÁ, Markéta
This thesis deals with the acute conditions in otorhinolaryngology (ENT), mostly with hemorrhage and dyspnoe, and with the nurse's intervention which are done at the patients with this conditions at the Otorhinolaryringology Standard Depatrment, the ENT Intensive Care Unit and at the Department of Anesthesiology and Resuscitation. The theoretic part is devoted to description of acute conditions in the ear, nose and throat area in general. Next it is focused on the dyspnoe in ENT, what are the causes, symptoms, therapy and if it's neccessary what are the ways of securing the airways. Then in connection with dyspnoe is described nursing care. The next chapter is focused on the acute conditon which is hemorrhage. Here is described from wich areas could patient bleed, what are the causes of hemorrhage, symptoms and therapy. The last chapter is focused on desctiption of nursing care at patients with hemorrhage. Three research objectives were defined in the empiric part of this bachelor thesis: Find out the interventions are performed in patients with acute condition in otorhinolaryngology. Map if the nurses are sufficiently prepared to provide nursing care to the patients with acute condition in ENT. To achieve the determined objectives qualitative research was used. Data collection was done through semi-structured interviews with 24 nurses from the Otorhinolaryringology Standard Depatrment, the ENT Intensive Care Unit and the Department of Anesthesiology and Resuscitation.The obtained information was processed by open coding, paper and pencil interviewing. The results showed that the provided interventions are similar for the particular acute contidion. The differences are only in some interventions. In case od bleeding from nose cavity, oral but also from surgical wound the provided interventions are very similar. I tis very important to inform the doctor about the acute contidiont with subsequent cooperation and fulfillmetn his surgeries. The performed interventions are mostly focused on the care of bleeding, administation of medicaments or blood derivatives and on the monitoring of the vital sings. In case of occurrence the acute dyspnoea the doctor is informed again and then is followed according to his surgeries. Performed interventions are focused on the monitoring of vital sings, administration od medicaments and if it is necessary on the airway management. In case of airway management the interventios are focused on nursing care of patients with tracheostomy. In finding out the readiness of nurses it was found that in their opinion they are prepared for the acute conditions in ENT.
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