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The Specifics of Nursing Care for Patients after Resection of the Tongue on Oral Suregery Department
Havlínová, Petra ; Sojková, Monika (advisor) ; Hocková, Jana (referee)
This thesis deal swith the specifics of nursing care for patiens with a resected tongue in the oral surgery department. The objectives of this work include focusing on the basics of care for patiens after a tongue resection and the most common problems nurses may encounter hen caring for these patients. The work consists of two parts: the theoretical and empirici parts. The theoretical part describes the field of dentistry and oral surgery, anatomy and physiology of the oral cavity. It also deals with orofacial surgery and the actual tongue resection procedure with a focus on nursing care for patiens after wards. In other chapters of the theoretical part we can read about the most common nursing problems in patiens after a tongue resection. In addition, the twelve patterns of health in Marjory Gordon's nursing model will be described for the empirical section. The empirical part is devoted to the research investigation. The thesis describes the metodology and organization of the research investigation. This was a qualitative research, the method of data collection was to create three case reports or case studies with follow discussion. Key words Carcinoma of the tongue, Tongue resection, Oral surgery, Dental care, Nursing care
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The Specifics of Nursing Care for Patients after Resection of the Tongue on Oral Suregery Department
Havlínová, Petra ; Sojková, Monika (advisor) ; Hocková, Jana (referee)
This thesis deal swith the specifics of nursing care for patiens with a resected tongue in the oral surgery department. The objectives of this work include focusing on the basics of care for patiens after a tongue resection and the most common problems nurses may encounter hen caring for these patients. The work consists of two parts: the theoretical and empirici parts. The theoretical part describes the field of dentistry and oral surgery, anatomy and physiology of the oral cavity. It also deals with orofacial surgery and the actual tongue resection procedure with a focus on nursing care for patiens after wards. In other chapters of the theoretical part we can read about the most common nursing problems in patiens after a tongue resection. In addition, the twelve patterns of health in Marjory Gordon's nursing model will be described for the empirical section. The empirical part is devoted to the research investigation. The thesis describes the metodology and organization of the research investigation. This was a qualitative research, the method of data collection was to create three case reports or case studies with follow discussion. Key words Carcinoma of the tongue, Tongue resection, Oral surgery, Dental care, Nursing care
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The Specifics of Care about a Patient after Dental Surgeries
CHUMOVÁ, Edita
This bachelor's dissertation deals with the specifics of attendant care for a patient after dental treatment. The term ?dental treatment? is not the synonym just for a surgical dental extraction. This term includes more forms of medical treatment, which are demanding for the surgeon as well as for the patient. Such patient needs a quality attendant care after the treatment, care represented by a nurse. The nurse is acquainted with the specifics of the care and knows how to look after the patient. The dissertation contains a theoretical as well as practical part. The introduction of the theoretic part consists of basic terms of stomatology and dental surgery, followed by an introduction into the anatomy and oral cavity physiology. The basic information is accompanied by information about stomatology investigation and cooperation of a nurse with a doctor. The dissertation continues with the most frequent diseases in dent alveolar and maxillofacial dental surgery. This is followed by preoperative preparation, divided into preparation for a planned treatment, which is long-term, short-term and immediate; preparation of the patient in local anaesthesia; urgent unplanned treatment and preparation of patients who are being cured on long-term bases with anticoagulative treatment. Later emerges a topic, which contains interventions executed at the patient after the treatment, together with the requested standards of the nurse looking after these patients. The theme of oral cavityhygiene, nutrition and pain is essential. There are also stated communicational and educational skills of a nurse and the final care for the patient practiced with the help of orofacial area rehabilitation. The practical part contains a quality examination via a semi structured dialogue consisting of 24 questions. The examination sample is represented by nurses from Nemocnice České Budějovice, a.s., who look after dental surgery patients, it means nurses from dental ambulances, ORL (ear-nose-and-throat) and ophthalmological departments. It was found out during the examination survey that these patients are looked after at the department of traumatology as well. The dialogues are absolutely anonymous with the respondent?sfree choice. After the agreement of the respondents and the sister ward the dialogues were recorded on a dictaphone of a mobile phone. The examination took place at the beginning of the month of March. The semi structured dialogue contains basic characteristics of the respondent. The next part of examination was to find out, which patients after dental treatment are looked after by the respondents in their departments most often. Questions typical for the examined areafollowafter the introduction into the problematic, this means question dealing with taking meals, hygiene and education, the dialogues are further enriched with more unplanned questions. The record of the dialogues is registered in the bachelor?s dissertation in the form of a transcription and the results are dealt with via the categorization. For this examination there were stated three examination questions. The examination question 1: What is the specific of taking meals with the patient after a dental surgery? Examination question 2: What is the specific of oral cavity hygienic care with the patient after a dental surgery? Examination question 3: How does the nurse educate a patient after a dental surgery? The results of our dissertation are going to be accessible to the students who meet these patients during their practices, and for nurses who look after these patients. The results will serve to enrichment or completion of information in the field of after-treatment care for these patients. That is why the received information was dealt with as an information material, accessible in electronic version. The form of the information material is stated in the enclosure (Enclosure 4).
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Care for the oral cavity in a hospitalized patient
CINCIALOVÁ, Kateřina
The term oral hygiene includes a set of measures to prevent the origination of parodont and hard tissues and their progression. These ailments belong to the most common and frequent ones despite the fact they may be prevented by appropriate care and by the proper choice of oral hygiene aids. The most frequent problems are dental decay, dental plaque, gum disease. For each of us, good oral hygiene practicing daily is essential for preventing troubles mentioned above. During hospitalization patients often alter their habits and modes because of the disease and the stay out of home. In patients who are not self-administering and patients with limited capabilities it is the nurse who is in charge of providing the oral hygiene. Each nurse´s priority should be to meet all the patient´s needs and the proper oral hygiene is one the basic ones. I set four aims in my thesis. The first was to find out patients´view of the oral hygiene level at hospitalization. The second aim was to describe the standards of oral hygiene the particular ward offers the patients. The third aim was to compare opinions of self-administering and non self-administering patients. The fourth aim was to compare the role of a nurse in providing oral hygiene for self-administering and non self-administerin patients. The results of my research confirm the first hypothesis {--} hospitalization brings about changes in oral hygiene. Also the second hypothesis proved to be right {--} during hospitalization oral hygiene worsens in patients because they do not have enough possibilities to carry out all the procedures they are used to. The third hypothesis was confirmed, too. Nurses are familiar with oral hygiene aids and know how to use them. The fourth hypothesis that nurses do not ask patients to tell them what their oral hygiene habits are was true. I conducted the research by the questionnaire method and the method of a stuctured interview. The research samples were nurses and patients in following units - neurological, internal, surgical and orthopaedic - in the České Budějovice hospital, Inc. and in the Tábor hospital. Inc. The results of this research could be used as a feedback for hospital management to help improve patients´oral hygiene. It is necessary to take some measures in this respect. Nurses should be more active in getting information about patients´ oral hygiene aids and their hygienic habits. They should ensure the highest patients´comfort possible. Then their efforts will be rewarding.
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