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How to meet needs of seniors in hospital care.
Bláhová, Hana ; Holmerová, Iva (advisor) ; Macková, Marie (referee) ; Kisvetrová, Helena (referee)
The submitted dissertation of the PhD study programme Longevity Studies was prepared and financially supported by the project GAUK - Grant Agency of Charles University No. 760219 entitled "Met and Unmet Needs Of Particularly Vulnerable Older Patients in Home and Inpatient Care", of which I am a co-investigator. The mentioned research project is also in the intentions of the strategic plan and long-term activities of the research team CELLO (Center for the Study of Longevity and Long-Term Care), which is the scientific basis of the PhD study programme Longevity Studies. The main goal of the GAUK project is to provide a comprehensive overview of the needs of vulnerable older patients who are provided health care. The project is focused on three areas, which are: the needs of patients with dementia, the needs of geriatric patients at home and the needs of geriatric patients in hospital care. Partial goals are the exploration of current knowledge of the issue based on a review of Czech and foreign literature. The aim of the survey is to find out attitudes and opinions on satisfying needs from the perspective of patients and healthcare professionals. The practical goal is to create recommendations for good practice for the health care of these patients. The dissertation consists of a total of seven...
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Meeting the needs of patients with chronic obstructive pulmonary disease
Čejková, Denisa ; Tomová, Šárka (advisor) ; Křivková, Jana (referee)
The intention of the thesis was based on an exploratory investigation to determine whether the needs of patients with COPD varies depending on the stage of the disease. The work is divided into theoretical and empirical part. The theoretical part is divided into three chapters. The first slew characteristic of COPD, its diagnosis and subsequent treatment. The second deals with the classification of needs, motives and consequences that arise for patients insufficient meet the needs. The third part focuses on the specifics of treating patients with COPD. In the empirical part presents the results of quantitative research, which was conducted via questionnaire. Questionnaires were distributed to hospitalized patients with chronic obstructive pulmonary disease in stage II, III and IV on the second clinic of Pneumology, University Hospital Motol. Exploratory survey was conducted anonymously, from July to December 2017. The main criterion for selection of respondents were diagnosed with COPD, good physical condition, mental well-being and willingness of patients to share their feelings. A total of 76 patients were approached, of which three savings would not participate. From the exploratory investigation showed that patients II. stages are distinctly identified needs, than patients in stage III and IV....
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Problems for ensurance of treatment and illpersons´needs who are treated in a hospital for a long time or at home-care as seen by nurses
GUIDOVÁ, Hana
Abstract The objective of nursing care is to maintain an individual self-sufficient for as long as possible, to improve their quality of life and to provide orientation or life programme in psychical and social activities. A need arises from a feeling of insufficiency or excess in biological, psychological, social or spiritual fields. This thesis addresses the issue of provision of nursing care and satisfaction of patients{\crq} needs in sanatoriums and in home care from the view of nurses. The thesis comprised quantitative research made by means of questionnaires completed by 64 nurses from 6 addressed sanatoriums and 9 home-care agencies. The bachelor{\crq}s thesis attempted to ascertain opportunities for provision of health care and satisfaction of lower and higher needs. Three hypotheses were raised. The first hypothesis was focused on nurses providing home care and claimed that they provided their clients with more comprehensive nursing care. The results of the research have confirmed this hypothesis. Nurses from home-care agencies provide professional health care and satisfy lower and higher needs at the same time. Nurses working in sanatoriums satisfy lower and higher needs less than nurses providing home care. The second hypothesis addressed influence of the type of organization on satisfaction of clients{\crq} needs. This hypothesis has been confirmed by the results of the research. Nurses providing home care have more room to meet the needs than nurses working in sanatoriums. The third hypothesis concerned the question whether nurses providing home care have more room for satisfaction of higher needs than nurses in sanatoriums. This hypothesis has also been confirmed on the basis of the results. The research revealed that a part of nurses working in sanatoriums have little time for satisfaction of lower and higher needs. Regrettably, the answer that satisfaction of these needs is not necessary and even if it was, there would not be time for that was not exceptional. An approach to nursing care and patients{\crq} needs has been undergoing continuous development. What used to be sufficient in former times is not sufficient at present. I believe that it would be useful for nurses to recommend them making use of education to a larger extent. They should realize the needs arising from illnesses since satisfaction of these needs is a part of the therapeutic process. I would also recommend that heads of sanatoriums and home-care agencies should obtain more quality compensation equipment and modern medical supplies, and consider the number of nursing staff as compared to the number of treated clients since provision of quality nursing care is the aim of every nurse.
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Nurses´opinion on regulation fees in public health care in connection with nursing care provided
SALOTOVÁ, Jana
This bachelor work is focused on regulation fees in public health care that sere introduced in the Czech Republic on 1/1/2008. The issue of regulation fees in public health care is a very delicate and discussed topic at present, still filling front pages of newspapers, magazines and television programs after almost a year. The work is divided into theoretical and practical part. The theoretical part lists the principles when the regulation fee is and is not to be paid. We mention also the protective limit and the office job related to collection of regulation fees. We describe the situation abroad to give an idea how regulation fees work in neighbouring states. The practical part of this work had three goals. The first goal was to find out how nurses perceive the introduction of regulation fees in public health care. The second goal was to find out whether the regulation fees affect the nursing care provided, and the third goal of our research was to find out what nurses consider the most problem-loaded area within the regulation fees. Those goals were met. Research questions were set on the base of the goals. How nurses perceive regulation fees in public health care, what they would like to change in the collection of regulation fees, what the provided nursing care should look like from the nurses{\crq} point of view and what they consider the most problem-loaded area within the regulation fees. The research questions were answered. Qualitative investigation, questioning method were used to process the bachelor work. The data collection was implemented in the technique of non-standardized structured interview. Our inquiry took place in the Nemocnice České Budějovice a.s. and the Nemocnice Strakonice a.s. hospitals. The nurses{\crq} answers were processed into twenty pieces of casuistic. The investigation took place in February 2009. The results of our bachelor work could serve as feedback for the hospitals where the investigation was implemented. Subsequently they could contribute to create a united form for collection of regulation fees, both from the point of view of payment and of office work. Further the results could serve to support cooperation between the patient and the health care staff. I would also suggest training events for health care staff so that they are able to master problem-loaded situations. For example how to approach a patient who refuses to pay the regulation fee. I would suggest regular training events also for ward sisters and head nurses in the area of legislation of regulation fees.
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SCLEROSIS MULTIPLEX LIKE AN ENFORCED LIFESTYLE
JAKEŠOVÁ, Lucie
My thesis deals with the quality of life in patients with multiple sclerosis. Multiple sclerosis affects mainly persons at the productive age, i.e. between 20 and 40 years of age. As a consequence patients become disabled. I my thesis I describe symptoms of this disease, its clinical picture, causes and origin and also consequences. I am concerned with patient´s psycho-social changes as well as changes in patient´s quality of life as a consequence of the disease. For the practical part I used the quantitative research. Respondents were selected at random with regard to stratification. The techniques of a semi-standardized interview and a questionnaire were used to collect data. The research was conducted in the nursing home Domov Svateho Josefa (St Joseph´s Home) in Zirec at Dvur Kralove nad Labem in November 2007 with eight respondents, six women and two men. The objective was to examine the impacts of multiple sclerosis on the quality of patients´ lives. The targets of my research were also to find out if the help granted by state is sufficient, if the disease affects patients´ family and social relations and if the patients themselves are familiar with all the ways how to get the support from government institutions in terms of some subsidy. The results of the research show that the patient´s quality of life has changed as a consequence of the disease both in the economic respect and the respect of social relations. Most patients are not informed enough on all the possibilites how to get financial aid from government organizations and therefore they do not apply for any subsidy. The suprising finding was that most patients are satisfied with the state support and policy. I was reassured in my belief that there are not enough accessible indoor, as well as outdoor service providers. This is the reason why most patients stay away from social life and do not enter into social relations. Therefore my suggestion is to improve the accessibility to public areas. It is also necessary to enhance awareness of the disease not only in the public but also in patients themselves. The patients with multiple sclerosis often do not know all the opportunities how to improve quality of their lives.
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Hospices and Care Based on Individual Needs of the Patient
SEKYRKOVÁ, Michaela
This diploma work deals with hospice and a quality of care given to the clients of the hospice, that fully covers complex needs, changing during a life limiting illness, taking in account the dignity of the human being to the very last moment of his life. This care is a promise for a man, that he won´t be alone in the burdensome moments of his life. There are a hospice management and various forms of hospice care in Czech Republic described in a theoretical part of the work. This chapter is to be a handbook for providing companionship to the dying person and is to draw our attention not only to the changing priorities of the dying person and to stages, that he is to go through, but to an irreplaceable role of a caregiver at his bed. In a practical part of this work there are investigated the attitudes of the caregivers in hospice and public to the process of dying of the human being. The founded results of the research show, that people finding themselves in a final stage of the life-limiting illness change their priorities; the spiritual needs become more important, especially to attain a peace with self, with other people; clients trusting in God long for consilience with God; the results of the research show however, that most public is not familiar enough with the problem of dying and death, and that there is generally low knowledge on how to provide companionship to the dying person.
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