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Negative emotional states as a cause of relapse in the context of aftercare - case study
Poláchová, Petra ; Vondráčková, Petra (advisor) ; Jandáč, Tomáš (referee)
Background: Treatment and aftercare experience shows that addiction clients do not orient themselves to their experience, perceiving it as threatening with a habitual tendency to avoid it. Negative emotions can act as triggers for relapse, for this reason it is important to pay attention to the topic of emotions also in the aftercare phase. Aims: The aim of this paper is to describe how negative emotional states and so-called core emotions contribute to the maintenance of addictive behaviour in the aftercare phase. In the practical part, the therapeutic work with a client is presented, focusing on the treatment of two relapses, within the theoretical framework of the cognitive-behavioral model of relapse prevention and using elements of the psychotherapeutic approach of Emotion- Focused Therapy. Methods: A qualitative research method was chosen in the form of a case study of a client of a aftercare centre who had experienced two relapses. Ethical aspects of the work were observed. Results: The case study illustrates the client's motivation to avoid negative emotional states through the use of alcohol, thereby easily achieving the necessary calming and release from intrapsychic and external environmental pressures. Two main sources can be considered as triggers for relapses: feelings of loneliness...
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Gambler in the family
KNOROVÁ, Vanda
The diploma thesis Gambler in the family deals with the topic of gambling, with a specific focus on the issue of gambling in the family. It focuses on family members and examines the phenomenon of gambling from a family perspective - it analyzes its impact on individual family members and examines whether this impact is the same or different in different families. The main goal of the diploma thesis is to examine gambling from multiple angles, the influence of the various components on the successful cure of pathological gambling, from the perspective of the family (dominant perspective), from the perspective of society and from the perspective of the helping organization. First, the researched problem is described from a theoretical point of view, and then qualitative research is carried out, in which the researched problem is analyzed in more depth. The main method used in the empirical part is qualitative research, in which the influence of the above components on the pathological player and his treatment process is examined through a research tool - a semi-structured interview. For a more comprehensive picture of the diploma thesis, case studies are added - case studies focusing on individual cases of gamblers and serving as a comparison for similar cases.
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Biochemical predictors of the treatment failure in pediatric IBD patients
Zárubová, Kristýna ; Bronský, Jiří (advisor) ; Hrdý, Jiří (referee) ; Petrášová, Miroslava (referee)
Up to 20 % of patients with IBD (inflammatory bowel disease) is diagnosed in childhood, the course of the disease tends to often be more severe and the treatment more difficult than in case of adults. Therefore, it is necessary to commence or eventually change the treatment in order to prevent development of complications. Early detection of relapse plays significant role for further course of the disease and general prognosis of the patient. Changes to laboratory parameters (e.g. to the level of fecal calprotectin) can significantly prevent the development of clinical symptoms and may indicate the necessity for control endoscopy, further escalation or change in therapy. The primary focus of this thesis are patients who underwent surgical bowel resection, who constitute one of the risk groups. Studies show that as many as 70 % of patients suffering from Crohn's disease reach the point of bowel surgery within the first 10 years of the diagnosis. According to the results, a promising predictor of relapse of the disease seems to be serum albumin, which may relate to the overall nutritional status of the organism. We have also examined the effectivity of using fecal calprotectin and CRP as relapse predictors. Testing directly in the resected bowel did not prove usability of calprotectin as a predictor,...
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Family psychoeducation and relapse prevention in psychotic disorders
Pleštilová, Lenka ; Bankovská Motlová, Lucie (advisor)
Relapse prevention is a primary long-term clinical goal in treatment of psychotic disorders. Pharmacotherapy by itself is not sufficient, because compliance of patients in remission is usually low and there are more factors contributing to relapse, especially stress of patients resulting from emotionally demanding situations in the family. PREDUKA (PREventive EDUcational programme for relapse prevention) is a six-hour professionally-led group programme for patients with psychotic disorders in ambulant therapy and for their relatives. In a field questionnaire survey we mapped 1) theoretical knowledge of participants, 2) usage of practical advice obtained from PREDUKA and 3) general benefit of programme. Participants from years 2007 - 2009 were included. The sample consisted of 14 patients and 22 relatives, 27 women and 11 men. The average age of patients was 28,6 years, that of relatives 44,4 years. High return of questionnaires from patients confirms their goodwill to cooperate. Knowledge of participants about psychosis and their therapy is very good, compliance of patients from our sample is high. Participants usually follow advice obtained from PREDUKA. Common is the ignorance of important phone numbers (crisis centre, attending psychiatrist), so we suggest to include a page in a workbook for these dates....
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Psychosocial aspects of cancer in adults
Škardová, Kateřina ; Arnoldová, Anna (advisor) ; Ventura, Václav (referee)
Anotation: The diploma thesis " The Psychosocial Aspects of Cancer in Adults" deals with problems of the psychosocial aspects of the oncological disease and its command by adults patient.The theoretical part engages in individual phases of disease and its consequences of patient's life. It also deals with basic ethical problems which are connect with this disease. The theoretical-practical part states the basic forms and methods of supportive oncological care and it demonstrates the propsal for its classification. The practical part is elaborated by the form of interviews. The first interview was accomplished with the hospital chaplain woman and the following interviews with oncological female patiens. The main aim of the thesis is to alert to problems of the psychosocial disease aspects whose solution should be the inseparable component of the complex oncological care.
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Activity in a prepartum and postpartum period with patient suffering from miltiple sclerosis
Řeháková, Anna ; Pavlasová, Lenka (advisor) ; Ehler, Edvard (referee)
An activity in a prepartum and postpartum period with patients suffering from multiple sclerosis The theme of the bachelor thesis is an activity in a prepartum and postpartum period with patients suffering from multiple sclerosis. In the theoretical part, the multiple sclerosis itself is characterized with all its main features. The second part of the theoretics is focused on the relation between MS and pregnancy. The practical part works with the hypothesis that the health state improves during pregnancy, but unfortunatelly worsens after the birth, considering the brest-feeding. The goal of this work is to confirm this hypothesis. To conclude, the hypothesis was confirmed, except the fact that brest-feeding has a significant influence. Key words: multiple sclerosis, pregnancy, childbirth, brest-feeding, disease activity, attack, relapse, disability Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.
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Schizophrenia: Impact on quality of life
Konopásková, Veronika ; Ondrušová, Jiřina (advisor) ; Nová, Monika (referee)
Veronika Konopásková Schizophrenia: Impact on quality of life Annotation The goal of the thesis is to understand the impact of schizophrenia on quality of life of the patient. Schizophrenia is defined and its most common forms and symptoms are presented. I describe the origin, course and prognosis of the disease. I focus on the concept of relapse and suicide risk in patients with schizophrenia. Treatise on the treatment is divided into psychosocial and biological methods. I deal with the concept of Quality of life in general and in connection with schizophrenia. I discuss the problem of stigmatization of the mentally ill patients. The example of three selected organizations (Baobab, ESET-HELP, DPS "Ondřejov") illustrates the wide range of psychosocial rehabilitation programs offered for mentally ill. To capture authentically all aspects of life with schizophrenia, I conducted three in-depth interviews with persons diagnosed with schizophrenia. Key words: In-Depth interview, Mentally ill, Psychosocial rehabilitation, Quality of life, Relapse, Schizophrenia, Stigmatization, Suicide Summary My thesis deals with the impact of schizophrenia on quality of life. The concept of schizophrenia, its forms, symptoms, origin, course and prognosis were presented. I focused on the concept of relapse and suicide risk in...
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The Relapse of Alcohol Abuse and Quality of Life After a Ortotopic Liver Transplant
Česneková, Magdalena ; Vacek, Jaroslav (advisor) ; Drastich, Pavel (referee)
Foundations: Alcohol consumption affects negatively the whole organism and the organ that is damaged most often is liver. Liver diseases start developing subsequently. A whole range of diseases, from the lighter forms such as steatosis to a serious, life-shortening illness - the liver cirrhosis, can be caused by alcohol consumption. The degree of alcohol impact on liver depends on its dosage and length of usage. The degree of liver damage does not depend on the kind of the alcoholic drink but rather on its dosage. An important role in development of serious forms of liver diseases is played by other risk factors (mostly genetic) besides volume of consumed alcohol (Schiff et al, 2007). Therapeutic procedures for people with alcoholic liver damages include above all change of lifestyle including abstinence from alcohol consumption, ideally complete abstinence from cigarette smoking, weight reduction if indicated, and nutritional and farmacological therapy. Liver transplant surgery is required in serious cases. The main aim of my thesis is to chart and describe whether the quality of patients' everyday lives improves after liver transplant. In particular, I intend to focus on the physical, mental, and social areas of their lives. Another objective of this paper is to find out whether the patients'...
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Day treatment programme for psychotic disorders and relapse prevention
Petráňová, Dana ; Bankovská Motlová, Lucie (advisor)
Day treatment programme is clinically-based 6-week structured integrated programme for out patiens with schizophrenia, best after first attack, when patients need psychological support as soon as possible to cope with their illness and with reality,that they have to use drugs. The programme is led by psychiatrist and nurse-therapist. The group day treatment programme consists of individual and family psychoeducation,social skill training, life style improvement intervention, cognitive remediation and information aided relapse prevention programme ITAREPS. The principal aim of day treatment programme i afford place for psychiatric rehabilitation and surmount stage after release from hospital. Combination of all those interventions is more effective. And by this way doctors try to improve quality of patient"s life and make easy return to society. Although they try to educate patients and their families to recognize early warning signs of relapse. Main problems are: recognize illness,bad manipulation with informations,changing relapse and remissions,stigma of schizophrenia in society,support in family. Patients have to know,that they are ill. They have to understand, that if they take pills every day, the relapse does not come. And they will take pills, if they will understand, why is it so important. They...
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How a drogue ex-user see a period of his addiction
Hronková, Veronika ; Kubišová, Zuzana (advisor) ; Hauser, Michael (referee)
Subject: How a drogue ex-user see a period of his addiction. Abstract: The work focus on the actual situation of ex-users. These people were fighting with an addiction and now they are a part of the majority society. The qualitative research, inspired by a grounded theory, try to approach their point of view. What they think about their past and how do they see their relations with a family, friends and a vicinage. Not just in that period but nowadays as well. Relationships with home-folks are stigmatized by a degree of drug addiction. The smaller addiction the smaller losses. Once a drug user is falling down into the drug trap, the losses depend on how deep he will fall. On the bottom there are no friends, no family, just nothing. Some of the drug users do not fall to the bottom, they do their decision earlier. We call that decision a break point ( a moment when they decide to abstain). A break point comes individually and it is connected to an "interior border" of each person. Anyway, it is a moment, when an individual concerned decide to live a different way. It is a very intense moment and very fundamental for a abstinence success. We have used an interview to study not just this phenomenon. During the interview we tried to find out how a life looks with and without an addiction. Key words: addiction,...
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