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Nursing care after upper limb replantation
KOVÁČOVÁ, Michaela
The theoretical part of this thesis first deals with the anatomy of an upper extremity, then it provides an introduction into traumatology, where a reader learns about amputation injuries, particularly about the types of amputation injury and the elementary first aid in such injuries. Further on it concentrates on the pre-surgery preparation for patients with indication to replantation, the course of the operation, post-surgery care and nursing care for patients after replantation in the upper extremity. The goal of this bachelor thesis was to examine the specifics of the nursing care for patients after replantation in the upper extremity. Nurses caring about such patients have numerous uneasy tasks, which they have to fulfil dutifully and with consideration. To be able to provide these patients with the care corresponding with the standards of nursing care, nurses have to have sufficient knowledge, which was the second goal examined within this thesis. Quantitative methodology was chosen for the achievement of these goals in the practical part. Semi-structured interviews related to the research questions were prepared. The survey sample set consisted of nurses working at the department where amputation injuries are sent most often, the trauma surgery department. We found out that if nurses are not sure how to proceed in the care and do not know the exact principles, they either turn to a physician or to a more experienced colleague. The school curriculum in terms of replantation seems insufficient. As summarization and revision of procedures have their importance, preparation of a seminar Nursing Care for Patients after Replantation in the Upper Extremity appears to be reasonable and helpful for nurses providing care to patients with these problems.
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Clinical Anatomy of the Arteries of the Trumb and the First Web Space
Miletín, Jakub ; Kachlík, David (advisor) ; Stingl, Josef (referee) ; Měšťák, Ondřej (referee)
The thumb is absolutely essential for the flawless function of the hand, and the loss of the structure or function of the thumb almost always means a partial or total invalidation of the patient. Thus, salvage and reconstruction of the thumb is one of the foremost topics in hand surgery. Modern conservation and reconstructive procedures of hand surgery require a completely new insight into the knowledge of vascular anatomy. In order for the information to be comprehensible and well communicated, it is necessary to have a sufficiently detailed, clear and, above all, uniform nomenclature. When taking a closer look at the anatomy of the vessels of the hand, it turns out that authors often do not use generally accepted terms or do not agree on the interpretation of the correctly used ones. The above stated facts led us to the conclusion that, although the anatomy of the hand arteries seems to have been well studied and described in the past, there is still considerable room for sorting out the previously described data, revising the nomenclature, completing the missing detailed description of some anatomical variations and assessing the significance and usefulness of individual structures in relation to trauma and reconstructive hand surgery. This work describes in detail the systemic and topographical...
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The level of public knowledge in giving first aid to the patients after traumatic ampuation.
HRDINOVÁ, Simona
The bachelor thesis on the topic "The level of public knowledge in giving first aid to the patients after traumatic ampuation." consists of two parts. The first part is theoretical, where the anatomy of the limbs, distribution and levels of amputations are described. Furthermore, first aid for the general public and first aid performed by paramedics are described. This part also includes the competencies of a paramedic. In this work, the issue of replantation and complications after amputation is also mentioned. The second part of the bachelor thesis is devoted to the practical part thanks to quantitative research using semi-structured anonymous questionnaires. The main goal of the research was to find out whether the general public has sufficient information about first aid after traumatic amputation. After evaluating the data, it was found that most respondents had about half of the questions correct. This bachelor's thesis can be beneficial for medical disciplines, but also for the general public who are interested in the issue.
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Amputation injuries and their treatment
VITERA, Ondřej
This bachelor's thesis called loss "Injuries and the treatment" is divided into two parts, a theoretical one and a practical one. The theoretical part is at its beginning focused on the history of amputation injuries. These are described from the very first references in Paleolithic up to nowadays. Subsequently, amputations are sorted out according to their location on human body. Considering the topic of amputations, the issue of phantom limb and replantation is also described. A part of the thesis is also devoted to non-professional first aid during loss injuries and to professional aid provided by medical rescue workers during pre-hospital urgent aid. The practical part includes a qualitative research using semi-structured interviews. The aim of the qualitative research is to compare first aid knowledge of loss injuries by joinery students, general nursing students and medical rescue worker students. On the basis of this aim, three research questions were given in the qualitative research. These questions were made to find out the first aid knowledge of medical rescue workers, general nurses and joiners. Due to the topic of the thesis, professional medical training of joiners was examined. For gaining necessary data, interviews with 12 participants were carried out. These participants were discussing 10 questions and their answers were recorded with their prior approval. These data were further divided into 11 categories. The research survey showed that those medical rescue workers who were interviewed had insufficient knowledge of the issue of loss injuries. The survey also showed that general nursing students had insufficient knowledge of non-professional first aid and joinery students had insufficient medical training. Despite these shortages, the results can be used for deeper and more specific understanding of this issue and for optimization of provided healthcare. This knowledge can be useful not only for the examined fields of study but also for non-expert public.
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