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Continuity in the care of newborns at risk
DUCHKOVÁ, Marcela
Neonatology is a field of medicine in which immense progress has been seen during the past two decades. As the frontiers of this area are shifting forwards, ethical problems and issues regarding the quality of life of the rescued infants and children grow in importance. Now it is clear that the development and health of children that were endangered in the perinatal period should continue to be followed up by healthcare professionals, sometimes for many years. Ideally, this care should seamlessly follow hospital care. It was the aim of this work to examine how this continuity of care of high-risk newborns is implemented in practice. This Thesis consists of 2 parts: theoretical and practical. The theoretical part analyses the differentiation of newborn care as outlined in the Bulletin of the Czech Ministry of Health; defines the categories of newborns; and explains the basic terms used in the specific domain of high-risk newborns. Foreign experience in the provision of medical care at hospitals as well as in the continuing care after discharging from the hospital for home care is outlined. The empirical part of the Thesis was compiled based on qualitative research survey, accomplished with 3 aims in mind. The first aim was to map what type of care is provided to high-risk newborns at the Intensive Care & Resuscitation Unit of the Plzeň Teaching Hospital and who provides it. The second aim was to ascertain how the parents perceived their role during in-patient care of their babies and how they were educated and engaged in providing the care. And the last aim was to ascertain how the parents appreciated and liked the follow-up system at the Developmental Care Centre. It was found by the survey that the responders (mothers) appreciated most the comprehensiveness of the care provided by the Centre. They found the care adequate, beneficial and motivating. In their view, the desired care continuity had been achieved. The results attained within the empirical part will be presented at a workshop of the perinatology centre.
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Role of special educator in the family of a child with disabilities at an early age
Králová, Veronika ; Šumníková, Pavlína (advisor) ; Květoňová, Lea (referee)
In the thesis on the role of special educator in the family of a child with a disability at an early age to deal with the issue of early care. Now through early care are special educator comes into direct contact with the family of a child with a disability at an early age and plays an essential role in the life of a family. The work outlines the normal development of a child at an early age, I deal with family situations in which a child is born with a disability. I clarify the concept of early care and all of what this entails. Then monitors the situation in early care services in the region Kladno, primarily services the two main providers of early intervention in this region, Kolping Family Center Smečno and help vulnerable children Rosa Kladno. The practical part is based on qualitative research methods in the form of an interview with mothers of children with disabilities using the services and facilities listed through dialogues with employees providing these services. The aim of my work is to find out what the situation is in providing early care Kladno, what are its specifics, benefits, advantages, disadvantages.
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