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Specifics of child patient care in pre-hospital emergency care
POLESOVÁ, Kristýna
A child is not a small adult. It differs from an adult in anatomical, physiological, pathophysiological and metabolic systems. Specifics are also reflected in the approach and communication with the patient. Knowledge of the specifics of childhood is an essential part of all healthcare professionals who care for paediatric patients. In emergency care, this is doubly true. In the Czech Republic, paediatric care is provided to patients from birth to 18 years + 364 days of age. The bachelor thesis is divided into theoretical and practical parts. The theoretical part deals with anatomical and physiological differences of childhood and the specifics of care for a child patient. The thesis describes the paediatric protocol with its use in practice, care for newborns in pre-hospital emergency care and there are specified procedures of procedures necessary to secure a child patient. Furthermore, the theoretical part elaborates the basics of pharmacology in emergency care and alternative routes for drug administration. The thesis also deals with the issue of communication with the patient, the rights of the child, immobilization and transport of a child patient and acute conditions. In the bachelor thesis, 3 goals were set. The first objective was to clarify the specifics of care for a child patient in pre-hospital emergency care. The second objective was to investigate the specifics of communication in the care of a child patient in pre-hospital emergency care. The third objective was to map the specifics of care for a child patient from the perspective of a paramedic. The empirical part of the bachelor thesis was processed by a qualitative method, in the form of semi-structured interviews. The research sample consisted of 10 paramedics from the South Bohemian Region. The research was conducted from March to April 2023. The obtained data was processed and described. In the research part, 3 research questions were identified. The first question examined the specifics of care for a child patient in pre-hospital emergency care. Research has shown that the specifics relate mainly to the anatomy and physiology of the child, pharmacology, different aids, procedures and communication. The second question dealt with the specifics of communication in the care of a child patient in pre-hospital emergency care. All informants found great pitfalls in communicating with the child. Above all, they mentioned the importance of a kind approach, patience and directing communication primarily to the child patient. The third question mapped out the specifics of care for a child patient from the perspective of paramedics. The results of the research have shown that they perceive specifics primarily in the anatomy and physiology of the children's body. Among other things, also in access and communication. Paramedics have expressed fear and apprehension about caring for a critically ill child.
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The Care of the Holocaust Survivors and its Specifics
Pončová, Radka ; Havrdová, Zuzana (advisor) ; Peterová, Zuzana (referee)
The master's thesis called The Care of the Holocaust Survivors and its Specifics is divided into a theoretical and practical part. The theoretical part is based on a premise that the specifics of the Holocaust survivors' care have three resources: the Holocaust trauma, the age of the elderly survivors, and Judaism. This part of the thesis discusses the Holocaust aspects and its impacts on the psyche of the survived victims, especially focusing on post-traumatic stress disorder as well as the consequences for the next generation, the children of survived Jews. Moreover, the following issues are examined: Judaism and the community life, the system of the special care of those survived, with regard to social and psychological services. The next chapter concentrates on the specification of this care differences and also of the elderly needs. The second, practical part of the thesis is based on the qualitative research conducted by the method of interviews with experts working with the target group of the survivors. The half- structured interviews imply that the survivors form a group of clients whose needs are partly different from the common elderly population and for whom the care reacting to their needs is preferable by most experts. However, it is impossible to generalise; each elderly who has not...
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