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Nursing care of children with cleft lip and palate
PRÁŠKOVÁ, Kateřina
This bachelor thesis deals with the nursing care of children witch cleft lip defects and palate. The prevalence of cleft defects has decreased thanks to modern prenatal diagnosis, but cleft palate and cleft lip are still at the top of the ranking among the most common congenital developmental defects. The thesis is divided into two parts, a theoretical part and an empirical part. The theoretical part describes the anatomy and physiology of the oronasal region, prenatal care, classification of cleft lip and palate, history of treatment and current surgical treatment, nursing process and multidisciplinary care. In this bachelor thesis three objectives were set. The first objective was to determine the nutritional nursing care of children with cleft lip and palate defects. The second objective was to determine the nursing care after surgery for a child with cleft lip and palate defect. The third and final objective was to determine parental awareness of cleft lip and palate defect in their children. The research investigation of the bachelor thesis was conducted through qualitative research in the form of a case study. The case study includes a description of the situation, a description of the factors that caused the situation, a description of the procedures used and their impact on the resolution of the situation, and in particular an evaluation of the resolution of the situation and, where appropriate, suggestions for further action. The content structure became case studies: the characteristics of the client and his/her initial situation. To obtain this information, an analysis of medical records, nursing documentation, child observation and the nursing process was carried out to create a detailed nursing case history of children with the problem using the Nanda Taxonomy II. Based on the information obtained, we developer a nursing plan for two children with surgical correction of this defect. Categorization of the case study was done. According to the detailed analysis of the nursing case studies, we have created categories and subcategories, which are discussed and described in detail under each scheme. The research investigation was conducted in a specialized unit dedicated to the treatment of developmental defects of the lip and palate in pediatric patients. The research was conducted from February to mid-April 2023. Parents of children with cleft defects were interviewed to supplement the information. All of this information that was found is completely anonymous. The interview included a total of 23 pre-designed questions. Individual interviews were recorded on a mobile phone and then transcribed verbatim into Microsoft Word. Then, the parents´ interviews were analyzed and categorized using the pencil-paper method. Based on the research investigation, it was found that care is provided individually, according to the congenital defect in the lip and palate and the extent of its damage. This determines the timeliness of surgical treatment and associated nutrition. A detailed analysis of the nursing process and the creation of nursing diagnoses related to the specific patient with a congenital defect in the lip and palate region was performed. The research revealed that careful professional awareness of the parents was taken care of. Despite the fact that mothers reported sufficient awareness, some sought further information on the internet and/or in leaflets from the doctor. In terms of nursing care for children after surgery, these children are hospitalized as soon as possible after birth. These early surgeries are done for faster healing and from a psychological point of view. This bachelor thesis can be used in theoretical teaching in nursing process focused on surgical issues. In my opinion, this thesis could also be used to expand the awareness of cleft defects among health care professionals in practice.
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Benefits and complications of surgical treatment of pharmacoresistant epilepsy
Vrzalová, Marie ; Marková, Eva (advisor) ; Želízková, Marta (referee)
The aim of this thesis was to evaluate the benefits and complications of surgical treatment of refractory epilepsy. The criterion for the selection of patients was undergoing preoperative long-term monitoring. Information were obtained from six patients after 2-3 years r of surgery using the narrative interview and questionnaire QOLIE 89, which evaluates the quality of life. The interview was analyzed using grounded theory while the information obtained from questionnaire were used only as supplement and comparison of the results. Overall evaluation of questionnaire QOLIE 89 was in standard in five of six patients which is against the results obtained in interviews. Comparing risks and complications with benefits of surgical treatment of refractory epilepsy in the observed group was evaluate as problematic. Patients expected more positive benefit of the treatment and improving the quality of life. Keyword: epilepsy, surgical treatment, nursing care, quality of live
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Surgical treatment of Brachial plexus birth palsy and possibilities of Physiotherapy
Šolcová, Monika ; Zounková, Irena (advisor) ; Horáček, Ondřej (referee)
Obstetrical palsy of upper limb results from a perinatal lesion of brachial plexus nervous bunch. The incidence of this disease ranges from 0.42 to 5.1 / 1,000 live births. If the palsy isn't diagnosed early and treated adequately, child will be threatened by major consequences later. This work provides the reader with the current view on the surgical treatment of patients with brachial plexus birth palsy. It gives a comprehensive overview on early neurosurgical intervention and secondary orthopaedic reconstruction. It submits opinions on indicating criteria. It describes the main charakteristic and results of operations. It refers to the fact that the choice of a surgical procedure can be essential in therapy. The aim of this work is also to characterize the fundamental aspects of postoperative physiotherapy, which simultaneously goes along with the process of intervention therapy. The practical part of this work includes a case of a patient after a neurosurgical performance. It describes the preoperative examinations, the performed surgery and the implementation of postoperative rehabilitation.
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Patient's perception of illness - Surgical treatment of breast cancer
Bittnerová, Barbora ; Vachková, Eva (advisor) ; Matulová, Jana (referee)
Author: Barbora Bittnerová Institution: Charles University Faculty of Medicine in Hradec Králové Institute of Social Medicine, Department of Nursing Title: Patient's perception of illness - Surgical treatment of breast cancer Supervisor: Mgr. Eva Vachková, Ph.D. Number of pages: 99 Number of appendixes: 6 Defended in: 2020 Key words: breast cancer, surgical treatment, perception of illness, prevention, disease This bachelor thesis deals with breast carcinoma and its impact on patients' lives. Recognises patients' concept of breast carcinoma and recognises the patient's insight on possible causes of breast cancer. Theoretical part is dedicated to breast anatomy, division of breast cancer, possible surgical treatments of breast carcinoma, breast cancer prevention and definition of patient's concept of illness. Empirical part is based on acquired information from questionnaire survey. Recognises and compares concept of this illness before and after surgical treatment of breast carcinoma and whether the patient's concept of illness changes based on chosen surgery method. Furthermore, it focuses on finding out the patient's insights on possible causes of the creation of breast carcinoma.
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Clinical and nursing aspects of patients treated surgically for HPV-related ofopharyngeal tumours
Báťová, Linda ; Zábrodský, Michal (advisor) ; Jankovcová, Kateřina (referee)
Introduction: Oropharyngeal tumours belong to the most common malignancies situated in the head and neck area. In the past, their incidence has been associated with classical risk factors (smoking and alcohol use). In the recent years, the increase of oropharyngeal carcinomas resulting from HPV (human papilloma virus) infection incidence has been observed. The change of their aetiology also implies a number of clinical differences, the most important being a significantly better survival prognosis in patients with HPV+ carcinomas. Aims: The main goal of this thesis was to characterize correctly patients with oropharyngeal carcinomas and to identify different specifics of nursing intensive care for these patients. Methods: The quantitative prospective study involved 30 patients following their surgical treatment of oropharyngeal carcinoma, hospitalised in an intensive care unit. The patients were divided into 3 groups: HPV+ non-smokers, HPV+ smokers, HPV- smokers. Results: The study confirmed the demographic differences between individual patient groups. The HPV+ non-smokers group is characterized by a lower age in average, which is significantly reflected in a reduced duration of hospital stay. In addition, opioid administration rate, infection rates and postoperative complications incidences are...
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Optimalised indications for microsurgical and endovascular treatment of intracranial aneurysms.
Štekláčová, Anna ; Beneš, Vladimír (advisor) ; Přibáň, Vladimír (referee) ; Zvěřina, Eduard (referee)
Univerzita Karlova v Praze 1. lékařská fakulta Autoreferát disertační práce Optimalizace indikací chirurgického a endovaskulárního ošetření intrakraniálních aneurysmat Anna Štekláčová 2018 2 Doktorské studijní programy v biomedicíně Univerzita Karlova v Praze a Akademie věd České republiky Obor: Neurovědy Předseda oborové rady: Prof. MUDr. Karel Šonka, DrSc. Školicí pracoviště: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN, Praha Školitel: Prof. MUDr. Vladimír Beneš, DrSc. Disertační práce bude nejméně pět pracovních dnů před konáním obhajoby zveřejněna k nahlížení veřejnosti v tištěné podobě na Oddělení pro vědeckou činnost a zahraniční styky Děkanátu 1. lékařské fakulty. 3 Obsah Abstrakt - Česky ..................................................................................... 4 Abstract - English ................................................................................... 5 Úvod........................................................................................................ 6 Hypotézy a cíle studie............................................................................. 6 Materiál a metody ................................................................................... 7 Výsledky...
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Treatment of a Patient after microdiscectomy of L4/L5
Evangelou, Angela ; Vomáčková, Helena (advisor) ; Ptáčková, Markéta (referee)
Title of the thesis: Treatment of a Patient after microdiscectomy of L4/L5 Thesis aim: This thesis involves a case study approach regarding to a patient after microdiscectomy of L4/L5. The thesis is divided into theoretical part which describes the anatomy and physiology of vertebral column and intervertebral disc. It also contains surgical and rehabilitation approach. The second is a health chart which contains the procedures I have done with my patient, all the examinations, conclusions, therapies and results. Methods: The practical part is based on a female patient of age 32, after microdiscectomy of L4/L5. The study consists of the initial kinesiologic examination, 4 practical therapy sessions and 3 theoritical sessions. It consist also the final kinesiologic examinations. All methods used were non-invasive. Result: After the therapy sessions my patient had a progress. Range of motion was increased, muscle tone and length was improved. The therapies have shown to be very effective concerning my patient's diagnosis.
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Benefits and complications of surgical treatment of pharmacoresistant epilepsy
Vrzalová, Marie ; Marková, Eva (advisor) ; Želízková, Marta (referee)
The aim of this thesis was to evaluate the benefits and complications of surgical treatment of refractory epilepsy. The criterion for the selection of patients was undergoing preoperative long-term monitoring. Information were obtained from six patients after 2-3 years r of surgery using the narrative interview and questionnaire QOLIE 89, which evaluates the quality of life. The interview was analyzed using grounded theory while the information obtained from questionnaire were used only as supplement and comparison of the results. Overall evaluation of questionnaire QOLIE 89 was in standard in five of six patients which is against the results obtained in interviews. Comparing risks and complications with benefits of surgical treatment of refractory epilepsy in the observed group was evaluate as problematic. Patients expected more positive benefit of the treatment and improving the quality of life. Keyword: epilepsy, surgical treatment, nursing care, quality of live
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Women stress urinary inkontinence in the public eye
Košická, Kateřina ; Kulhavá, Miluše (advisor) ; Hošťálková, Monika (referee)
Context: Stress urinary incontinence is the most frequent form of urethral incontinence of urine and affects a significant number of women. Almost half of women affected by this condition will not seek professional help even if it is causing them psychosocial difficulties, which urinary incontinence often brings. I work in the operating room of the Gynecology - Obstetrics Clinic at the General University Hospital "U Apolinare", where I participate in the treatment of Stress urinary incontinence. This is why I chose this topic for my Bachelor thesis. Goal of the research: The main goal of my Bachelor thesis was to analyze the prevalence of Stress urinary incontinence among the public. One of my subgoals was to determine the number of women affected by Stress urinary incontinence and how they were informed about this issue before they consult the doctor. I wanted to assess if women are afraid to speak about their difficulties in front of medical staff. The most effective treatment of the Stress urinary incontinence is surgical treatment. I wanted to find out if women were satisfied with the results. Description of the used methods: The thesis is divided into two sub-units, one theoretical, which comprehensively introduces readers to the issue. It describes the anatomy, pathophysiology basis of...
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