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Case study of physiotherapeutic care of patient after an operation with fracture of neck of femur
Kuběnová, Jana ; Vrbová, Martina (advisor) ; Veselá, Irma (referee)
Title of bachelor's thesis: Case study of physiotherapeutic care of patient after an operation with fracture of neck of femur Summary: This bachelor's thesis was compiled on the base of intership on department of orthopedic University Hospital Královské Vinohrady. The main objective of this thesis is to theoretically pose question about fracture of neck of femur. It contains of two parts. The first part is theoretical, where I wrote about anatomy, kinematics, traumatology, medical and physiotherapy methods focused on neck of femur. The second part is decicated to the casuistry of the patient after injury of neck of femur. The fracture was treated by osteosynthesis with dynamic hip screw (DHS). Keywords: physiotherapy, case study, osteosynthesis, fracture of neck of femur, dynamic hip screw
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The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty
Čechová, Alena ; Pavlů, Dagmar (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty. Aim: The aim of this thesis is to analysis a theoretical knowledge about stroke and total hip arthroplasty and elaboration of physiotherapy treatment schedule in the form of an patient with these two diagnosis case study. Methods: This bachelor thesis elaborate stroke and total hip arthroplasty for femoral neck fracture. The thesis is divided into two parts - general and special. I deal with patient's diagnosis in general part of thesis. I describe ethiopatogenesis of stroke, ischemia in carotid artery in detail and I deal with chronic stroke rehabilitation. Further I elaborate anatomy and kinesiology of hip joint, femoral neck fracture and its treatment. In the end I combine these two diagnosis because femoral neck fracture is common complication of a stroke. Special part include case study of a patient with ischemic stroke and total hip arthroplasty. The physiotherapy treatment is described here in detail, also input and output kinesiology analysis, short - term and long - term therapy plan and evaluation of therapy effect are here. The case study was processed during my internship in the Military University Hospital in Prague at the Department of Physical Medicine and Rehabilitation in the...
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The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty
Čechová, Alena ; Pavlů, Dagmar (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty. Aim: The aim of this thesis is to analysis a theoretical knowledge about stroke and total hip arthroplasty and elaboration of physiotherapy treatment schedule in the form of an patient with these two diagnosis case study. Methods: This bachelor thesis elaborate stroke and total hip arthroplasty for femoral neck fracture. The thesis is divided into two parts - general and special. I deal with patient's diagnosis in general part of thesis. I describe ethiopatogenesis of stroke, ischemia in carotid artery in detail and I deal with chronic stroke rehabilitation. Further I elaborate anatomy and kinesiology of hip joint, femoral neck fracture and its treatment. In the end I combine these two diagnosis because femoral neck fracture is common complication of a stroke. Special part include case study of a patient with ischemic stroke and total hip arthroplasty. The physiotherapy treatment is described here in detail, also input and output kinesiology analysis, short - term and long - term therapy plan and evaluation of therapy effect are here. The case study was processed during my internship in the Military University Hospital in Prague at the Department of Physical Medicine and Rehabilitation in the...
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Nursing Care for seniors after hip joint fracture at after care Unit
JORDÁKOVÁ, Jitka
A femoral neck fracture is the most frequent injury among seniors. The solution is very demanding because of the senior polymorbidity. The treatment depends on the patient's overall condition whether the surgical or the conservative approach is applied. The aim of the work was to examine the specifics of the nursing care for a patient with a femoral neck fracture at a subsequent care department, further possibilities of subsequent care after the release from the subsequent care department and the quality of cooperation with the patient's family at the subsequent care department. Four research questions were set to achieve the goals. What specific activities do nurses apply to the nursing care for a patient with femoral neck fracture at a subsequent care department? What are the risks for a senior patient with femoral neck fracture? What are the possibilities of the further care for a patient after the release from the subsequent care department? What are the important areas of the cooperation with the family of a patient with the femoral neck fracture? Qualitative research was applied to the bachelor thesis preparation and the data collection was performed by means of semi structured interviews with nurses from the subsequent care department. The research results have shown that the nursing care for patients after the femoral neck fracture requires individual adaptation to each patient according to his/her condition, with the focus on the complex care, the risks or possible complications. It was also found out that the further possibilities of the care after patient release are dealt with by a social worker, who helps the patient's family find a social facility for the patient or provides information on possible home care. It was also found out that the cooperation with the patient's family is an individual matter and depends on the family relations. A multidisciplinary seminar focused on the issue of the nursing care for patients after the femoral neck fracture (Annex 1) is the output of the bachelor thesis.
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Case study of physiotherapeutic care of patient after an operation with fracture of neck of femur
Kuběnová, Jana ; Vrbová, Martina (advisor) ; Veselá, Irma (referee)
Title of bachelor's thesis: Case study of physiotherapeutic care of patient after an operation with fracture of neck of femur Summary: This bachelor's thesis was compiled on the base of intership on department of orthopedic University Hospital Královské Vinohrady. The main objective of this thesis is to theoretically pose question about fracture of neck of femur. It contains of two parts. The first part is theoretical, where I wrote about anatomy, kinematics, traumatology, medical and physiotherapy methods focused on neck of femur. The second part is decicated to the casuistry of the patient after injury of neck of femur. The fracture was treated by osteosynthesis with dynamic hip screw (DHS). Keywords: physiotherapy, case study, osteosynthesis, fracture of neck of femur, dynamic hip screw
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Algorithm of imaging methods of injuries of the neck of the femur in the case of seniors
TOČÍKOVÁ, Miluše
The bachelor thesis deals with the incidence of femoral neck injury in the elderly. The work is divided into a theoretical and practical part. As the number of people of retirement age is growing, the rate of injuries associated with this age group has been increasing as well. It is necessary to accept the idea that age is a stage of human life, which every individual must eventually face. A femoral neck fracture is one of the causes of mortality and morbidity in the elderly. The incidence of this injury has been increasing both in developed countries and in the Czech Republic. A femoral neck fracture represents a threat for mobility and independence of seniors. Some people are then permanently dependent on mobility aids, while others remain in institutional care. The most common cause of femoral neck fractures in the elderly is a fall on their side, which is caused by a complex interaction of external and internal factors. The first imaging method used during a medical examination is sciagraphy, which is one of the oldest methods. It allows physicians to assess the preoperative condition of the hip joint and postoperative check-ups during the treatment by alloplasty or perioperative condition with the use of osteosynthesis. It is beneficial for the above-mentioned group of people to carefully assess the bone metabolism. A healthy bone is constantly reconstructed, it continuously breaks down and a new bone replaces it. With age, the degradation of bone prevails over bone formation and the bone begins to "thin". This disease is called osteoporosis. It is a disease that pertains to the civilisation diseases. It is often only diagnosed at an advanced stage, when it is already increasingly susceptible to fracture incidence. The factors of osteoporosis include an unhealthy lifestyle, hormonal changes in women after menopause, when there is a decrease in the level of calcium, a major weight loss etc. A painless, non-invasive method, by means of which a doctor can obtain comprehensive information about the amount of bone mineral in the examined part of the bone, is a densitometry test, or DXA. This test uses x-rays at two energy levels. The DXA method can be measured as a whole-body mineral content as well as any other part of the body. Other causes, which increase the risk of a femoral neck racture, are bone metastases. The proximal portion of the femur, including the femur neck, metastatically affects especially primary lung cancer, kidney cancer, thyroid, breasts in women and prostate in men. At an early stage, bone metastases are asymptomatic. Clinical symptoms such as pain can occur, when the metastatic process penetrates the periosteum and surroundings of the bone, thereby irritating the neural structures. Another symptom is the emergence of pathological fractures. Bone metastases are helping us uncover laboratory tests and diagnostic imaging methods, which include, for example, scintigraphy. Bone scintigraphy can detect a metastatic process much earlier than X-ray examination. The aim of the work was to describe the principles of individual imaging methods, which help doctors to determine the correct diagnosis, to learn more about the femoral neck injury in the elderly and about causes of their ocurence. Moreover, the two hypotheses were established: 1. The most frequently used method in case of a femoral neck injury is skiagraphic examination. 2. That is why more than a half of femoral neck injuries are diagnosed in the elderly. The practical part was elaborated on the basis of a quantitative research. The data needed for the research were obtained from case studies of patients hospitalized in the orthopedic department of the Hospital Tábor a.s., in the period from 1st April 2014 to 31st March 2015.
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