| Popis: |
The aim of this bachelor thesis is to examine the cooperation of a nurse and nutritional therapist while taking care of the client with diagnosed ulcerative colitis. The paper is divided into a theoretical and practical part. In the theoretical part the author deals with the anatomy and physiology of the colon, the characteristics of ulcerative colitis, its etiology and pathogenesis, clinical picture, complications, diagnosis, treatment and special measures regime. Here, it discusses nursing care for clients with ulcerative colitis, preparation of a client for an endoscopic examination and client´s informative education. The final chapter of the theoretical part focuses on the multidisciplinary team, workplace relationships and after that nurse and/or nutritional therapist competences. The qualitative research was carried out for the empirical part of the thesis. The selected method of data collection was semi-structured interviews with nurses, nutritional therapists and patients with ulcerative colitis. These clients were deliberately selected providing that they have been currently or lately hospitalized in the inpatients departments due to the deterioration in health concerning ulcerative colitis. Interview questions designed for nurses regarded the availability of a nutrition therapist for their department, co-operation with this specialist, educational materials available along with the way the nurse educates the patient and nurses' knowledge of the issue. Nutrition therapist questions focused on their collaboration with nurses in inpatient departments, information transmission, clients´ education and their feedback collection. At the interviews with clients we determined dieting and raising awareness of the diet, the source of the acquired information and the interest of nurses to improve the nutrition of each client while hospitalized. On the basis of respondents' answers, we successfully worked out responses to research questions. Research question no. 1 how nurses collaborate with nutritional therapists in the care for patients with ulcerative colitis in the inpatient department- emerged that nurses in these departments did not come in contact with nutritional therapists at all, so they could not cooperate so that the exchange of essential information would take place only by reading through the client's medical record. Furthermore, from nurses' and clients' statements, the way a nurse primarily educates a client with ulcerative colitis in terms of nutrition is commonly just done by giving out printed information brochures or leaflets available at the department. The prime source of nutrition information for clients is usually their physician while diagnosing. Clients can learn more thanks to nurses, nutrition therapists and they also search for information themselves. Four out of five respondents claimed they still do not have enough relevant information about their diet. Attention must be given to ensure clients get to reliable information sources in order not to be a subject to the misleading information presented on the Internet and therefore for instance stick to improper diets. Education provided by nurse and nurses' knowledge in this field can thus have a direct impact on client´s health as much as the collaboration with a nutritional therapist, which could help the nurse to test the client's knowledge of nutrition therapy education. The acquired knowledge can demonstrate the importance of multidisciplinary collaboration not only in the care of clients with diagnosed ulcerative colitis but also the significance of nurse´s education, which is often needful support and safety for the client during his hospitalization. |
