7 research outputs found
Used Methods of Social Work by Patients Hospitalized in the Psychiatric Hospital Červený Dvůr
This diploma thesis focuses on the issue of social work conducted in the Psychiatric Institution Červený Dvůr, which specializes in the treatment of addiction to habit-forming substances. The social work in this institution is part of the therapeutic process and it is an important tool for dealing with social consequences. The theoretical part of the thesis introduces the issues of social work, social worker's role in health service and social services for the target group of people addicted to habit-forming substances. This part is also marginally devoted to the issues of addiction and social work with persons who have problems with habit-forming substances. The practical part is realized using qualitative research, the method of questioning. Data was collected using the technique of a semi-structured interview. The first research group was composed of 3 social workers. The method of total selection was used for the construction of the group. The other group consisted of the patients currently hospitalized. A research sample of 12 patients was selected from this group using the method of quota selection. All the interviews conducted were processed; the data was categorized and tabularized. The objective of the thesis was to map the methods and techniques of social work used by social workers in their work with the patients and which social assistance is used by patients most frequently. Another objective was to find out whether the patients are adequately informed about the potential of social work and whether they are satisfied with the provision of social assistance. The research has shown that social work has its fixed place in comprehensive treatment and that it is supported by all the members of the treatment team. The research has shown that the social workers used frequently the methods of working with individuals, groups, families and communities, the using the techniques of interviews, active listening, role play and visual instruction. They mainly apply the task-focused approach. The social workers cooperate most frequently with the members of the treatment team, with the patients, their families and staff of many other institutions. The research has also shown that the patients use social, legal and professional advisory most of all. They use most commonly some assistance in the procurement of new personal documents, when dealing with their debt problems, with finding suitable housing and employment, in resolving family problems and the consequences of crime. The research results have also shown that the patients are well informed about social assistance and they are very satisfied with its provision. I believe that the objectives of my thesis have been met and that the research questions have been answered. The thesis could serve to provide information about how social work is conducted in such specific institutions. The results could be an incentive to make the working conditions for the conduct of social work and improvements in the provision of social assistance more efficient
Presence and Influencing Factors of Motor Fatigue during Six-Minute Walk Test in Multiple Sclerosis
Title: Presence and Influencing Factors of Motor Fatigue during Six-Minute Walk Test in Multiple Sclerosis. Background: Ambulation impairment limits daily activities in persons with Multiple Sclerosis (pwMS), even more pronounced in the presence of motor fatigue. Previous studies reported a continuous slowing down of the walking pace during the Six-Minute Walk test (6MWT) in persons with moderate to severe ambulatory dysfunction. However, it is not known whether motor fatigue during walking is present in all pwMS and how it relates to person characteristics such as disability level, type of MS or disease duration. Methods: Data from the cross-sectional RIMS multi-centre study with 208 ambulatory pwMS from 10 European and 1 US centres were used. Expanded Disability Status Scale (EDSS) ranged from 0 to 6.5. PwMS were evaluated with the 6MWT as well as other walking measures (Timed Up and Go - TUG, Timed 25 Foot Walk - T25FW, Timed 10 Meter Walk Test - T10MW, Multiple Sclerosis Walking Scale-12 - MSWS- 12) and the Modified Fatigue Impact Scale (MFIS) which assesses overall fatigue impact on daily life. Subjects were stratified into two subgroups with and without motor fatigue, defined as 20% threshold decline of distance walked during first compared to last minute of the 6MWT (Motor Fatigued Group,..
Přítomnost a ovlivňující faktory motorické únavy během šestiminutového testu chůze u osob s roztroušenou sklerózou mozkomíšní
SOUHRN Název práce: Přítomnost a ovlivňující faktory motorické únavy během šestiminutového testu chůze u roztroušené sklerózy mozkomíšní. Vymezení problému: Poruchy chůze omezují každodenní aktivity pacientů s roztroušenou sklerózou mozkomíšní (pRS). Toto omezení je ještě důraznější při součastném výskytu motorické únavy. Předchozí studie poukázaly na průběžné zpomalování rychlosti chůze během vytrvalostního Šestiminutového testu (6MWT) u pacientů s mírnou nebo těžkou poruchou. Doposud však není známo, zda je motorická únava přítomna u všech pRS, a jak souvisí s charakteristikou pacienta (se stupněm postižení, typem roztroušené sklerózy-RS, či délkou onemocnění). Cíl práce: Identifikace motorické únavy u pRS během Šestiminutového testu chůze a vyhodnocení jejího výskytu ve vztahu k pacientově charakteristice. Metoda řešení: K výzkumu přítomnosti motorické únavy byla použita data celkem 208 chodících pRS z průřezové RIMS (organizace Rehabilitace Roztroušené Sklerózy - Rehabilitation in Multiple Scelrosis) multicentrické studie. Této studie se účastnilo 10 evropských a 1 americké výzkumné centrum. Všichni probandi byli svým neurologem ohodnoceni jako schopní chůze - tj. v rozsahu 0 - 6.5 Kurtzkeho škály. Pacienti byli vyšetřeni následujícími testy chůze: 6MWT, Timed Up and Go testem (TUG), Měřeným 25 stop...Title: Presence and Influencing Factors of Motor Fatigue during Six-Minute Walk Test in Multiple Sclerosis. Background: Ambulation impairment limits daily activities in persons with Multiple Sclerosis (pwMS), even more pronounced in the presence of motor fatigue. Previous studies reported a continuous slowing down of the walking pace during the Six-Minute Walk test (6MWT) in persons with moderate to severe ambulatory dysfunction. However, it is not known whether motor fatigue during walking is present in all pwMS and how it relates to person characteristics such as disability level, type of MS or disease duration. Methods: Data from the cross-sectional RIMS multi-centre study with 208 ambulatory pwMS from 10 European and 1 US centres were used. Expanded Disability Status Scale (EDSS) ranged from 0 to 6.5. PwMS were evaluated with the 6MWT as well as other walking measures (Timed Up and Go - TUG, Timed 25 Foot Walk - T25FW, Timed 10 Meter Walk Test - T10MW, Multiple Sclerosis Walking Scale-12 - MSWS- 12) and the Modified Fatigue Impact Scale (MFIS) which assesses overall fatigue impact on daily life. Subjects were stratified into two subgroups with and without motor fatigue, defined as 20% threshold decline of distance walked during first compared to last minute of the 6MWT (Motor Fatigued Group,...FyzioterapieFakulta tělesné výchovy a sportuFaculty of Physical Education and Spor
Walking dysfunction in multiple sclerosis
In this study, we tried to find out what information we will get through the walk tests, if the walk tests provide different information for people with varying severity of the disease. From July to August 2009, patients with multiple sclerosis passed a cerebrospinal investigation carried out by two trained students from the 3rd Medical Faculty of Charles University. The whole study conducted in collaboration with MS Center Neurological Clinic of the Faculty Hospital in Královské Vinohrady. The results were evaluated in MS Excel with a help of functions descriptive statistics and CORREL. Overall it was demonstrated that short walk tests (Up and Go, 25 feet, 10 m fast, 10 m slowly) better reflect the impact of the muscle strength, fatigue and Expanded Disability Status Scale (EDSS). Between the 6-minute test and the Paced Auditory Serial Addition Test (PASAT) was also demonstrated relatively high value of dependence
Walking dysfunction in multiple sclerosis
In this study, we tried to find out what information we will get through the walk tests, if the walk tests provide different information for people with varying severity of the disease. From July to August 2009, patients with multiple sclerosis passed a cerebrospinal investigation carried out by two trained students from the 3rd Medical Faculty of Charles University. The whole study conducted in collaboration with MS Center Neurological Clinic of the Faculty Hospital in Královské Vinohrady. The results were evaluated in MS Excel with a help of functions descriptive statistics and CORREL. Overall it was demonstrated that short walk tests (Up and Go, 25 feet, 10 m fast, 10 m slowly) better reflect the impact of the muscle strength, fatigue and Expanded Disability Status Scale (EDSS). Between the 6-minute test and the Paced Auditory Serial Addition Test (PASAT) was also demonstrated relatively high value of dependence