Кваліфікаційні магістерські роботи
https://repository.tdmu.edu.ua//handle/1/5335
2024-03-28T15:47:42ZPALLIATIVE CARE IN PATIENTS WITH VARIOUS ONCOLOGICAL AND GENERAL MEDICAL DISEASE
https://repository.tdmu.edu.ua//handle/123456789/17606
PALLIATIVE CARE IN PATIENTS WITH VARIOUS ONCOLOGICAL AND GENERAL MEDICAL DISEASE
MATOUSSEVITCH, YELENA
The study has identified and investigated the specific aspects of palliative care, evaluated the modern principles for its organization; investigated the specific aspects of palliative care in oncological practice; investigated the specific aspects of palliative care in cardiological practice; investigated the specific aspects of palliative care in nephrological practice; reviewed the problems of healthcare personnel in organization and provision of palliative care and studied their possible solutions; studied the problems of families of terminally ill patients, who are recipients of palliative care.
2021-01-01T00:00:00ZNURSING CARE OF THE GERIATRIC POPULATION WITH ALZHEIMER’S DISEASE IN SKILLED NURSING INSTITUTIONS AND IN THE COMMUNITY
https://repository.tdmu.edu.ua//handle/123456789/17605
NURSING CARE OF THE GERIATRIC POPULATION WITH ALZHEIMER’S DISEASE IN SKILLED NURSING INSTITUTIONS AND IN THE COMMUNITY
Gershfeld Shnayder, Sabrina
This study has explored the basic concepts of etiology and pathogenesis of Alzheimer's disease and determined the specifics of mental status and cognitive impairment, as well as the stages of development and diagnostic criteria of the disease. The research has determined the socio-hygienic and medico-psychological aspects of lifestyles in patients with Alzheimer's disease and their family members. The study has validated medical and organizational technologies of nursing care for patients with Alzheimer’s disease and conducted a medico-social analysis of care-related activities performed at medico-social institutions and in the home
2021-01-01T00:00:00ZFEATURES OF NURSE CARE AND PROVIDING EMERGENCY CARE FOR PATIENTS WITH BLEEDING IN THE EMERGENCY DEPARTMENT
https://repository.tdmu.edu.ua//handle/123456789/17604
FEATURES OF NURSE CARE AND PROVIDING EMERGENCY CARE FOR PATIENTS WITH BLEEDING IN THE EMERGENCY DEPARTMENT
Rafailova, Lyudmila
The relevance of the study is determined by the fact that in the statistical reports of the WHO, mortality from injuries, which is very often accompanied by life-threatening bleeding, remains at a high level. However, two-thirds of injury deaths and most non-fatal injuries could have been avoided. To do this, it is necessary to promptly and correctly provide emergency care to patients with life-threatening bleeding.
Purpose of the study. Define the principles of emergency medical care for patients with bleeding in the emergency department, as well as explore the characteristics of nursing care for patients with life-threatening bleeding.
2021-01-01T00:00:00ZTHE ROLE OF THE NURSE ON THE MANAGEMENT OF WOUNDS AND PRESSURE ULCERS
https://repository.tdmu.edu.ua//handle/123456789/17603
THE ROLE OF THE NURSE ON THE MANAGEMENT OF WOUNDS AND PRESSURE ULCERS
Collins, Olena
A pressure ulcer is localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. Predisposing factors are classified as intrinsic or extrinsic. Prevention includes identifying at-risk persons and implementing specific prevention measures, such as following a patient repositioning schedule; keeping the head of the bed at the lowest safe elevation to prevent shear; using pressure-reducing surfaces; and assessing nutrition and providing supplementation, if needed. When an ulcer occurs, documentation of each ulcer (i.e., size, location, eschar and granulation tissue, exudate, odor, sinus tracts, undermining, and infection) and appropriate staging are essential to the wound assessment. Treatment involves management of local and distant infections, removal of necrotic tissue, maintenance of a moist environment for wound healing, and possible surgery. Debridement is indicated when necrotic tissue is present. Urgent sharp debridement should be performed if advancing cellulitis or sepsis occurs. Mechanical, enzymatic, and autolytic debridement methods are non-urgent treatments. Wound cleansing, preferably with normal saline and appropriate dressing, is a mainstay of treatment for clean ulcers and after debridement. Bacterial load can be managed with cleansing. Typical antibiotics should be considered if there is no improvement in healing after 14 days. Systemic antibiotics are used in patients with advancing cellulitis, osteomyelitis, or systemic infection.
2021-01-01T00:00:00ZSPECIFIC ASPECTS IN ORGANIZATION AND PROVISION OF HOME-BASED MEDICAL CARE IN VARIOUS CATEGORIES OF PATIENTS
https://repository.tdmu.edu.ua//handle/123456789/17602
SPECIFIC ASPECTS IN ORGANIZATION AND PROVISION OF HOME-BASED MEDICAL CARE IN VARIOUS CATEGORIES OF PATIENTS
Babaisakova, Nelly
A large number of patients who are discharged from inpatient care facilities still require professional care. Home-based nursing care offers help to the family and significant others of the patient who need assistance and counseling. The home care nurse controls the overall condition of the patient, the changes in the patient’s condition over time and the course of his/her disease while providing for timely and efficient qualified care.
The aim of the study was to explore the main principles of the nursing process when providing care for patients in the home; to investigate the specific aspects of care in neurological disease; to define the nursing roles in home-based care for patients with cancer; to find out the duties of nursing assistants/nursing aides/licensed practical nurses when caring for patients with cardiovascular and respiratory disease; to determine the need in training the family members in basic rules of home-based patient care and to compare patient feedback on improvement of their quality of life after their family/significant others have been educated in patient care.
The methods of study included the following: general clinical assessment history of present disease and health history; patient observation, physical examination, general health assessment; data comparison; analytic method; and statistical research methods.
We have identified the basic algorithms for providing of home-based care in patients with various disease; the basic principles in the management of neurological patients, the specific aspects of and optimal approaches to such patients. The authors have studied the nursing roles in the home when providing care to cardiovascular and respiratory patients. In addition, we have reviewed the distinctive characteristics of the course of malignant neoplastic disease and the nursing care services in various situations. Finally, the study compared the feedback of patients with various disease on improvement of their quality of life after their family members have been educated in patient care.
2021-01-01T00:00:00ZETIOLOGY OF PLAGUE AND TRANSMISSIOM CAUSE BY YERSINIA PESTIS
https://repository.tdmu.edu.ua//handle/123456789/17601
ETIOLOGY OF PLAGUE AND TRANSMISSIOM CAUSE BY YERSINIA PESTIS
Mulokandov, Eran
Yersinia pestis is a facultative anaerobic gram negative rod-shaped bacterium. It is known to be an agent for the plague, an acute infectious zoonotic disease which is particularly dangerous for humans and some animals, mainly rodents, from which the infection is transferred to humans via fleas. This disease is characterized by lesion of the mucous membranes, skin, lymph nodes, lungs, and sepsis. There are several clinical forms of the plague: a) cutaneous, bubonic, skin-bubonic; b) primary septic, secondary septic; and c) primary pneumonic, secondary pneumonic. The bubonic plague is occurred very often (70-80%), less septic (15-20%), and pneumonic (5-10%) forms of the plague. All these forms were responsible for huge mortality during the epidemics throughout the world.
The world history shows three worst pandemics of plague. It is believed that each biovar of Yersinia pestis (Antiqua, Medievalis, Orientalis) is responsible for each of the historic pandemics of plague. Plague belongs to natural and indirect zoonotic infections. The sources of infection are wild rodents and lagomorphs, the location of which may be latent foci of infection. The mechanism of transmission of disease is diverse, often transmissible but airborne way of distribution is also possible (in case of pneumonic plague).
As plague refers to the particularly dangerous infections, the laboratory studies of pathological material are very important and conducted in several stages in order to differentiate it from other diseases. The treatment of the plague depends upon the form of the disease.
2021-01-01T00:00:00ZH. PYLORI INFECTION. CLARITHROMYCIN RESISTANCE IN ERADICATION OF HELICOBACTER PYLORI: PREVALENCE, RISK FACTORS ASSOCIATED WITH RESISTANCE, ADVANCES IN TESTING AND DETERMINING EFFECTIVE TREATMENT REGIMEN
https://repository.tdmu.edu.ua//handle/123456789/17600
H. PYLORI INFECTION. CLARITHROMYCIN RESISTANCE IN ERADICATION OF HELICOBACTER PYLORI: PREVALENCE, RISK FACTORS ASSOCIATED WITH RESISTANCE, ADVANCES IN TESTING AND DETERMINING EFFECTIVE TREATMENT REGIMEN
Levitt, Daniel
Prevalence of Resistance to Clarithromycin, Factors leading to treatment failure, Factors in clarithromycin resistance, as well as the organization of the nurse's work on the prevention and care of patients with gastrointestinal disease caused by H.Pilory infection
2021-01-01T00:00:00ZStrategies to Reduce Maternal Mortality in the U.S
https://repository.tdmu.edu.ua//handle/123456789/17599
Strategies to Reduce Maternal Mortality in the U.S
Khaimova, Larisa
When a woman dies in childbirth, during pregnancy, or soon after delivery, it is devastating to her family and the rest of society. Due to complications during pregnancy or delivery, about 700 women in the U.S. die each year. U.S healthcare spending and medical technology are among the world’s best. To increase family and community well-being, it is predicted that death rates in particular sectors would be well-managed. Data demonstrates that the United States has a far lower maternal death rate than other industrialized countries. Pregnancy-related deaths rose by more than a third between 1987 and 2015. A woman’s chance of dying during or shortly after pregnancy is affected by racial inequities in this growing rate. Many of the causes of maternal fatalities may be prevented, according to research. According to the Centers for Disease Control and Prevention, 2 out of 3 of these deaths may be avoided. Maternal mortality has increased over the previous decade, and this research examines what may be done to combat this problem and enhance obstetric care for all women in the U.S. As part of these initiatives, the perinatal health community is encouraged to better communicate with one another, national bundles are being used in critical maternal care areas, and regional assessments of maternal death cases are being requested. The reduction of this public health hazard necessitates the implementation of these measures on a nationwide scale.
2021-01-01T00:00:00ZMODERN ASPECTS OF PROVIDING MEDICAL CARE TO OLDER PEOPLE 223 Nursing The Scientific Supervisor of the Thesis: Ihor Hospodarskyy Ternopil National Medical University I. Horbachevsky of the MoH of Ukraine Ukraine Ternopil,
https://repository.tdmu.edu.ua//handle/123456789/17598
MODERN ASPECTS OF PROVIDING MEDICAL CARE TO OLDER PEOPLE 223 Nursing The Scientific Supervisor of the Thesis: Ihor Hospodarskyy Ternopil National Medical University I. Horbachevsky of the MoH of Ukraine Ukraine Ternopil,
West, Julia
The significant surge of the interest in medical and social factors of aging in the recent years has been triggered by the abrupt changes in the demographic structure of human societies. According to the UN predictions, by 2025 global human population will increase threefold compared to 1950, and the number of the older people will increase sixfold. The role and the place of the older people in the societies have been determined by the United Nations Principles for Older Persons adopted by General Assembly resolution 46/91 of 16 December 1991, which have provided for autonomy, access to care, participation in social development, possibilities for personal fulfillment and maintaining dignity.
Healthcare services should be available to older people, regardless of specialization and technological sophistication, and should be provided in all healthcare institutions providing specialized, including high-tech medical care. The advanced age should not be a reason for denying any kind of medical care, including hospital admissions, and the quality of medical services provided to older patients should be consistent with the objective of maintaining a high quality of life of older people from all societal strata, regardless of their material well-being and social status.
The aim of the study was to study the modern aspects of providing medical care to older people.
Research Assignments: To investigate the specific aspects of Gerontology as a science and the major aspects of gerontological medical care. To determine the specific aspects of geriatric care provided in geriatric centers, and to study the structure of such centers. To study the operational principles of gerontology services during the COVID-19 pandemic. To explore the potential for training healthcare personnel to provide high-quality care in geriatric patients. To review and evaluate the characteristics of the factors that influence disease in the older patients. To determine the specific aspects of nutrition in older people to achieve longevity and improve the quality of life.
Practical significance. The work has defined the factors influencing the longevity and health in old age and studied the specific aspects of work with older patients in gerontology nurses. Finally, we researched the factors that influence disease in the older patients and defined the dietary patterns in the older people, which help achieve longevity and improve quality of life. Implementation in practice. The results of the research are implemented in the work of New York Memorial Hospital, USA.
2021-01-01T00:00:00ZOSTEOARTHRITIS: ITS PREVALENCE, CAUSES, PATHOGENESIS, RISK FACTORS, AND TREATMENT
https://repository.tdmu.edu.ua//handle/123456789/17597
OSTEOARTHRITIS: ITS PREVALENCE, CAUSES, PATHOGENESIS, RISK FACTORS, AND TREATMENT
Fekete, Ekaterina
Osteoarthritis is the leading cause of disability in America, affecting persons of all ages, sexes and races. There are two main forms of OA: primary OA and secondary OA.
Primary OA is a chronic degenerative disease related to aging. Although not caused by aging, as a person ages the water content in the cartilage decreases, making the joint less resilient and more at risk of degeneration. There is believed to be a genetic factor involved as well.
Secondary OA begins earlier in life, usually resulting from a specific injury or trauma, repetitive motion injury, or comorbidity of diabetes or obesity. Since the presenting symptoms are the same, i.e., joint pain and stiffness exacerbated by use or exercise, statistically, the two conditions are not generally reported separately.
There are several compelling reasons why researchers are predicting a dramatic increase in the prevalence of osteoarthritis in the coming decades. One is because the condition is associated with advancing age, and, with people in Western countries living longer than ever, the number of elderly people at risk for osteoarthritis is expected to increase. Added to this is the number of young and middle-aged people who are overweight because obesity can be damaging to the joints. A third reason is the large number of people who have suffered injuries, which can also increase their risk of OA.
The CDC currently funds twelve state arthritis programs with the following goals:
(A) to strengthen partnerships with other chronic disease programs, state Arthritis Foundation chapters/regions, and other partners, improve their ability to monitor the burden of arthritis in their state,
(B) to coordinate activities to increase public awareness that something can be done to address the burden and impact of arthritis, and (C) to Expand efforts to promote self-management education and physical activity to adults with arthritis (.
More research is needed to find better diagnostic tools and medicines targeted at reducing or reversing the damage caused by OA, in order to ease suffering and reduce the economic burden of OA in the U.S. and throughout the world . Currently, the best approach to preventing OA or successfully living with it is to stay active and healthy and once diagnosed with the disorder, to exercise, keep the pounds off, relax, get educated, build and maintain a social support system, and adhere to the prescribed medication regimen
2021-01-01T00:00:00Z