The aim of this study was to develop a Gestalt play therapy based hospital preparation program for children undergoing the surgical procedures of grommet insertion, or grommet insertion and adenoidectomy, at Tygerberg Hospital. Literature was reviewed according to relevant topics, namely otitis media in children, Gestalt play therapy, theories of child development, and children's experience of illness and hospitalisation. Semi-structured interviews were conducted with four subject groups and the data obtained was qualitatively analysed. Research findings were discussed and integrated with reference to the literature. This information was applied in the development of the proposed program. The aim, underlying principles, objectives and components of the program were discussed and guidelines for implementation were provided. The program was implemented and evaluated in a single subject pilot study, which yielded a positive response. Recommendations for both practical implementation in a therapeutic context and further study in a research context were made. OPSOMMING Die doel van hierdie studie was om `n Gestalt spelterapie-gebaseerde hospitaalvoorbereidingsprogram te ontwikkel vir kinders wat die chirurgiese prosedures van ventilasiebuis-plasing of ventilasiebuis-plasing en adenoïdektomie by Tygerberg-hospitaal ondergaan. `n Literatuurstudie is uitgevoer rakende relevante onderwerpe; naamlik, otitis media in kinders, Gestalt spelterapie, kinderontwikkelingsteorieë, en kinders se ervaring van siekte en hospitalisasie. Semi-gestruktureerde onderhoude is met vier subjekgroepe uitgevoer en die data wat verkry is, is kwalitatief geanaliseer. Navorsingsbevindinge is bespreek en geïntegreer met verwysing na die literatuur. Hierdie inligting is toegepas in die ontwikkeling van die voorgestelde program. Die doel, onderliggende beginsels, doelstellings en komponente van die program is bespreek en riglyne vir die implementering daarvan is verskaf. Die program is geïmplimenteer en geëvalueer in `n enkelsubjek loodsstudie, waar `n positiewe respons verkry is. Aanbevelings vir beide praktiese implementering in `n terapeutiese konteks en verdere studie binne navorsingskonteks is gemaak. / Social Work / M.Diac.

The subject of my diploma thesis is the design of a new medical center MEDCEN in the area of the Jihlava hospital, on plot no. 4374/1. The total land area is 22 706 m2. The building has three aboveground and one underground floor. The vertical bearing structure consists of masonry ceramic elements, which are complemented by a monolithic, water-reinforced concrete in the underground floor. Vertical peripheral structures are equipped with thermal insulation system, in the above-ground floors with ventilated facade. The vertical load-bearing structures are made of prefabricated reinforced concrete panels and reinforced by reinforced concrete beams at the local load. The whole building is designed flat single-skin roof with a classic order of layers, where the main waterproofing layer consists of plasticized PVC foils. The layout of the building is divided into left and right wing, which connects the central central part. The entire underground floor is designed to be operational, there are parking spaces for employees, storage facilities and technical facilities of the building. Individual offices, nurses and waiting rooms are designed on all above-ground floors. In the central central part are designed sanitary rooms for visitors and employees. On the first floor is a pharmacy and X-ray examination room. On the third floor there are two office management offices and one-day surgery premises.