Nursing care of restless and aggressive patients, despite the unstoppable progress, can hardly do without the use of restrictive measures in all cases. In order to provide quality nursing care and to ensure the patient´s safety even with the application of restrictive measures, it is necessary to determine the level of professional quality, or the introduction of nursing standards at all wards where restrictive measures are used. The aim of this thesis was to verify if the restrictive measures in psychiatric inpatient units and inpatient wards of other medical disciplines are being used in accordance with the standard of nursing care of patients who are restrained in bed, and analyze the current standards of nursing care determining the use of restrictive measures. Another objective was to find out nurses´ attitudes to application of restrictive measures and to survey their feelings while applying restrictive measures. On the base of the objectives hypotheses were formulated with regard to data in literature and my own clinical practice, which also includes the use of restrictive measures. The nursing research was conducted through a questionnaire at the wards where restrictive measures are applied. The respondents were nurses working in these units. The results provided clear evidence that not only worldwide, throughout Europe, but also within medical facilities of the Czech Republic, the care of psychiatric patients is inconsistent in terms of restrictive measures, and therefore, standardization of this care is highly desirable. A component part of this thesis is the created Standard of nursing care for application of restrictive measures in medical inpatient facilities, which will be used in practice in České Budějovice Hospital, Inc.

This thesis focuses on the social context of deaf patients' hospitalization. Its aim is to describe the experiences of deaf patients with hospitalization. The thesis focuses primarily on communication, patient rights, awareness, adaptation of deaf patients to the environment and the concept of Deaf Friendly Hospital. The data were obtained by way of semi-structured interviews. The benefit of this thesis is that the hospitalization is described from the deaf patients view not from the medical staff one. The research results pointed to shortcomings in healthcare facilities and in access of their staff to deaf patients. Key words: deaf, communication with the deaf, patient's rights, deaf patient, hospitalization of the deaf.

Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-04-17T13:15:47Z No. of bitstreams: 1 Gimenes.pdf: 603287 bytes, checksum: a26239aabd1b1af3acf6fcc11d6305a6 (MD5) / Approved for entry into archive by Rodrigo Meirelles(rodrigomei@ufba.br) on 2013-05-09T17:21:33Z (GMT) No. of bitstreams: 1 Gimenes.pdf: 603287 bytes, checksum: a26239aabd1b1af3acf6fcc11d6305a6 (MD5) / Made available in DSpace on 2013-05-09T17:21:33Z (GMT). No. of bitstreams: 1 Gimenes.pdf: 603287 bytes, checksum: a26239aabd1b1af3acf6fcc11d6305a6 (MD5) Previous issue date: 2005 / Este trabalho trata do direito de objeção de consciência às transfusões de sangue que é em geral manifestado pelas pessoas que são membros da religião das Testemunhas de Jeová e do desenvolvimento da liberdade religiosa. Explica as bases dessa doutrina religiosa e a sua historicidade também explana a história do direito à recusa de transfusões seus aspectos negativos e tratamentos alternativos disponíveis descreve os Serviços de Informação sobre Hospitais das Testemunhas de Jeová defende o direito fundamental de acesso a esses tratamentos e também a necessidade de mudanças no ensino da medicina. Sustenta a superioridade dos princípios constitucionais sobre quaisquer regras que venham a incidir sobre o tema especialmente o princípio da autonomia analisa os direitos do paciente adulto como o princípio do consentimento informado mesmo nos casos em que esse esteja em estado de inconsciência vez que o consentimento pode ser dado na forma escrita o direito de resistência do artigo quinze do Código Civil é objeto de discussão tendo em vista que recusar a transfusão de sangue não é suicídio por fim a situação do adolescente e da criança é analisada especialmente com respeito à teoria do menor amadurecido bem como a autonomia parental. O impacto emocional das transfusões de sangue que são impostas é um assunto sério e também é considerado. Foram consultadas fontes do direito nacional internacional e comparado, na Constituição no Direito Civil no Direito da Criança e do Adolescente no Direito Penal no Direito Processual e na jurisprudência brasileira e estrangeira. / Salvador