The Occupational Therapist's Intervention for Adult Patients with Neurogenic Dysphagia Abstract of the Thesis: Dysphagia is a serious disorder, often caused by a cerebrovascular accident; in many cases it may be its only or primary symptom, and even the cause of death. The main objective of this thesis is to raise awareness of swallowing disorders among occupational therapists. Despite the fact that the occupational therapist's intervention for patients with swallowing disorder is common practice among occupational therapists abroad, this issue still is not well known among occupational therapists in the Czech Republic. There is also a considerable lack of Czech literature dealing with swallowing disorders from the occupational therapy point of view. This thesis therefore not only presents theoretical findings in this field but also recommends practical procedures for occupational therapists. The theoretical part of the thesis describes functional anatomy of the swallowing structures and swallowing physiology and pathophysiology. It analyses different causes of dysphagia with a focus on neurological disorders, defines the term dysphagia and other related terms, and briefly explains several classification methods of dysphagia. While the first part of the thesis looks primarily into the diagnostics and...

This study concerns the possibilities of ergodiagnostics (pre-work rehabilitation), appraisal diagnostics, in the area of employment of medically handicapped people. It emphasises the value of work and being employed for the medically disadvantaged. It familiarises those interested with this matter with the means of a complete system of rehabilitation where occupational rehabilitation is irreplaceable. The study informs where legislation on (pre-work) ergodiagnostics can be found, through vocational rehabilitation we discover more detailed information and furthermore what a medically disadvantaged person should do to be able to participate actively in ergodiagnostics. It also offers a thorough overview of ergotherapy which plays an important role in diagnostics, particularly ergodiagnostics of medically handicapped people. It leads you through individual evaluations which are currently used by ergotherapists in complete rehabilitation centres where ergodiagnostics is practised. It is not only ergotherapists, however, who participate in vocational rehabilitation but a whole multi-discipline team which cooperates with job centres. The practical part is oriented on the field of ergodiagnostics or else vocational rehabilitation. Two suppositions were made for the research. The first supposition explores how well-informed people with a medical handicap are about ergodiagnostics. The second then assumes that ergodiagnostics plays a significant role in searching for suitable vacancies for the medically handicapped. The study should serve as informative material for all interested in the problem concerned. It should be especially useful to those who work with the medically handicapped and who want to have an integral view of (pre-work) ergodiagnostics, vocational rehabilitation.

This diploma thesis concerns the use of Ergotherapy by people with mental disablement. A theoretical part characterises the terms: a mental disablement and a care for people with mental disablement and the most frequent types of therapies providing in the facilities for people with physical handicap. At the end of the chapter about a present situation of this chosen topic, there is a separate chapter about Ergotherapy. It points out a game, as a first occupation of a child and work therapy that helps individuals with mental disablement to create or improve their own working habits. The aim of this thesis was to introduce new trends in education of people with mental disablement in the area of work therapy. The thesis is focused on an offer of work therapy activities that have been provided by the facilities for people with a physical handicap and the education of work therapists. A qualitative research was used to reach the aim: first a method of questioning and secondly, a technique of semi-structured interviews. The interviews were made with senior executives (mainly the principals) and they were focused on the area of education of work therapists after the validation of Social Service Act No. 108/2006 Sb. Another used method was a method of quantitative research {--} questioning, a technique of questionnaire. The target group was composed of work therapists who are employed in the facilities for people who are physically handicapped. The questionnaires were designed to reveal what is being offered in terms of work therapy within the facilities and what is the determination of a selection of an activity that the client will take part in. It has been revealed that the offer of activities in the facilities is varied and that the client plays the main role in the selection of the activity. The research was conducted in three regions of the Czech Republic: South Bohemia, South Moravia and the Vysočina region.

The diploma thesis deals with the design of a rehabilitation center, which is located in the cadastral area of the village Mušov on the border of the village Pasohlávky. It is a two-storey rehabilitation center with a gym and a partial basement. The thesis deepens the initiative of Thermal Pasohlávky, which plans to build a spa resort in the same section, combining elements of spa care, recreation and sports use. The object fulfills the function of a rehabilitation medical facility. The center is designed for up to 50 patients and is functionally divided into three parts. The first part consists of rehabilitation. We will find here several exercise rooms, hydrotherapy, electrotherapy, doctor's office with waiting room and reception. Rehabilitation also includes a gym with access to the terrace and park. On the second floor we can find specialized department of ergotherapy for people with different types of disabilities and second functional part of the bulding designed for staff facilities. It is made up of staffing facilities, dressing rooms, offices and meeting rooms. The third functional part consist from the technical background of the building and is located on the ground floor. The object is designed as a wall system, built from sand-lime bricks km beta Sendvix and insulated with the ETICS thermal insulation made from mineral wool. Horizontal supporting structures are designed as reinforced concrete. The entire building is roofed with a flat roof. Wooden windows and doors are used in the building to fill the holes. Before the building is a parking lot for employees and visitors of the rehabilitation facility. The design respects the principles of barrier-free solutions. The bachelor thesis is elaborated in the form of a project documentation for the execution of the construction.