The patiens with disseminated sclerosis in care of aftercare agency

The multiple sclerosis is a disease affecting the central nervous system and harming the nerve cells. First of all the coat of nerve fibres called myelin is harmed. This causes subsequently the harm to axon and leading the excitement. As a consequence of progressing disease the people are not able to take care of themselves by the course of time and they need the help of other persons; often they decide to co-operate with the Domestic Care Agency. They are taken care of and they can stay in their natural environment. The domestic care may be defined as the form of health and social care provided to clients in their own social environment by Domestic Care Agencies. The bachelor thesis has a theoretical part and research part. In the theoretical part, the information concerning the domestic care is included. We can find here the history of domestic care, assurance of domestic care in the Czech Republic, description of agencies of domestic care and their equipment and in the last section, also the nursing care in the domestic care. The theoretical part deals moreover with the multiple sclerosis, especially by clinical signs, diagnostics, healing and nursing care. In the research part, the qualitative research investigation was performed, the method of data collection were talks with the nurses of Domestic Care Agency as well as with patients with multiple sclerosis and observing the co-operation of the nurse with the patient. The talk was conducted by five nurses and was split into several parts concerning the attendance frequency of the nurse in patient home, co-operation with the patient, performed interventions, specialities of nursing care for the patients with multiple sclerosis. The talk with the patients was done in their home environment after the visit of the nurse and 4 patients answered the questions. The questions of the talk focused on the regularity of visits of Domestic Care Agency, provided services, satisfaction with Domestic Care Agency, co-operation with nurses. The thesis deals with three goals. The first of them is finding out the satisfaction of patients with multiple sclerosis with the care of Domestic Care Agency and its employees. The second target was to define what services are provided to the patients with this illness. The last target was to find out the specifics of the care for multiple sclerosis patients. The targets of this thesis were achieved. It follows from the research part ¨that the patients are satisfied with the care of Domestic Care Agency and its employees. The nurses stated in accordance with it that the nursing care for the patients with multiple sclerosis has certain specifics, among others mainly the sufficient psychological support of the patients, the long-term co-operation of the agency with patients and the close relationship to the patients. The performed interventions were also found out. It is first of all the rehabilitation care connected with the care for patient´s skin. The bachelor thesis may be utilised in Domestic Care Agencies for improving the care for patients with multiple sclerosis and it serves as feedback of patients also for the Domestic Care Agency concerning the behaviour of its employee