Specific aspects of nursing care of patients with a sudden abdominal event.

The term acute abdominal emergencies denotes diseases affecting abdominal organs that in most cases require surgical intervention. The onset of the disease is usually quick, it mostly attacks a patient in full health phase and often threatens patient?s life. Nevertheless the disease symptoms are often underestimated by patients, who often seek for medical help late, when they are in bed condition. The aim of the Thesis was to specify distinctive features of nursing care for patients with abdominal emergency. Another aim was to point out the differences in communication with patients with abdominal emergency and those with planned surgical operation. Thirteen respondents were addressed to get the answer. They were nurses working with patients suffering from diseases of surgical nature. Research questions dealing with the issue of caring for patients with acute abdominal emergency were raised in relation to the aims. The first research question dealing with the specifics of nursing care asked about the activities forming together the complex image of the care for patients with abdominal emergency. The second research question dealt with the differences in pre-operation preparation of patients with abdominal emergency and those with planned operation. Upon the answers and upon monitoring the respondents the difference is particularly perceived in relation to the time spent on the preparation. The third research question dealt with the difference in communication with patients with abdominal emergency and those with planned surgical operation. The results show that communication is influenced by a number of factors, mainly lack of cooperation on patient?s side, time and patient?s distrust. The fourth research question dealt with quality of the nursing care from the point of view of a nurse in relation to patient?s acute state. According to the collected data the patient?s acute state, the speed of performing nursing intervention during patient reception and pre-operation preparation partly influence the quality of the care, which is then performed more routinely. Upon the obtained information this work should explain to nurses, as caring personnel, the problems of the treatment and the specifics of the care for patients with acute abdominal emergency. It should also help explain the problems of communication with patients with abdominal emergency