Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

AbstractThe purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good.

Från kunskapens öar till den ömsesidiga insiktens fastland Ett pedagogiskt utvecklingsarbete för en personalutbildning med förankring i praktiken Anne Johansson Olsson Sammanfattning Denna uppsats redovisar ett utvecklingsarbete kring utformandet av en så kallad arbetsplatsanpassad utbildning. Arbetet bedrevs i samverkan mellan Transkulturellt Centrum (TC) i Stockholms Läns Landsting och Lina Hage samt Wasa vårdcentraler i Södertälje. Projektet syftade till att via inledande arbete, inventering av utbildningsbehov, utbildningsplanering, genomförande och utvärdering skapa en modell för en utbildning med fokus på vårdpersonalens möte med patienter som har erfarenhet av migration. Vårdcentralerna stod i början av 2007, i begrepp att inleda ett arbete med en delvis ny patientgrupp, asylsökande och nyanlända flyktingar samt anhöriginvandrare. Arbetet innebar ett förbättrat och utvidgat mottagande med erbjudande om hälsosamtal och till de asylsökande även en primärvård som motsvarade den övriga befolkningens.

As the use of smartphones and other mobile technology in our society is constantly increasing,so too does the possibilities of visually impaired persons increase as they are becoming moreable to enhance their quality of life with the help of mobile assistive technology. The purposeof this study was to explore how rehabilitation and habilitation organizations, which areworking with the visually impaired, should approach new technology. We have researched thisby examining the possibilities, opportunities and barriers of using mobile assistive technology.Based on this, we formulated the following research question: What factors are important forrehabilitation and habilitation organizations to consider in order to support, promote andcreate quality of life through the use of mobile assistive technology in their work with thevisually impaired? To answer the above question an exploratory study was made at an eyeclinic in the Västra Götaland region. The study was done through a series of qualitativeinterviews with both staff and patients at the eye clinic.

The aim of this masters thesis is to examine how the educational work of the Swedish public library was regarded in the Swedish library journal Biblioteksbladet at three different periods of the twentieth century, i.e. the thirties, the sixties and the nineties. Using a theoretical framework from the field of professionalization and a methodological framework of hermeneutics, it is shown that the educational work of the thirties can be described as having a focus on free learning whereas the educational work of the sixties can be described as having a focus on public utility. The educational work of the nineties focuses on the information seeking process of the user. It is noted that this development during the century can be understood as a shift of the cognitive authority of the public librarians.

To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.

A thesis directed towards Innovationsslussen in Gothenburg about securing, improving and simplifying sitting on the toilet for patients with sitting difficulties. The primary target group for the project is patients who have had a stroke and as a consequence from that suffers from various kind of bodily paralysis.An overall goal was to design an aid that was comprehensive enough that the patient could manage sitting securely on the toilet without have a nurse giving physical support during defecation.Five conceptual proposals were developed and evaluated in consultation with Innovationsslussen and one was selected to be further developed.The result was an integrated support at the toilet that facilitates a good sitting posture which minimizes the risk of falling and provides comfortable support when leaning to the side. The product is divided in two with both a redesigned carryingsystem and a new type of support surface adapted for the purpose..

Background: Effective treatment of patients with type 2 diabetes needs a good communication between nurse and patient. This creats a good relation and leads to a more effective patient education. Aim: The aim with the literature study was to describe how nurses trough patient education can achieve self-care for patients with diabetes type 2. Methods: Literature studies with both qualitative and quantitative articles were examined. Findings: The articles that were chosen for the results were sorted in the two categories relation and communication.

The aim of this masters thesis is to examine the information access of female Ph. D. students in connection with their situation as women and researchers within the academic setting. In order to examine this, qualitative interviews with ten female Ph. D.

The aim of this Masters thesis is to investigate how trained social workers experience information in their daily work. The thesis focussed on three major questions: - What type of information and information sources are mostly used by the trained social workers? - What kind of information barriers are described by the participants? - How can the patterns of information seeking and information use be understood on the basis of the trained social workers professional and social context? Semi-structured interviews were carried out with trained social workers working with child welfare enquiries. My theoretical framework consists of user and context oriented theories about classifications of information, information barriers and models of information sources. My conclusions are that trained social workers working with risk assessment in child protection services, need to use different kinds of information in their daily work, such as problem information, domain information and problem-solving information.

The purpose of doing this essay was to illustrate how people living with chronic disease, dependent on medical technology experience their life situation. The study includes people with either dialysis therapy, mechanical ventilator or chronic oxygen therapy. A meta-synthesis was used as a method where a systematically review of studies that are made in a given issue compiles. Findings of the studies resulted in a synthesis of three themes: Limitations in life as a consequence of life-long treatment, to take responsibility for your life provide self-esteem and safeness, and to be cared for in different contexts ?help or prohibit.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.