Background The aim of palliative care is to improve the quality of life for both the patient and her next of kin during the patient?s end of life. Palliative care rests on the four cornerstones managing symptoms, communication and relationship, teamwork and relative support. The nurses? task is to assess the patients? physical, mental and spiritual needs according to these four cornerstones.Aim To assess nurses? experiences of treating patients at the end of life.Method Eleven academic journals that respond to the aim has been analyzed and synthesized in a literature review in order to summarize current research on the subject.

Cultural bias in health assessment has been asserted in various scientific reports. The aim of this study was to determine whether ethnicity effects how patients are represented in such medical certificates that are needed to obtain a certain Swedish social insurance. The setting was an analysis of 18 medical certificates for patients whose parents were born in Sweden, respectively of 18 medical certificates of patients whose parents immigrated to Sweden from non European countries. The main objective was comparison of the two groups to test for ethnical heteronormative representations of the patients and their parents. The method used is mainly based on critical discourse analysis in combination with Fowlers (1996) semantic tools used to decipher disparity in the discourse.

As a public nurse there is a great probability that you will meet patients that have had a myocardial infarction. We want to contribute to create a greater understanding of how a nurse can support and understand these people. The last 30 years the infarction care has made a big progress. Still many conceptions remain which means that for many people a myocardial infarction leads to a belief that this is the end of the working life, social life, sparetime activities and travelling. Due to this misbelief it is important that the nurse creates good conditions for the patient right from the start.

Background: Sleep is the most important human recovery process and research supports assumptions that sleep is an important component in the healing process. Lack of sleep can be the onset of certain diseases such as diabetes, hypertension and cardiovascular disease. Sleep is an integral part of basic nursing. It is important for nurses in hospitals to form a correct understanding of the patients? sleep since they among other things are responsible for administering ad lib hypnotic medication.

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

Studies of networks, fields and of communicative circulations complement each other. This master thesis is a biographical study of an author and journalist, Gustaf Montgomery GM, his network in Sweden of the early 19th century, and a study of his authorship and literary career. The starting-point of the study is GM:s change of field from the conservative to the liberal in 1832. The aim is to give explanations to this change and to describe how the change in turn effected the network. The method used is critical of sources.

Nipahvirus is most likely spread from bats to other species and causes lethal encephalitis in humans and respiratory illness in pigs. Different species are affected with varying severity but it seems to have an unprecedented zoonotic capacity and the humans affected either die or receive permanent brain damage. Full recovery is possible but very uncommon. Pigs that live and are bread in the areas that these bats frequent are constantly in danger of contracting pneumonias and meningitis and they can spread the virus further on to the people who work with the pigs and process their carcasses. These workers could then infect other humans in their immediate surroundings, their families for instance.

Background;Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by airway obstruction. Common signs of COPD are the slow process and shortness of breath on exertion. The most important treatment is to quit smoking. Most nurses, regardless of where they work, will meet these patients, often when the patients are having respiratory disorders. Aim;the aim of this study was to illuminate how patients with COPD describe the daily life based on how he/she experience and cope with the disease.

Breast cancer is the most common tumor disease among women in Sweden. About 7000persons, having a median age of 65, are diagnosed each year with this disease. Withmammography screening, breast cancer can be detected in an early stage which improves theoverall survival (OS). 20-30 % of the breast cancer tumors are overexpressing humanepidermal growth factor receptor 2 (HER2), which is a protein that stimulates cell proliferation.Trastuzumab (Herceptin®) is a humanised monoclonal antibody that targets the HER2-proteinand prevent the signals for cell proliferation.Trastuzumab has earlier been used for treatment of metastatic breast cancer. In the year of 2007trastuzumab was approved for adjuvant treatment of patients who has been medicated withsurgery and/or radiation.The aim of this study was to investigate the effects of adjuvant treatment with trastuzumab inHER2-positive breast cancer patients.

Prostate cancer is the most common cancer in men. One type of treatment is internal radiation therapy, brachytherapy. This treatment requires the patient to lie completely motionless and in lithotomy position. The purpose of this study was to investigate the prevalence of pressure ulcers associated with brachytherapy in prostate cancer at the UniversityHospitalin Uppsala. Furthermore, the purpose was to identify the most common location of pressure ulcer and to examine whether there were any connection between risk factors and possible pressure ulcers.

In this essay I have tried to come close to a probable answer to the following question: Is there a risk that the trust between the Swedish public and the Swedish medical services staff, including the doctors, will be severely damaged if euthanasia is legalized in Sweden.In order to try to answer that question, and some other relevant questions that has corresponding interest in the context that euthanasia marks, I have done like this: I have investigated experiences from the Netherlands and from Oregon. Since euthanasia is legalized - though partly in different forms - in both these sites. I have then tried to relate the most relevant parts of these experiences to a theoretical frame. This frame had been set up by three concepts: the sanctity of life, autonomy and trust.I have also tried to come close to understanding the impact that demands for autonomy has in this context. And I have tried to understand if the trust that the public has for a country´s medical services staff and the actual doctors is a form of trust that ought to be understood as a form of trust incorporated in social capital.I have come to the conclusion that there is no great risk that the trust between the Swedish public and the Swedish medical services staff, including the doctors, will be severely damaged if euthanasia is legalized in Sweden.

A peripherally inserted central catheter (PICC line) is a catheter that is inserted through a peripheral vein in the arm and then on to a central vein in the chest. It is used to give injections and infusions and to take blood samples of patients who need treatment for longer periods.The aim of this study was to investigate nurses' perceived knowledge of the care and use of PICC line in wards where PICC line does not occur daily. The aim was also to investigate if the nurses expressed a need and wished for more knowledge to be able to use PICC line, and if PICC line is not used investigate the cause of that.The study was of a descriptive design with quantitative approach. An online survey was answered by 40 nurses from five wards at a university hospital in central Sweden.A large number of the nurses who responded to the survey reported that they lacked knowledge of the care and use of PICC line. Despite this, three-quarters of the nurses usually use PICC line at the infusion / injection / blood tests on patients with PICC line, if they are cared for in their ward.

Abstract på svenska: Bakgrund: Studier har visat att humor är en betydelsefull faktor inom hälso- och sjukvård och att olika former av humor kan skapa en känsla av välbefinnande. I interaktionen mellan patienter och sjuksköterskor har skratt och humor visat sig ge positiva effekter vad det gäller att skapa en avslappnad atmosfär. Syfte: Syftet med studien är att belysa humors betydelse i mötet mellan patienter och sjuksköterskor. Metod: Studien är en systematisk litteraturstudie som baseras på 8 utvalda och granskade artiklar. Resultat: Sex huvudkategorier framkom under artikelanalysen, Humorns betydelse för mötet mellan patienter och sjuksköterskor, Humor som copingstrategi för patienter och sjuksköterskor, Humor som försvarsmekanism, Sjuksköterskors användning av humor i mötet med patienter, Humor som arbetsredskap i komplicerade omvårdnadssituationer samt Vid vilka möten bör humor undvikas.

Stroke are a common disease and it comes with big chances of disability after rehabilitation. Life after stroke can bring a different lifestyle and lots of feelings around this situation. Purpose: The purpose of this study was to analyze how people feel after being injured with stroke. Method: We have assumed that studying qualitative research articles according to Evans description of content analysis. Information has been sought in the databases Cinahl, PubMed and Discovery Results: The study results in four themes; Loneliness, trust, Despair and obstacles to health.

ABSTRACTMy degree project has resulted in the improvement of the guidance in the dental center?s entrance. The patients will now find it easier to understand and find the environment?s various functions, which is the reception, registration, payment, and waiting rooms. Norrbottens läns landsting has a concept ?hälsofrämjande väntrum? that provides guidelines for how they want their patients to experience their waiting rooms.