Background: When a patient suffer from a disease and is in need of palliative care, it is normal to have existential questions and thoughts. For some patients these questions can be painful and the nurse need to have knowledge about dealing with these kind of questions and thoughts to be able to relieve and/or prevent this kind of suffering.Aim: The aim was to describe how the nurse can prevent the existential suffering among patients with palliative care.Method: A literature-based study was based on eight qualitative studies.Results: The results showed that nurses meet patients in the palliative care environment which may suffer from existential problems when their questions and thoughts don´t get answered. It showed that the most important a nurse can do is to give time to these calls and build up a safe relation to the patient. This allows the nurse to read the patients existential questions and observing possibly suffering. The result is organized in two categories "To see and confirm" and " To listen and give support" and see subcategories " Use body language", " Create reliable relationship", respond to the existential questions", "Give the patient time", " take help from others in hard situations" and "to focus on other things"Conclusion: It is easy to only focus on the physical illness while caring for a patient and believe that it is creating suffering.

AbstractThe importance of good construction planning affects the final costs of the production and the timing of the project. Planning for building projects has been studied with the aim of identifying how three week planning appears in the construction industry today.A case study has been conducted in Navisworks Simulate to assess whether the software is suitable to connect the task schedule with the BIM model to create a 4D model. 4D models are used for performing 4D construction simulation to visualize the project. In order to use the benefits of the model, investment in equipment and software is required. This means higher costs for the companies.

Introduktion: Liverpool Care Pathway (LCP) är en vårdplan framtagen för palliativ vård vars syfte är att överföra det bästa av hospicevården till den övriga sjukvården. LCP ger vägledning för vårdpersonal i vården av patienter i livets slutskede för att säkerställa god vård för patient och närstående. Syfte: Syftet var att beskriva hur sjuksköterskan upplever användandet av vårdplanen Liverpool Care Pathway (LCP) i livet slutskede. Metod: Metoden som användes var litteraturstudie. Sökningar gjordes i CINAHL och PubMed där elva vetenskapliga artiklar, som svarade på studiens syfte, framkom och granskades i sin helhet.

During the last decennium climate issues have become more and more important. Many steps towards an adaption of efficient energy supply systems have been taken all around the world. These steps have been created to ensure the next generation?s energy demand. In EU and Sweden objectives have been set to ensure that the energy consumption decreases by 20% year 2020 and by 50% year 2050 compared with the energy consumption levels of year 1995.

Bakgrund: Smärta är för intensivvårdspatienten en unik, subjektiv, obehaglig och flerdimensionell upplevelse. Intensivvårdssjuksköterskan har ett moraliskt ansvar att lindra patienternas smärta. Verbalt icke-kommunicerandepatienter kan inte skatta sin smärta med hjälp av Numeric Rating Scale (NRS). På en neurointensivvårdsavdelning (NIVA) i Stockholm har det beteendebaserade smärtskattningsverktyget- the Critical-Care Pain Observation Tool (CPOT), implementerats. Intensivvårdssjuksköterskorna på NIVA använder CPOT dagligen i sitt arbete.

The regulations for energy consumption are consistently getting more and morestrict. This leads to a higher customer demand for energy analysis early in the buildingdesign process. Many building planners and architects use powerful modeling softwareto visualize their projects. These digital models contain sufficient information aboutthe building?s physical characteristics for reliable energy analysis.

The educational underachievement of children in foster care has been known for a long time. This study aimed to compile and analyze the current knowledge about interventions, intended to improve foster children?s school achievements. The method used was a systematically undertaken narrative review. Despite a comprehensive searching strategy, only ten relevant studies were found, indicating that little has been done to improve the educational outcomes for children in public care.

A problem in the field of district heating is the oil burners needed to provide power when a peak load occurs. One possible way of reducing the needed amount of oil is to reduce the power demand for space heating in the district-heating substations when the need for district heating water exceeds a certain limit. This can be done by use of a locally working controller function.In this Thesis the options concerning load priority are evaluated. To evaluate the potential for using controller functions concerning peak load priority an experiment was brought out in a chosen district-heating substation. The impact on the indoor thermal comfort during a heat reduction was also taken into account.

This report is focusing upon relining from a client?s point of view. Potential buyers are given a presentation of the different methods available today together with a general briefing describing the process. An important part of this report are the interviews that took place with already established customers. Property owners, managers, pipe cleaners, and project managers whom all been in contact with relining have answered the questions given along with their own thoughts and have also given recommendations of other persons to talk to.

This diploma work on D-level is made in cooperation with Varnäsföretagen AB in Eskilstuna. The company performs contract manufactured aluminium goods. This work is a continuation on earlier diploma work in Varnäsföretagen AB. Even if the industry process consumes much energy for melting the aluminium goods, they consume a great amount of oil to warm up the building. The purpose of this work is to examine some places in the building and the process to see how much energy it is possible to recycles to the heating system and reduce the costs for heating.

Introduction:A good work environment and good resources among district nurses? and general nurses? are important in the provision of good nursing care. For patient security it is also very important that resources and time are used in an appropriate way. A lot of time is spent on non-core activity, for example administration takes more and more time, which can result in feelings of stress.Aim:The aim was to describe how district nurses? and nurses? in primary care perceived their work environment, how their worktime content was distributed and if there was some connection between perceived work environment and the distribution of work time.Methods:A mapping of the content of the work was made in two parts.

Bakgrund: Liverpool Care Pathway (LCP) är en vägledning för att vårda patienter i livets slutskede. Den är framtagen i syfte att överföra den palliativa modellen av vård till annan vårdkontext. LCP ger vägledning i kommunikation inom det multiprofessionella teamet, med anhöriga och med patienten som är döende. LCP utgör en guide för läkare om att förskriva läkemedel mot de vanligaste symtomen som kan uppträda i livets slut, för att förbättra symtomhanteringen.  LCP används idag i Sverige på flera håll inom olika ramar av vårdinrättningar. Syfte: Syftet var med denna litteraturöversikt att ur ett sjuksköterskeperspektiv beskriva vård i livets slutskede med tillämpning av Liverpool Care Pathway på akutvårdsavdelningar.

The aim of this text is to study how sectional managers in the care of the elderly work so as to promote basic human values. Semi-structured interviews generated qualitative data from five sectional managers. A hermeneutical approach was applied for interpreting the interviews. The result shows that the respondents are conscious of the fact that it takes a lot of long term work before a change in current procedures will happen. Also, the common everyday principles of work and basic values will continue to be part of the care of the elderly.

This thesis has been done in collaboration with Peab Stockholm Building 3, which is a region within the Peab Sverige AB. The report is based on a survey and studies of Peab business management systems and production literature. For general information gathering has literature from well-known sources collected in libraries and through the Internet. It shows through the work that Peab has routines for experience feedback in the construction process, but that these procedures work in a small scale and the practical work experience feedback does not work at all. This is also something the construction industry in general also perceived as problematic. The questions in the report are of a wide scale and concerns construction errors cost, how the employees perceive that the company takes advantage of the skills and the mental stress in production line. The goal is to find how Peab Stockholm Building 3 will work on the experience feedback to allow for better productivity. In conclusion, the report author tries to demonstrate what can lead to increased productivity and improved work experience..

Mitt mål var att skapa västra söders identitet och samlingsplats, vilken helt saknas idag. Utmaningen var också att transformera Hornsbruksgatan från en baksida till en tillgänglig plats. Högalidsparken förlängs ner till gatunivå - Hornsbruksgatan blir en blandning av park/ torg genom ett specifikt grönt plattsystem. Nya stråk och ramper binder ihop nuvarande gatu- och parknivån. Bebyggelsen är småskalig och nätt, ändå är programmet större än förslagit proram.