Every year 120 children with Downs Syndrome is born in Sweden. The aim of the study was to investigate if there were any differences between mothers and fathers of children with Downs Syndrome regarding: experience of support from health care personnel and physicians in the time of delivery and from who parents sought most emotional support.Participants of the study was 80 mothers and 79 fathers that answered a questionnaire. There was a difference between parents if they thought they received support from health care personnel, mothers (59 %) and fathers (38 %) thought that they didn?t receive support. Emotional support sought mothers (52 %), in grater wideness then the fathers (23 %), with other families with handicapped children.

In using a qualitative method have I interviewed six women and six men taking care of their wives respectively husbands suffering from physical disease, disfunction or demental disease. The purpose was to find out whether male and female caretakers were differently influenced in their situation, relationship and in their partners, when they became caretakers of their spouse, depending on what the partner suffered from.The results showed that, when a husband or wife was hit by disease or disfunction, the caretaker was influenced both in the partners situation, the relationship and the role towards the partner. The couple still lived in a close relationship and could communicate. For the carers spouse suffered from a demental disease, there was no communication as before or possibility to remember. The carers also felt the loss of community, nearness and sympathy.

The focus in this paper was on managers in the middle position in the care of the elderly and people with disabilities. The aim was to develop knowledge about the conditions of work among managers in the middle position and what they characterized as good leadership and which strategies they used in their work. The empirical data consisted of nine qualitative interviews with managers in the middle position in the municipality of Halmstad.The frameworks that mainly limited the middle managers' discretion were laws, political regulations and most of all it was the allocated budget. Their discretion was found closer to the operation such as working methods, recruitment and changes in job schedules. The middle managers spent the majority of their working hours with personnel administrative work and that they often had to prioritise among their tasks.

An inquiring study of literature has been conducted, about the human colour perception (theimpression of colours). The colour has been examined, both as conscious and subconscious signal,and reasons for it?s influence have been exammed.The practical parts of the degree project have been carried out in active collaboration with thecustomer, The Association Hedemora Assistansservice (HASS), which offers handicapped persons astimulating spare time by personal assistance. A graphical profile-programme and an informationfolderhave been produced, easy received by both handicapped (with defective vision) and normallysighted persons. The graphical profile-programme was made in collaboration with the customer.Concerning the information-folder HASS took the main responsibility for the choice of photographswhile layout, text writing, colour-reproduction, original-production and connecting printing workswere made independently.

This paper is a qualitative study on the influence of the residents in a special communitydwelling within the care system for elderly. The purpose of the study is to describe and analyse with a user perspective how particularly staff members but also a group of retired people living in this dwelling interpret and articulate the concept of resident influence. How the retirees can influence the design and the content of the activities and the organization. How today the residents influence is carried out with the ideas and visions of the future.My methods include qualitative structured, semi-structured and non-structured interviews within a general frame of a resident questionnaire. The staff members present the current situation and reflect on the reasons for obstacles for resident influence.The group of retired people who lives in structures originating in the Swedish long-term care system and homes for the elderly tends to adjust to given routines and express a low-voiced wish for increased influence.

The level of help and support given to elderly people over the age of 65 has been regulated by two separate laws; 1-the Act concerning Support and Service for Persons with Certain Functional Impairments (LSS) and 2- Act of Social Services (SoL). Recent changes in the legislation could cause local authorities to deal with these issues in different ways. The aim of this study was to examine and evaluate possible differences in the level of support for the elderly, dependant on which of the two laws was used in the decision process.The questions raised in this paper are· What are the major differences in the purposes of the two legislations?· How will the decisions be influenced dependant on what law is used? Do the decisionmakers identify the difference between the quality levels "good" and "fair"?· How is the process of care organised and managed within each of these legislations and how is the personnel used?· Are there differences in quality regarding freedom of choice, your own right to decide, influence, comprehensive view and continuity in the efforts given?· What development can you see in these fields of care.As a method I have used a case study involving four big cities in Scania. The most interesting and essential knowledge in the study was obtained from qualitative interviews with eleven decision-makers in the four communities.The result of this study indicates that there are more similarities than differences in the purposes of these laws.

AbstractDuring my university trip to South Africa I visit a black township called Lingehlile. There I examined the life situation and education for children and youth with mentally disabilities. I was interested in knowing more about what basic condition they have, period of school and what kind of support they get outside the school. The subjects that I have handled are a school for all, support for the person with mentally disabilities and their family, the opinion of the society, education and life after school. I got my result by two interviews.

The aim of this study was to investigate the leaving care services provided to youth leaving residential care in Sweden. Through the use of qualitative research interviews residential care workers perception of what practical and emotional needs youth leaving care have, and whether current aftercare services meet these needs, were examined. The study further sought to compare the swedish and english leaving care services. The main findings of the study were that the residential care workers interviewed expressed that they had a good working relationship with the local social services and that they through the residential care services were able to provide some degree of aftercare. They further identified loneliness as the most prominent emotional need of youth had after leaving care.

The study aimed to evaluate picture communication during clinical as-sessment and intervention procedures in paediatric care. As part of the project KomHIT (Augmentative communication in paediatric health care settings) care professionals at different care units were provided with education and designed pictorial supports. These consisted of appointment letters with pictorial support, visual schedules and communication boards with both general and specific vocabulary. Care professionals and parents to children with and without communication disabilities participated. Survey data from care professionals and parents at five care units was supplemented with qualitative data from an interview with a multiprofessional group at one of the care units.

This is a qualitative interview study about intellectually disabled parents and their children. I have conducted interviews with six professional staff who have some experience working with intellectually disabled persons. In my investigation I used vignettes and those I interviewed had to read the same story about Anders and Britta in preparation for the interview. The six persons whom I interviewed were: a midwife at a mother care centre, a nurse at a child health centre, a social welfare officer at a rehabilitation centre, a "LSS administrator" at a local authority, and two social welfare secretaries. One of the two welfare secretaries works to assess the social situation of children and the other one works with fostercare.The conclusion that I have drawn is that the relationship between intellectually disabled parents and their children is very important.

This essay aims to examine and compare the attitudes of decision makers in the local government and representatives of pensioners in two different geographic areas. The main questions were:- their attitudes towards the "stay home principle" (kvarboendeprincipen, a principle that aims to make it possible for people with a handicap, disease or age to stay in their homes instead of moving to nursing homes).- their attitudes towards nursing homes for old people- their attitudes towards the possibility of staying at home when you are old and handicapped and in need of care.The essay is built on qualitative research methods, based on interviews and on a review of research in the field.The author found a complex picture of attitudes. Everybody thinks that the best is to live in your own home as long as possible, except from those who live with Alzheimer´s disease. They showed different opinions on the issue of the need for moving to nursing homes. This might result in forcing people to stay at home.

The purpose of this study was to look into the work of care organizers for elderly care, in three municipalities in southern Sweden, and how they use the law and local guidelines to evaluate the need for home care. The intention was to determine if presence of relatives makes a difference in the needs assessment and if the care organizers practice harmonize with the guidelines. To do this, we did a qualitative study alongside with analyzing each of the local guidelines. By interviewing five care organizers, we were able to see their side of elderly care and how they combine the law and local guidelines in their daily work with elderly care. Our main themes are, in short, the law and local guidelines, the view of care organizing and needs and also closeness to relatives.

SummaryAt the start of my employment at the Swedish National social insurance office I was a bit confused because there were two categories which I defined as belonging to the same category (working handicapped) but it wasn?t so. The persons I where going to meet was defined as having incapacity to work and therefore, they were defined as not standing to the labour markets conversion. They were defined as being to sick for being at the labour market. The aim of this work is to shed light on what grounds a decision concerning a person which will be categorized as incapable of working and looking at the categorized person?s status.

Background:The adult inpatient psychiatric care is regulated by law and allows certain amount of coercion, most commonly restraint, forced medication and seclusion. To be treated according to this law you need to suffer from a serious mental disorder, oppose to the care and have an indispensable need of care. Many studies describe patients experiences to be treated with coercion but few about health care workers experiences.Aim:To describe health care workers experiences of performing coercion in psychiatric compulsory care.Method:A literature review was made and eight articles is the basis for the result.Results:From the articles used inthis study four themes were created. These are coercions impact on relations, health care workers feelings during coercion, coercion as a necessary evil and health care workers need for reflection. The themes are presented as headlines in the result.Conclusion:To use coercive measures brings out many different feelings among health care workers.

Palliative care is founded on a holistic attitude, with the goal to alleviate suffering when a cure is no longer possible. Palliative care affirms life and regards dying as a normal process, providing possibilities of a quality time for the patient and family. Studies show that an increasing number of people choose to live the final phase of their life in their own home. A requirement for end of life care is an effective team work, where the nurse is responsible for more advanced care, and the caregiver?s provides the immediate care.