The average length of life is increasing in the western world, hence the older population is growing. A common health problem among the elderly is malnutrition. Malnutrition causes decreased body strength and is associated with an amplified risk of infections, depression, fractures and increased mortality. The health care system is therefore faced with the challenge to prevent malnutrition among the growing population of elderly. This could be done by providing nutritious foods developed to meet the specific needs of elderly. The overall objective of this project was to test a healthy energy dense drink based on oats targeted for the elderly consumers as a strategy to prevent malnutrition among elderly.

The aim of this thesis is to explore how librarians approach to and knowledge of young people can be seen in their work methods and in activities arranged for young people. I also want to investigate other factors that librarians think can affect how they work. Five interviews were carried out with five librarians who worked with young people at public libraries. The literature review covers; young peoples needs and leisure activities, young peoples attitudes to libraries, activities arranged for them and towards departments for young people at public libraries. Literature dealing with librarians` attitudes and knowledge of young people was also included.

AbstractBackground. The need for drugs delegation is increasing as more and more sick people are cared for at home and too few nurses working in home health care. Because of this, the number of delegations per nurse is often unacceptably high.Aim. The aim of this study was to describe the public health nurses´ experience in drugs delegation to home care staff in home care.Method. In this study a qualitative method with an inductive approach was used.

The aim of this study is to describe and analyse an elderly care team?s prerequisite to anchor a salutogenic perspective and approach in an elderly care team in Kalmar municipality. The study identifies factors that could impede or promote the anchoring and examine how the organisation aims to work in a single direction even if the multidisciplinary team processes a diversity of knowledge, education and abilities. The study is based on qualitative semi-structured interviews from representatives of all professions in the multidisciplinary team; social workers, paramedical professions, nurses and care-givers. The theoretical frame consisted of a translating perspective, leadership and ideas of interaction and power.

Background: Stroke is one of the leading causes for longlasting sequelae, among themloss in cognitive function, like aphasia. Aphasia effects the patients ability to understandand express themselves in speaking and writing. To be able to reach a good level of care,the careproviders and patients ought to have the same goals and values. This requires agood communication between the careproviders and patients. Which can be problematicfor the caregivers when they don't feel secure in their way of getting close to these patients.Aim: The purpose of this study was to illuminate caregivers experience of caring forpatients with the diagnosis aphasia following stroke.Method: This is a literature study where nine studies, with qualitative design, has beenanalyzed and compiled.

Background: Several patients wish to die at home and relatives often become thecaregivers. This task can be a burden and the opportunity for the patient to die at homecan be overshadowed by obligations and responsibilities. Participation of relatives isoften the prerequisite to offer palliative care in the home environment. The purpose: The purpose of the study was to illuminate relatives? need of support during palliativecare in the home based care.

Background: Alzheimer?s disease belongs to the largest group of dementia and stands for the half of those 37 millions persons whom are affected of dementia in the entire world. Alzheimer?s disease affects the patients with changes on their behaviour. It is important as a nurse to prevent that the symptoms increase.

Background: With increasing age follows higher risks of conditions and illnesses which can cause a decrease in health and wellbeing. A meaningful social environment can positively impact the physical health of older people. Dogs are increasingly being used for different purposes within health care and animal assisted therapy aims to improve people?s physical, social, emotional and cognitive function.Aim: The purpose of this study was to determine the effects of animal assisted therapy on older people?s health and wellbeing.Methods: A literature review where searches for academic articles in databases PubMed, Cinahl and PsychInfo were performed. The searches resulted in 14 articles which were selected for further review.

Approximately one third of all patients in primary care have a psychosocial component to their illness that requires adequate professional treatment. However, primary care is insufficiently prepared for these patients. The aim of this case-study was to evaluate a pilot project in primary care offering psychotherapy as a treatment alternative. The data collected includes 1) data from 352 referred patients regarding demographics, diagnosis, treatment duration and pre- and post health status, 2) a patient-satisfaction questionnaire and 3) interviews with six therapists and five medical doctors. The treated patients improved significantly and showed a high degree of satisfaction.

Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.

In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.

ABSTRACTBackgroundPostpartum depression (PPD) occurs in 10% of women who have recently given birth. Postpartum depression is treatable but unidentified and untreated it could lead to serious consequences. There are multiple instruments for screening available. The Edinburgh Postnatal Depression Scale is the most frequently used and is regarded as the best instrument. AimThe aim of this study was to analyze to what extent and how midwifes and primary care nurses identify mothers with symptoms of depression respectively PPD.

Organisation and market orientation of elderly careThis comparative literature study is intended to describe how elderly care is organised and financed in Germany and Sweden. Furthermore, it analyses the degree of competition and market orientation in both countries' care systems. Important aspects in this context are the kinds of measurements which are used on the two markets and the question if there are quasimarkets.The theoretical backgrounds of the study are Esping-Andersen's "Three Worlds of Welfare Capitalism" and Harold Wilensky's convergence theory. Esping-Andersen's theory describes Sweden as a social democratic and Germany as a conservative welfare regime which means that there are different conditions for the development of welfare. The use of Wilensky's theory shows that both welfare systems are converging since the end of the 20th century.

During the 20th century Sweden faced an increased proportion of workers registered as part-time unemployed, especially in the care sector. However, due to many valuable efforts, aimed at solving the problem of part time unemployment and political decisions, the number of people who are part-time unemployed has declined since the late 20th century. We have investigated part-time workers preferential right to extending their working hours. According to Section 25 a of the Employment Protection Act, part-time employees who have submitted an interest in increasing their working hours has a preferential right to increased working hours, with the assumptions that full-time employment with the employer will meet a labor need that the employee has sufficient qualifications for.Qualitative interviews have given us information about how Karlstad Community and a private care company deal with part-time unemployment and their workers preferential right to extending their working hours. We have found that people who work for Karlstad Community have an opportunity to choose their number of workings hours, thanks to a political decision made in Karlstad Community, aimed at solving the part time unemployment in the care sector.

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.Aim: The aim of this study was to describe, from an ethical point of view, how the patient?s autonomy could preserved at palliative care.Method: A general literature study where 11 scientific articles have been analysed from a qualitative checklist whereof the result has been discussed based on the principles of ethics.