This study will examine if caregivers, working with people with dementia problems, is in need of support and in what way they see how the support should be designed. Previous research shows that there are many factors in elderly care that affect all of the caregivers. Working with people in this sort if dependence, requires a lot of the caregivers, both mentally and physically. To study if the caregivers consider themselves to be in need of support, and in what way they see how the support should be designed, the study employs a qualitative approach using to types of interviews, one focus group with four assistant nurses, and two individual in-depth interviews with the administrative personnel and one nurse. The results show that the need for support for the caregivers exists. Caregivers working with people with dementia problems, daily face difficulties, some more difficult to handle than others.

The purpose of my study was to examine a competence-development in care of older people in which some of the personnel have been ?spjutspetsar?. More specifically my aim was to investigate how the personnel managed to supervise others in the organization. My main research questions were: How do the care-managers and the care-workers persecute their functions as ?spjutspetsar?? What form has the internal meeting between the competence-development and the organization ideology taken? What possibilities and obstacles have the care-managers and care-workers been confronted? In my study my research method is based on eight qualitative interviews.

 Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.

Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.

AbstractThe aim of the thesis was to examine some older people's experiences of everyday life and how it is to grow old in Namibia today. Because everyday life is a broad concept, we chose to focus on some specific parts of everyday life. These are chores, family, work/education, elderly past and present and the government/society. Furthermore we chose to look at the similarities and differences between the experiences on the basis of gender, race/ethnic groups and class.We chose to use a qualitative research method and to be inspired by life stories. We used a semi-structured interview guide and interviewed six people between 70 and 89 years.

The aim with the literature study was to describe how persons with dementia and health care workers in the geriatric care experiences soft massage and to describe the derived effects for persons with dementia. Scientific articles were sampled from the databases: Medline (Pub Med), Cinahl and Psyc INFO. The main results of the study are presented in three parts: how persons with dementia experiences soft massage, health care workers experiences of giving soft massage and the health care workers descriptions on derived effects on persons with dementia. The results showed that persons with dementia experienced a positive reaction to soft massage and the health care workers did no longer feel helpless in their care service towards persons with dementia. The studies showed that soft massage decreased agitation, wandering, pain and sleeplessness.

Background: Delirium is a serious condition that often affects hospitalized elder. The condition can be described as an overstrain of the brain which results in a disturbed consciousness. Elder people are particularly vulnerable since many of the risk factors develops with old age. The treatment aims to find and treat the underlying cause. Purpose: The purpose of this literature review was to illuminate factors beneficial for the nursing care of hospitalized elder with delirium.

The purpose of this study was to examine whether there were any differences in how first-line managers within   municipal care   rated their management leadership qualities, and structural empowerment before and after the course in "leadership, learning and improvement". The study had a quasi-experimental design and 64 managers participated. There was a significant improvement in the LaMI factor ?Achievement orientation?, after participation in the course "leadership, learning and improvement". In other factors, there was no significant difference before and after training.

AbstractThe aim of the thesis was to examine some older people's experiences of everyday life and how it is to grow old in Namibia today. Because everyday life is a broad concept, we chose to focus on some specific parts of everyday life. These are chores, family, work/education, elderly past and present and the government/society. Furthermore we chose to look at the similarities and differences between the experiences on the basis of gender, race/ethnic groups and class.We chose to use a qualitative research method and to be inspired by life stories. We used a semi-structured interview guide and interviewed six people between 70 and 89 years.

This thesis studies whether private equity owned firms within the Swedish welfare sector distinguish themselves in terms of tax planning and short-termism from a control group consisting of other privately owned welfare firms. For the first time, the comparison is made on the entire welfare sector, between 14 matched pairs within education, health care and elderly care. We use financial metrics associated with tax planning and short-termism in sign tests to examine whether the private equity owned firms differ from our control group. The financial metrics tested are actual and paid tax rates, level of interest, book-tax gap, investments, personnel expenses per employee, and cash earnings. We find that the private equity owned firms in terms of tax planning only differ in the level of interest, while no notable differences are found in terms of short-termism..

Konfusion är mycket vanligt förekommande hos äldre och skapar stort lidande, ger höga samhällskostnader och orsakar hög mortalitet. Syftet med studien var att belysa sjuksköterskans icke farmakologiska omvårdnadsåtgärder vid konfusion hos äldre patienter. Metoden var en litteraturstudie, vilken innefattade tio artiklar där relevanta omvårdnadsåtgärder framkom, dessa presenterades i resultatet under VIPS - modellens åtgärdssökord. Resultatet av studien visade att patienter med konfusion mindes och uppmärksammade vad som skedde med och runt omkring dem. Viktigt var att få information om sitt konfusionstillstånd för att förstå vad som hände och varför.

An individual's social capital consists largely of the social networks that may consist offamily, friends and acquaintances. The social network is of great significance on olderpeople's physical and mental health. Aim: The overall purpose is to examine the knowledgeof social network and the health of the elderly. Method: Litterature review, using threedifferent databases, CINAHL, PubMed and Scoupus for searching of articles, with differentcombinations of keywords. Results: Different types of social networks have both positive andnegative effects on health.

A home for elderly is planed to be built at Zakrisdal, Karlstad, Sweden. The heat source for the building was at the time not determined. In order by the local government of Karlstad this report is meant to examine if the need of heat could be provided only by solar heat combined with a seasonal heat storage. The problem to solve is, if the need of heat from the home for elderly is provided from only solar heat, whitch dimensions of the solar collectors and the storage is needed?.

Aim Our aim is to highlight perceptions of fibromyalgia among health care personell.MethodsA systematic literature review conducted with a deductive approach.FindingsHealth care personell felt insecure because of a lack of understanding which lead to avoiding contact with these patients. Many felt that the fibromyalgia patient was categorised and that they would have been better served with another name of their disease. There was a great distrust against the diagnosis and its aetiology. The patient was perceived as troublesome, illness-fixated and draining the personell of energy. The paradox that the patient is looking so healthy but bearing so much pain was confusing for the health care personell.Conclusions Communication and an empathic encounter was identified as important elements for patient care.

The aim with this study was to examine what it is that govern the way that municipalities develop the non-institutional care for youth. An extensive development of non-institutional care for children is a visible trend in municipal social service and probable reasons for this development are, among other things, research that show inadequate results of the institution care and economy. Our main questions at issue were how the municipalities argue the priorities that have been done within their youth care services with regard to the non-institutional care and how they reason considering this? Furthermore we asked why the municipalities have chosen to develop their non-institutional care for youth the way they have and on what grounds they make their choices? This study consists of eight qualitative interviews with politicians and employees in four different municipals along with analysis of relevant documents. We have found that what governs the way that municipalities develop the non-institutional care for youth has to do with that the municipalities found it vital to find alternative solutions to the expensive and ineffective institutional care, that they comprehend that the quality of non-institutional care are higher then of the institutional care and that the non- institutional care is seen as more effective with regards to economic results and achieved treatment results.