The purpose of this study was to examine experienced family counselors view regarding the concept of conflict avoidance in couple relationships. Twelve family counselors working in different parts of Sweden was interviewed using a semi-structured interview guide. They were asked to reflect on the following: their description of the concept of conflict avoidance, the consequences of conflict avoidance in couple relationship, gender differences and their own view on how to create conditions for constructive, therapeutic work in this respect.The result shows that the fear of conflicts, difficulty in expressing needs, different perceptions and expectations together with a difficulty to negotiate about differences, creates a lack of emotional and physical contact together with an absence of dialogue. The consequences of this in the long-term, a majority of the respondents perceived, are feelings of anger, resignation, powerlessness and unhappiness..

Background: To wait on an emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

Blood sampling is one of the most important diagnostic tools in veterinary medicine, and this is also true for avian medicine. A properly collected and handled venous sample can be used for serology, biochemistry and electrolyte analysis, as well as for blood smears, packed cell volume and cell differentiation. Caring for sick birds is a challenge for all veterinary staff. Many birds are easily stressed individuals, and to a very ill bird a big increase in stress level can even be fatal. Avian patients who are presented in a veterinary clinic are often in a poor condition, and blood sampling is an invasive procedure that can cause stress to the patient.

Shivering är ett fenomen som uppstår hos patienterna postoperativt. Det innebär att patienten har okontrollerbara muskelskälvningar som gör att patienten darrar, skälver eller huttrar i mer än 15 sekunder. Shivering påverkar kroppen negativt, men är också obehagligt och ett onödigt lidande för patienten. I takt med den tekniska utvecklingen utarbetas nya operationstekniker och idag utförs flera operationer med laparoskopisk teknik. Pilotstudiens syfte var att undersöka före-komsten av postoperativ shivering hos patienter som opererats med laparoskopisk teknik.

This essay is about dogs that visit is used, whitin care of elderly. The dogs found caretakers once a week and one hour at a time. The focus has been placed on the dogs that go to the municipality's special accommodation and the research was done in a medium-sized municipality in Sweden. The focus of the narrowing of the work was done to the work situation for care staff to assess the impact of the visits the dogs presence. It was distributed questionnaires answered by care staff in which it concluded their visit to the dog's presence felt and how it impacted the situation.

The aim of this study was to understand how care staff in residential care perceive and work with elderly mental health and how these perceptions and work is related to aging. We have gathered our empirical material through eight qualitative interviews and vignettes with care staff in residential care. The study was conducted in a municipality with 10 000 to 20 000 inhabitants in southern Sweden. The material was analyzed with use of ageism as a theoretical frame of reference. The results showed that the care staff had different perceptions of mental illness in general and regarding the elderly.

The aim of the study was to illustrate how care managers reflect and act in regards to self-determination and integrity when caring for residents over 65 years old who have a dementia diagnosis. Our main questions dealt with how care managers handle the right to self-determination and integrity when a person has dementia, to which extent the care managers listen to the person with dementia and how the care managers look upon the residents with dementia?s ability of self-determination. To find the answers to our questions, we interviewed ten care managers within the elderly care in Gothenburg, Sweden. We used qualitative interviews based on a semi-structured interview guide.

The purpose of this study has been to examine how elderly people in today?s society look upon themselves and experience their own aging. We have inquired answers to the following main questions: What main events during the life course are emphasized in the elderly?s stories about their lives, and in what way has it affected their experience of growing old? In what way have social relationships, interests and the experience of health changed during the life course? How do the elderly experience their own aging, and what emotions are expressed in the speech surrounding their life course? The results of the study have been analyzed and interpreted with the help of the life course theory, Erikson?s psychosocial development theory and the continuity theory. The results show that elderly people of today don?t feel their age.

 Bakgrund: I Sverige finns det cirka 160 000 personer som är drabbade av någon form av demenssjukdom och av dessa lider ca 60 % av Alzheimers sjukdom. Cirka en halv miljon svenskar beräknas vara anhöriga till någon som drabbats av Alzheimers sjukdom. Alzheimers kallas ibland för de anhörigas sjukdom, eftersom livssituationen förändras både för den drabbade och för de anhöriga. Syfte: Att beskriva anhörigas upplevelser av att vårda personer med Alzheimers sjukdom. Metod: Studien utfördes som en allmän litteraturstudie.

This report is based on factors that has had affect on drugaddicts in their decission on quitting their abuse. The questions we have built our report on are: What external factors have had an impact on the drugabuser to end his or her drugabuse? What internal factors have had an impact on the drugabuser to end his or her drugabuse? Does the police have an influence on the drugabuser to end his or her drugabuse? The report is based on intervjues with former drugaddicts. We have also studied the theory of symbolic interactionism and litterature written by different authors to obtain a broad picture of drugabuse. Our results in this report show that the people we have intervjued have been influenced by many different factors and people in their enviroment.

Studiens övergripande syfte är att generera insikt i förskollärares uppfattningar av omsorgens roll i det dagliga arbetet med de yngsta barnen i förskolan.Utifrån en fenomenografisk metodansats har sju semistrukturerade intervjuer genomförts med förskollärare verksamma på en småbarnsavdelning.I studien beskrivs tidigare forskning kring fenomenet omsorg och dess roll i förskolan och olika forskares uppfattningar av dess betydelse för de yngsta barnen.Informanternas utsagor är sammanställda utifrån en fenomenografisk analysmetod där sex beskrivningskategorier utkristalliserats, i kategorierna inryms en bred variation av uppfattningar av omsorgens betydelse. Dessa sex beskrivningskategorier leder fram till studien utfallsrum, dvs. studiens resultat. I resultatet framträder förskollärarnas uppfattningar av omsorgen som både en viktig faktor för de yngsta barnens välbefinnande, men även som en grund för deras lärande inom förskolekontexten..

Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

Allt fler personer drabbas av hjärt- och kärlsjukdomar, vilket på sikt kan leda till kronisk hjärtsvikt. För att förbättra omvårdnadsåtgärder för hjärtsviktspatienter har Socialstyrelsen 2004 givit ut nationella riktlinjer för hjärtsjukvård där vikten av en individuell handlingsplan betonas. Syftet med litteraturstudien är att undersöka på vilket sätt sjuksköterskor utför omvårdnadsåtgärder avseende fysisk aktivitet, egenvård, nutrition och rökstopp för patienter med hjärtsvikt och om dessa överrensstämmer med gällande riktlinjer samt om hänsyn måste tas till genusskillnader. Metoden är en litteraturstudie i databaserna PubMed och Elin@Malmö vilket resulterade i 14 artiklar som användes för att söka svaret på syftet. Som teoretisk referensram har Antonovskys KASAM modell använts.

The purpose of this study has been to increase the awareness of what significance models of explanation have for intervention programmes, aimed at perpetrators of intimate partner violence, within the Swedish social services. The study is not gender neutral, it centres on male batterers in heterosexual relationships. The study is based on qualitative interviews with five people working within the topical field. I analyzed their statements using an ecological model of understanding violence. The main finding was that the people I interviewed had a multiple understanding when it came to comprehending the violence, but that when it came down to the actual intervention they targeted mainly on elements in the individual spectra, such as feelings of frustration.

BackgroundType 1 diabetes is a chronically disease that often occurs in early life. In every year around 77.000 children in the world is estimated with type 1 diabetes. When a child gets a chronically disease it affects the whole family, specially the parents who will be the child's caregiver.AimThe aim of this study was to describe parents experiences of living with a child with type 1 diabetes.MethodA literature review was carried trough based on 10 qualitative scientific articles. The articles were analyzed and two main themes and seven subthemes emerged.ResultsAll parents experienced that they needed some kind of support particularly early in their illness. They felt it was a big responsibility to take care of their child with diabetes and parents often felt anxiety and fear associated with the disease.