The intimate connection between autonomy and decision-making in applied health care, especially in various kinds of consent and refusal has taken center stage in medical ethics since the Salgo decision in 1957. Prior to that time, the physician?s supposedly moral duty to provide appropriate medical care typically surpassed the legal obligation to respect patient?s autonomy. The Salgo decision concluded that physicians have a legal duty to provide facts necessary for the patient to make an informed decision. "The doctor knows best" long ago was replaced with "The doctor proposes; the patient disposes." There is no legal obligation for the patient?s choice to be palatable to anyone, other than that patient himself/herself.

Introduction: Parental involvement is becoming increasingly common in the paediatric health care. Parental participation at home means that parents receive instruction by nursing staff in order to perform a caregiving procedure at home.Aim: To explore parents' feelings about performing caregiving procedures on their child at home, and their experience of instruction about these, and to explore nurses? experiences of their instruction to parents.Method: A descriptive quantitative and qualitative design using questionnaires with statements to be responded by nurses and parents according to scales graded 1-10. The study was carried out during the autumn of 2009 at a pediatric unit in the University Hospital in Uppsala.Results: Ten completed questionnaires from the nursing staff and ten from parents were obtained. The mean assessment of parents' perceived safety and security, and their perception that their questions had been answered ranged between 8,6 and 9,2.

Children and youth inactivity and sedentary at school is increasing. This means that some of the students have a significant unhealthy lifestyle with physical inactivity, which in turn implies risks of suffering from various diseases, including obesity, type 2 diabetes and cardiovascular disease, all related to a sedentary lifestyle. To prevent illness, it is important that children and young people early get a positive attitude towards physical activity.The purpose of this study was to study the causes of child and adolescent physical inactivity in school, based on teachers 'and parents' perspectives.A qualitative research has been selected. To achieve the study objectives, the author has conducted seven semi-structured interviews, with an appropriate choice of five teachers and two parents with children in school. Data was analyzed with a manifest content analysis.The results show that teachers and parents felt that physical activity is a protective factor for children's health.

Background: To be a parent to a child dying of cancer affect not just the parents themselves, but the whole family. Experiences of fear, powerlessness and anxiety surrounds them. Nurses need knowledge about parents? experiences to help and support these parents adequately. Aim: The aim of the study was to describe parents? experiences of losing a child to cancer, from diagnosis to the child?s death.

The purpose of this study was to describe how nurses, working in primary health care and responsible for diabetes care, reflected on patient information and education, its? content and experiences of providing it. The study had a descriptive design and seven nurses from seven health care units in the middle of Sweden participated in the study. Data were analyzed with qualitative content analysis. The results are presented in two main categories; ?The information? and ?The procedure?.

This study is essentially based on my own questions concerning contemporary playgrounds. Why are they so unimaginative? What do the children say about them? Is it possible to create playgrounds less constructed, and with more natural elements? This report starts with references to literature studies, personal references and my personal view, and ends with a suggestion for a physical solution for an actual day care centre. The aim is to learn more about how the natural environment affects children, the importance of playing, and try to use this knowledge in a design of a day care centre. My main theme can be summarized in the following question: Why is natural elements in playgrounds considered to be healthy for children? I wanted to create a playground with natural characteristics which I myself would have appreciated as a child.

This thesis analyses the cost accounting system KPP and its use within the Swedish health care. KPP is designed to calculate and assign health care costs to individual patients. This would facilitate evaluations and comparisons of the costs for certain diagnosis, patient groups or clinics with a different mix of diagnosis. The study investigates the following questions: 1. Does the KPP-model theoretically work as a cost accounting tool for health care purposes? 2.

The aim of this study was to describe peripheral vascular patients´experiences of quality of care in connection whith ambulatory care, and to identify if ambulatory treatment responded to patients´expectations..

Home care services have had, and will have a major imortance in the future. More people will be using home care services as a consequence of political strategies but also as an effect of caretakers own wishes. The purpose of this study was to illuminate the factors that are significant for a successful encounter between a caretaker and a caregiver. The study is made as a qualitative analysis of litterature. The data collection was based on Polit and Hungler's model of information retrieval and the data analysis on Graneheim and Lundman's model of analysis.

The purpose with this essay has been to describe and understand why youth community service became a penalty in Sweden. The political discourse in which youth community service was established has been analyzed with Laclau & Mouffe´s discourse theory. A social constructivist onset and a discourse analysis were the methodological tools of the essay. The result is two folded. Youth community service was created to strengthen the constitutional state, combined with high beliefs of the social services competence.

This essay?s focus lies on the collaboration that takes place in hospitals and called a care-plan (vårdplanering) between the two organisations: Health-care (landsting) and social-care (kommun). According to the Swedish-law are these organizations responsible for the care of elderly individuals in Sweden. The aim of this essay has been to study closely this collaboration in order to see which partner has the most influencing power.This essay is of a qualitative character, which means that the results that are presented are based on six individual interviews with employees from the two organizations. The employees chosen for this essay all have job experiences from the collaboration that takes place during care-plans in hospitals.One of the main results of this essay has been that the two organizations are not equal collaboration-partners.

Background: Diabetes Mellitus Type 1 is increasing among children on large parts of the world. The disease strikes not only the child but affects the whole family. The parents are those who are responsible for the child?s treatment and well being. Purpose: The purpose of the literature review was to describe how parents to children with Diabetes Mellitus Type 1 experience and handle the situation around the child?s disease.

An absolute majority of all Swedish children begins to attend preschool at some point between the age of one and five. The acclimatisation to preschool means a great change in every small child's life. They leave all that is well known, the parent and their home, to face a whole new environment with new kids and adults to get to know and learn to trust.The purpose of this study has been to find out how the professionals in preschool reflect upon the child's acclimatisation at preschool. More specifically we wanted answers to how the preschool teachers, in their work with the child's acclimatisation, relates to the today, in preschool, much debated relationship between the two perspectives care and pedagogy.This qualitative study is based on ten interviews with preschool teachers at different preschools in a small town in Sweden. The analysis is based on a presentation of the interview material compared with earlier research and the theoretical aspects we have chosen, which are Bronfenbrenners Ecological Systems Theory and the Object Relations Theory.While working with this paper it has come clear to us that there is no explicit or common definition of the concept of care within preschool, while there is a clear definition of the concept of pedagogy.

To be preborn and treated in a hightech environment, will expose the child for an abnormal stimulance. Immature lungs and brain are accountable for the biggest healthrisks. The medical treatment will affect the childs future development. Nursing according to NIDCAP®, Newborn Individualized Developmental Care and Assessment Program, aims at reducing the surrounding disturbance in relation to the childs maturity. The aim for this literature study is to survey the affects of NIDCAP®-nursing. The literature study is based upon scientific articles.

The purpose of this essay was to study factors that influence some youth to use narcotics. I wanted to increase my understanding and knowledge about these factors. I believe it is good to have such knowledge when you are working with youth who are using narcotics but also for a good drug-prevented work. It is a literary study, which covers the most frequently quoted results in the field of research.The questions for my study were:· Which factors influence youth to use narcotics on a individual level?· Which factors influence youth to use narcotics on a group level?· Which factors influence youth to use narcotics on a society level?My conclusion of this study was that youth often use narcotics because of many different factors and it is youth from all social groups in the society who are testing and using narcotics..