Introduction: A big part of the patients that recently has gone through operation at surgical units experiences pain in different scales after their operation. Untreated postoperative pain has been proved in different studies to increase to risk medical complications, longer rehabilitation, more days at the hospital and higher expenses for the hospital. One of the nurses? main tasks is to notice and relieve the pain of the patients. To engage the patients more in the medical process and make the nurses´ work more person-centered could make an impact on the postoperative pain and contribute to a better pain relief.

SammanfattningI arbetet beskrivs olika beteenden och fysiologiska förändringar som kan indikera smärta hos hund. Det finns också en kort beskrivning av tre smärtbedömningskalor: Visuell analog skala (VAS) Glasgow Composite Pain Scale Short Form (GCPS) och University of Melbourne Pain Scale (MPS). Dessa skalor har utvecklats som verktyg för att gradera smärta. VAS har tagits fram för humanvården och de andra är utvecklade för bedömning av postoperativ smärta hos hund. Arbetet innehåller också en mindre studie, där skalorna jämförs mot varandra.

Background: The majority of patients requiring medical attention experience some degree of pain. The nurses´ assessment of pain is crucial in reducing the patients suffering in a proper and timely manner. Previous studies have shown that the treatment of pain in a emergency situation is poorly managed. The patients´ pain experience is often under assessed and undertreated which leads to increased suffering for the patient. This results in higher costs for the health care system due to prolonged hospitalization.

AbstractAimThe aim of the pilot study was to compare short- and long-term effects from group exercise in water with land-based exercise on pain at rest and pain with movement, along with the effects on function in daily life and practice of sports and leisure activities in patients with knee osteoarthritis. The aims were: Is there a difference in short- and long-term effects on pain intensity at rest and pain with movement after exercise in water or land in patients with knee osteoarthritis? Is there a correlation between the degree of pain intensity at rest and with movement, respectively and long-term effects from the two different exercises on function in daily life and practice of sports and leisure? MethodThe study was a randomized intervention study without a control group. Twenty patients with radiographic knee osteoarthritis were under a total of eight weeks treated with either land- or water-based exercise lead by a physiotherapist. The patients rated pain intensity at rest and with movement on a numerical rating scale (NRS) before and after the first training session, before and after the eighth training session, before and after the fifteenth training session and before the last and sixteenth training session.

Laminitis is a common but devastating condition, and affected horses are often euthanized or influenced a very long time. Many horses never return to their original capacity. Laminitis is often associated with severe pain and a long time of convalescence. Symthoms includes lameness, hoof hyperthermia, strenghthened digital pulse and pain. The horse often tries to move the body weight away from the forelegs which are often more severly affected than the hindlimbs.

Opioids are considered the "golden standard" in pain management for both humans and small animals, but is used less often in equine medicine - probably for fear of side effects. Are there any studies that suggest that side effects are a major problem, or is it lack of experience which is the greatest obstacle to use? As early as 1937 it was shown that morphine and morphine derivatives provide analgesia in horses. For species other than horses used opioids often both pre-, intra-and postoperatively. They relieve pain effectively and are often included in the anesthesia protocol.

Både kronisk smärta och musik har existerat från begynnelsen och de utövar stort inflytande på människan multidimensionellt. Musiken har genom tiderna använts för att påverka stämning och humör. Syftet med denna studie var därför att undersöka om musik har lindrande effekt på kronisk smärta. Metoden var en litteraturstudie där tolv vetenskapliga artiklar låg till grund för resultatet. Teoretisk referensram var Rosmarie Parses omvårdnadsteori, som beskriver människans symbios med miljön.

The aim of thie literature review was to study the advantages and disadventages of the intranasal medication, treating children with acute pain in  prehsopital settings and in emergency care. Searches were performed in databases PubMed and Cinahl. The intranasal method of administrating drugs could be a acceptable compliment to todays's traditional metods. Unnecessary pain is avoided as there is no need for skin penetration. Further studies are necessary in order to integrate this metod both in prehospital settings and in emeregncy care..

 AbstractBackground: Among elderly people with dementia pain is a common problem. In older persons, particularly those suffering from dementia and cognitive impairment pain is often underdiagnosed and undertreated causing unnecessary pain, suffering and affect quality of life negatively. Dementia complicates the identification of pain when the natural ability to communicate decreases when a person is suffering from dementia. It is important that health professionals working with older persons with dementia are aware of the person?s pain expression.Aim: To clarify how older persons with dementia communicate pain expression.Method: To study this area a literature review was used.

AimThe aim of the present study was to study possible evidence for shock wave therapy on pain and function in patients with plantar fasciitis.Questions1. Does shock wave therapy reduce pain in patients with plantar fasciitis?2. Does shock wave therapy improve function in patients with plantar fasciitis?MethodA systematic review of the literature was performed in the databases PubMed, EMBASE, Cochrane and Cinahl.

The aim of this study was to develop and psychometrically evaluate an instrument for measuring the impact from Chronic pain on daily life. Traditionally psychometric evaluation is done with parametric methods even if the items are ordinal data. In this study the instrument to be developed is solely based on ordinal data, and the psychometrically evaluation is done with both traditional methods (i.e. parametric statistics) as well as with non-parametric methods. These two different ways of psychometrically evaluation are then compared with each other.

Ryggsmärta, främst i ländryggen, drabbar så mycket som 80 procent av Sveriges befolkning och flera av dem lider av bestående besvär. Smärta är ett komplext och subjektivt fenomen och det kan därför vara en utmaning för sjuksköterskor att ge en god vård till patienter med långvarig ryggsmärta. Sjuksköterskor behöver inte bara ha god kunskap om hur smärta kan lindras utan även kunskap om hur långvarig ryggsmärta kan upplevas i det dagliga livet. Syftet var därför att belysa upplevelser av att leva med långvarig ryggsmärta. En systematisk litteraturstudie genomfördes och resulterade i elva vetenskapliga artiklar.

This study aims to examine how adolescents with diabetes describe and value their experience of participating in a support group and how they describe the issues of being a teenager with diabetes. This is a qualitative study and we have interviewed three young women who have been participating in a support group. The results of the interviews were analyzed through a phenomenological method and then compared to earlier research and interpreted through symbolic interactionism and Erikson's development-theory, which were our theories of choice. Our findings support earlier research when stating that support groups are important and necessary for adolescents with chronic illnesses. Our interviewees stated that they think that one of the most important benefits of support groups is to meet other people in their situation; same age and same chronic illness..

Background: Cancer-related pain is a major problem worldwide. Studies indicate that patients do not get an adequate pain relief. This creates a large suffering and results in major problems for the patient and their families. In order to minimize this kind of suffering caregivers need to understand how cancer-related pain is experienced by these patients, what it does to them and how it impacts their daily life.  Aim: The aim of this study was to describe patients´ experience of living with cancer-related pain.

Introduction: Breast pain, mastalgia, is a common problem for many women. The pain can cause so much concern that the woman seeks help in health care. The cause of concern is often that that the pain may be due to breast cancer. Women with mastalgia are referred for mammography to investigate the cause of the pain. Experience says that the mammography is mostly normal.Aim: The aim of the study was to get an overall picture of the results of the mammograms performed on Mammography SU / Sahlgrenska in 2011.