Background: Heart ischemia is a disease affected by behaviour, lifestyle and heredity. The disease is more common in the western world and the number of those who suffer increases. The mortality has reduced thanks to that medical resources and knowledge have approved. Purpose: The purpose of this study of the literature was to find out what patients experienced emotionally at an acute heart attack. Methods: A study of literature where scientific articles has been refereed and analyzed, then resulted into five categories presented in the result.

Background: The Swedish population is aging [1] and malnutrition is a common problem among elderly people [2]. A method called food registration is used to monitor the patients? nutritional intake, with the purpose of reducing the risk of patients deteriorating in nutritional status during hospitalisation. However, the current method is not satisfactory and many food registration lists are incomplete. [3-6] Thus, patients do not receive a qualitative nutritional care since the assessment of the patients? nutritional status is based on incomplete documentation.Purpose: The purpose of this master thesis is to increase the quality in the nutrition monitoring process in the geriatric units B72 and B74 at Karolinska University Hospital in Huddinge, Sweden.

BackgroundPeople with psychiatric problems, despite efforts in recent decades still experience vulnerability. Patients with borderline personality disorder (BPD), where self-harm is common, often live in difficult and complex social relationships because of their illness. Additional knowledge and studies about mental illness, self-harm, dialectical behaviour therapy (DBT) and the therapeutic alliance are needed.Purpose and MethodThis study aims to examine how staff perceive and describe: DBT as a treatment method; the therapeutic alliance and the importance it has for treatment. The study utilises a qualitative approach with a qualitative content analysis method and presents earlier research on DBT and the therapeutic alliance. The empirical material consists of focus group interviews comprising three DBT - teams.

Background: Palliative care is something that all people should have the right to be allowed to, to be able to enjoy the qualities of life, even when someone has been afflicted with illness that cannot be cured. How do the nurses in municipal home-care deal with and prepare themselves to perform a righteous task? Aim: The aim of this study is to illuminate nurses, comprehensions of palliative care within municipal home-care. Method: The method is a questionnaire to nurses. Results: The results did comply to law and regulations.

AbstractIntroductionOccurrence of bacteraemia and fungemia is a serious condition with high mortality and the incidence is increasing worldwide. The aim of this study was to survey the occurrence of bacteria and fungi in blood cultures from adult patients domiciled in the county of Gävleborg during one year and also to calculate the incidence and mortality in the same geographical area.MethodThis is a descriptive epidemiologic study, based on all episodes of blood cultures analyzed at the Microbiology laboratory, Gävle hospital during 2005. Patients from 20 years of age, domiciled in the county of Gävleborg at the date of drawing the blood culture, where included in the study. Criteria of exclusion were negative blood cultures and cultures which were classified as contaminants.ResultsAltogether there were 4 564 blood cultures analyzed, resulting in 524 (11 %) positive cultures for further study. There were 442 patients (48 % women) involved in 499 episodes with confirmed bacteraemia or fungemia.

In Nuclear family as status Dennis Wijk examines if and how the nuclear family ideals and norms permeates family law secretaries work with families. The aim of the study is to investigate if the nuclear family has the status of ideals and norms in the family law secretaries practice. In order to achieve the aim of conducted four interviews with family law secretaries in Stockholm city. The interviews have been the main data collection. Theoretical concepts which are central in the study are: the nuclear family, institution, ideals, standards, and established and outsiders.

Background/aims: Extensive studies have found an association between parent - adolescent relationships and adolescents' alcohol use. However, only a few studies have been carried out in Sweden. Also, few studies have focused on 17-19 year olds or binge drinking. The aim of this study is to examine whether there is an association between perceived parent - youth relationship and binge drinking among 17-19 year olds in Stockholm, Sweden. Theory: Social Development Model is a risk-focused prevention strategy which emphasizes the importance of social units, such as the family.

Background: Since the end of the 1990`s the self-harm among adolescents have increased. Research is needed on how to improve the ability to care for these patients. That is why it is important to investigate how patients who self-harm and the next of kin are encountered by the caregivers.Aim: The aim of this study was to illuminate the experiences of encounters with caregivers at self-harm.Method: The study was based on narratives, which in this case means analysis of autobiographies. Five autobiographies were analyzed in accordance with a description by Dahlborg-Lyckhage. Four of these were written by self-harmers and one by a next of kin.Results: Three themes and twelve subthemes emerged which describe both negative and positive experiences of encounters with caregivers.

During the last 20 years, the Swedish health care system has faced major changes. One of them is the increasing pressure to generate economic profit due to private businesses entering the market. Health care units are forced to make some structural changes in order to become effective and efficient. As a result merger and acquisitions has become a part of the health care sector, and seems to be an increasing phenomenon. Mergers and acquisitions have mainly been studied in the industry.

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

Aim: The aim was to describe adult patients quality of life after cardiac arrest and resuscitation with CPR. Method: A literature overview based on eight scientific articles and one master thesis. Results: The result is presented in three categories, physical, psychological and social quality of life. Sleeping disorders, fatigue and low energy level affected the physical quality of life in a negative way. The psychological quality of life was often impaired the first time after the cardiac arrest, to be improved over time.

The aim of the study was to describe parents' experiences of empty nest. The sample consisted of individuals who had experienced one child moving out of the parental home. Data were collected through qualitative semi-structured interviews and were analyzed by using thematic analysis. The thematic analysis revealed four themes, Concerns about the new time in life, Changing roles, Socializing in the family and Testing the relations. Due to the themes participants' stories reveal anxiety facing the time that will come when children takes the step to leave the nest.

The objective of this study is to understand how people with psychiatric diseases who are enrolled at a psychiatric clinic experience the recovery process and which internal motivations and external factors influence the process. The study is based on interviews with five people who have been enrolled at a psychiatric clinic. Another aim of the study is to understand how the importance of the outpatient care for the personal recovery and the improvement opportunities of the support from the rehabilitation unit that the interviewees see. The study is qualitative and abductive approach was chosen. This means that the study is based on empirical data supported by established theories.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

Background:Existential and spiritual thoughts are a big part of pallative care. The terms existential and spiritual can be understood in many different ways. It may mean thoughts about faith or thoughts concerning life and death. The nurse in palliative care need to have good communication skills, be responsible and be present and supportive in meeting with the patient.Aim:To describe the nurse's experiences of meeting patients' existential and spiritual thoughts in palliative care.Methods:A literature review based on 10 scientific studies have been done. The studies have been downloaded from the following scientific databases; Academic Search preimer, CINAHL Plus with   Full Text, and PubMed.