This essay is about needs assessors within public elder care. The method is a quantitative vignette study. The aim of the study is to find out whether there is an existing consensus among the needs assessors when a relative to a client with reduced cognitive functions wants to make an application even though the client does not want to. We also wanted to find out whether there are any underlying circumstances which have influence on the needs assessors? reactions to this specific situation.

Background: The prevalence of dementia increases both in Sweden and in the rest of the world. People with dementia often display some types of behavioral and psychological symptoms. These symptoms include, among other things, aggressiveness, inactivity, activity disturbance, anxiety, hallucinations and depression. The symptoms can create a negative impact of those with dementia, their caregivers and their next of kin. Aim: To describe the effect of non-pharmacological treatments have on the behavioral and psychological symptoms of people with dementia.

Bakgrund: I Sverige är det mer än 160 000 personer som insjuknat i demens och hälften av dem har Alzheimers sjukdom, som är den vanligaste demenssjukdomen. När diagnosen Alzheimers sjukdom ställts förändras patientens och anhörigas livssituation. Anhöriga tar på sig ett ökat omvårdnadsansvar och känner en större ängslan och oro för framtiden. Syfte: Att belysa anhörigas upplevelser av att vårda en person med Alzheimers sjukdom. Metod: Studien utfördes som en allmän litteraturstudie och sju vetenskapliga artiklar som motsvarade syftet granskades kritiskt och analyserades.

Background:The adult inpatient psychiatric care is regulated by law and allows certain amount of coercion, most commonly restraint, forced medication and seclusion. To be treated according to this law you need to suffer from a serious mental disorder, oppose to the care and have an indispensable need of care. Many studies describe patients experiences to be treated with coercion but few about health care workers experiences.Aim:To describe health care workers experiences of performing coercion in psychiatric compulsory care.Method:A literature review was made and eight articles is the basis for the result.Results:From the articles used inthis study four themes were created. These are coercions impact on relations, health care workers feelings during coercion, coercion as a necessary evil and health care workers need for reflection. The themes are presented as headlines in the result.Conclusion:To use coercive measures brings out many different feelings among health care workers.

Palliative care is founded on a holistic attitude, with the goal to alleviate suffering when a cure is no longer possible. Palliative care affirms life and regards dying as a normal process, providing possibilities of a quality time for the patient and family. Studies show that an increasing number of people choose to live the final phase of their life in their own home. A requirement for end of life care is an effective team work, where the nurse is responsible for more advanced care, and the caregiver?s provides the immediate care.

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..

In Sweden approximately a half per cent of the population have diabetes mellitus type 1. Self-care responsibility is a part of the treatment. Orem?s self-care theory has been used as theoretical framework. The purpose was to describe what it means to be young and have diabetes mellitus type 1.

Background: The prevalence of dementia increases both in Sweden and in the rest of the world. People with dementia often display some types of behavioral and psychological symptoms. These symptoms include, among other things, aggressiveness, inactivity, activity disturbance, anxiety, hallucinations and depression. The symptoms can create a negative impact of those with dementia, their caregivers and their next of kin. Aim: To describe the effect of non-pharmacological treatments have on the behavioral and psychological symptoms of people with dementia.

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

The health care is an important part of the welfare services in Sweden. Therefore it is of large interest that it is well performing. A part of this is related to how the health care is organized. This essay examines how the Swedish health care has been organized between 1960 and 1990 and what organizational changes that have been made to the health care. It shows that the Swedish health care has un-dergone many organizational changes the last decades.

Today patients are more aware of their rights regarding their own care. They are more informed, more engaged and have more and individual requirements, which leads to increased demands for information and participation increases. The Health Act sets out the patients´ right to participation. Participation increases patient satisfaction with care, promotes healing and increases adherence to health care advise. The patient doesn´t always experience participation in their own care to the extent they wish, which suggests that nurse?s does not always succeed in getting the patient involved.

The proportion of elderly people in Sweden is increasing. Many of these live at home and as their age increases so does the likelihood of health problems and the need for support, medical attention and care. Personnel working with home help provide a large part of this care, including areas of home-based care that are the responsibility of the district nurse. The purpose of this paper is to describe how home-help personnel perceive their work in the area of home-based care, as their views are an important factor in the ability to provide a care system that funktions successfully. The method employed here is phenomenografic and nine subjects from a home-help group have been interviewed.

The aim of this study was to investigate nurse?s experience of working from the philosophy of palliative care in end of life at home. The study had a qualitative design. Semi-structured interviews were performed with nine nurses working in advanced palliative home care. The analysis of the material revealed four categories and two subcategories.

The aim of this study was to describe home care personnel and their experiences in palliative care. The design was qualitative and data were collected through interviews. Five home care personnel were interviewed, all women, whom have experience of palliative home care.The material was then analysed with qualitative content analysis and eight main categories, derived from experiences of home care personnel, were identified: relationship, safety, quality of care, a better end-of-life, routine, information, knowledge and competence, and work environment. The result showed that all participants of this study identified themselves as family members of the patients whom they had cared for during a long period of time. Additionally, the participants were emotionally touched when the patient died.The majority experienced that the patients do receive good care in their homes.

An ageing population calls for enlarged needs of care and treatments that is followed by an increased demand on social and medical care. Present organization and structure are not adjusted to these new requirements. Due to this fact, necessary alterations ought to be made between and within the different institutional and non-institutional care actors. This work should be settled locally. In this study, the aim was to describe "Chealth care nearby" as being a new standard of care as well as investigate its significance in the co-operation and collaboration between different care actors.