Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: Can nutritional support contribute to the healing of pressure ulcers in elderly patients?Author: Anton Kinnander, Sandra SmidelikSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 12-04-11Background The number of elderly patients with co-morbidity is increasing in the western world. It is therefore reasonable to predict increasing incidence and prevalence of pressure ulcers. One study, published 2009, found that as many as 59 % of geriatric patients within the Swedish health care system had developed pressure ulcers. Symptoms vary from mild erythema to severe deep tissue damage and development of pressure varies from hours to weeks.

Syftet med denna litteraturstudie är att belysa omvårdnaden för familjer till barn med hjärtfel ur ett familjeperspektiv. Vården av hjärtsjuka barn och ungdomar kräver en kunskap om dessa sjukdomar inte enbart hos sjukvårdspersonal inom den högspecialiserade barnkardiologin utan inom ett flertal andra specialiteter. Studien omfattar sjuksköterskans omvårdnad av familjer, förberedelser för hemgång, samarbetet mellan olika yrkeskategorier, familjens reaktioner vid denna krissituation och de bearbetningsmodeller som finns till förfogande för att underlätta bearbetningsprocessen. Vidare forskning inom detta område är nödvändig. The purpose of this study is to illuminate the care of families to children with heartdisease from a familyperspective.

The prehospital management of patients with acute myocardial infarction (AMI)now includes 12-lead electrocardiogram transmission directly from the ambulance to hospital.If the ECG shows ST-elevated myocardial infarction the patient should be transported directlyto a hospital with capability for percutaneous coronary intervention (PCI).                                               Aim: The aim of this study was to describe how ambulance nurses experienced the prehospital management of patients with AMI who are transported by ambulance directly to hospital for PCI.                                                Method: Semi structured interviews were conducted with eight ambulance nurses. Data were analysed using qualitative content analysis. The categories that emerged were: Use ofcompetence, Responsibility and Insufficiency. Result: The result showed that the ambulance nurses felt secure when they cared for patients transported directly to PCI. The nurses assessed the patient and decided how he or she should be cared for.

A home for elderly is planed to be built at Zakrisdal, Karlstad, Sweden. The heat source for the building was at the time not determined. In order by the local government of Karlstad this report is meant to examine if the need of heat could be provided only by solar heat combined with a seasonal heat storage. The problem to solve is, if the need of heat from the home for elderly is provided from only solar heat, whitch dimensions of the solar collectors and the storage is needed?.

Bakgrund: Självskadebeteende startar ofta i tidiga tonåren men orsaken grundar sig i traumatiska upplevelser i barndomen. Beteendet är en medveten handling som utförs för att dämpa den psykiska smärtan och resulterar i en vävnadsskada. Patienterna anser sig ofta bli stigmatiserade och behandlade som objekt när de istället behöver känna stöd och förståelse från personalen i omvårdnaden. Syfte: Att belysa patienter med självskadebeteende, deras upplevelser av sitt beteende och av omvårdnadspersonalens förhållningssätt vid mötet i omvårdnaden. Metod: En litteraturstudie baserad på 11 vetenskapliga artiklar.

Introduction: Domestic violence is a big public health problem and the hiddennumbers over victims are big. There is a lack of scientific research in the Nordiccountries when it comes to how the health- and medical care identify and care for thevictims of domestic violence. Aim: This literature review has two aims: To investigatewhat kind of methods maternal health services, child health services and gynecologyclinics in the Nordic countries use to discover women and children exposed to domesticviolence and to investigate if there are any guidelines to go by when a victim ofdomestic violence is identified. Method: A literature review. 12 articles were found inPubMed, Scopus and Cinahl and three more were included after a manual search.

The purpose of this two years master thesis is to examine the potential benefits of using bibliotherapy on elderly Finnish immigrants residing in Sweden and living in geriatric care. The basis of the study is a four week long bibliotherapeutic project implemented at a nursing home for Finnish-speaking people in Stockholm County.Participants were men and women spanning in age from 70 to 90 years old. Common for all the participants was that they had lived their entire adult life in Sweden, their only language was Finnish, and they had the diagnosis of dementia. The study examines the bibliotherapeutic model of Arleen McCarty Hynes and Mary Hynes-Berry, as well as Inger Eriksson?s approach for the use of bibliotherapy in nursing homes and hospices.The empirical analysis is based on field notes from the bibliotherapeutic sessions and from interviews with librarians and nurses involved in the project.

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.

AbstractThe recruiting of lay judges to the district courts is managed by the political parties. Despite repeated efforts the parties do not succeed in recruiting lay judges that reflect the structure of the inhabitants. Why not? This is the fundamental issue of this essay.This study is a multiple case study of two parties with different success in their recruiting work. The purpose is to study the process of nomination regarding lay judges at the district courts, at the latest election (2006).

Bakgrund: Den medicinska och ekonomiska kostnaden för hjärt- kärlsjukdomar är idagmycket omfattande. Största delen av dessa sjukdomar liksom andra kroniska, ickesmittsamma sjukdomar som cancer, lungsjukdom och diabetes, hör ihop med påverkbara,livsstilsrelaterade riskfaktorer. Genom att göra hälsosamma val när det gäller mat, rökning,alkohol och motion kan livsstilssjukdomar förhindras eller fördröjas. Livsstilsfrågor är enav distriktssköterskans huvuduppgifter och efter vårdvalet är det få distriktssköterskor somverkligen får arbeta med detta. Syfte: Syftet med denna studie är att beskriva hurdistriktssköterskan arbetar med sjukdomsförebyggande metoder inom primärvården.Metod: Studien är baserad på en kvalitativ metod med en induktiv ansats.

Background: Triage is the sorting of patients according to the severity of medical assessment. Triage has a long history of use in Anglo-Saxon countries but is a fairly new method in Sweden. Researchers have described the Manchester triage group method (MTS) and a literature review of the concept; working contentment and competence focusing on triage. Aim: The ambition with this study was to describe a number of triage nurses working conditions. The research questions were; working with MTS- does it bring work contentment? What kind of competence is needed? Method: Data was collected from 74 triage nurses by a questionnaire containing 37 questions and two questions provided the nurses the opportunities to describe their triage experiences.

The purpose of this study was to explore nurses' experiences of obstructed airways in the prehospital work.A qualitative interview study with a descriptive and explorative design was used. The sample consisted of nine registered nurses whereof three were women and six were men, with or without further education and varying length of experience in the ambulance service.Prehospital personnel builds up a vast plan of action based on the emergency information provided by SOS. Simple methods for managing obstructed airways were stated often enough. Problems with obstructed airways are considered so unusual that it never becomes a routine. Several factors affect the identification and managing of obstructed airways, both external factors and the different patient categories are considered important.

Introduction:Violence towards women is an extensive and important problem in the society. Confronting women who are assulted by their male partner is a demanding task for the nurses.The aim of the study:The aim of this empirical study was to illustrate the experiences of nurses in the meeting with women exposed to violence by their male partner.Method:This is a qualitative interview study including nine female nurses. The material recieved from the interviews was analysed with help of content analysis. Categories were formed named Comunication, feelings, Ability to recognize the women, Lack of time, Need of support and further education. An application to the ethical council at the University of Kristianstad were remitted and approved.

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.

Då allt fler patienter vårdas i hemmen krävs att samordningen mellan olika vårdaktörer fungerar för att patienterna ska kunna erbjudas en god och säker omvårdnad. Syftet med studien var att beskriva distriktssköterskors erfarenheter av att samordna vården för patienter som vårdades i hemmet. En kvalitativ metod användes och som datainsamlingsmetod valdes intervjuer. Sex distriktssköterskor intervjuades i en kommun i Väst Sverige. Studien resulterade i fem teman: skiftande och komplexa vårdbehov som ska samordnas, att samordna utifrån patientens situation och behov, svårigheter att samordna vården när helhetssynen brister, samordningen av patientens medicinska situation kräver närhet till läkare att rådgöra med och tillfredställelse och nöjdhet för både patienter och distriktssköterskor när samordningen fungerar.