Information ska ses som en integrerad del i god omvårdnad av den patient som befinner sig i det akuta skedet av en hjärtinfarkt och är en förutsättning för en god vård. Sjuksköterskans bemötande och kommunikation är en viktig del i omvårdnaden av patienten. Det är av betydelse att sjuksköterskan har en förmåga att förmedla kunskap, förståelse under de stressade förhållanden som ibland kan råda på en akutmottagning. På så sätt ges förutsättningar för att patienten att kunna vara delaktig och ha inflytande över sin egen vård och behandling. Syftet med studien är att belysa informationens betydelse för patienten i den akuta fasen av en hjärtinfarkt.

The health care formulation of the principle of autonomy can be expressed as follows; ?you shall not treat a patient without the informed consent of the patient, or his or her lawfulsurrogate, except in narrowly defined emergencies?. The principle of beneficence refers to a moral obligation to act for the benefit of others. In heath care, the good or benefit in question is the restoration of the health of the patient. In fulfilling this obligation of beneficence, the physician sometimes intentionally overrides the patient?s preferences or actions for the purpose of benefiting the patient.

Title: Elderly deaf - The significance of an own senior housing. A qualitative interview studyon how special senior housing affects the experience of well-being of elderly deaf [translated title]The purpose of the study was to examine how elderly deaf people experience living in aspecial senior housing, which is the country?s first and only housing with sign language fordeaf and deafblind in the region of Stockholm. The focus was to study how this seniorhousing affected the well-being of the residents and their experience of this accommodation.The study was based on a qualitative method with semi-structured interviews. Interviews wereconducted with four residents who have lived in the senior housing for deaf and deafblindpeople since it opened in spring 2013.

The average life expectancy and the proportion of elderly are increasing globally and inSweden, causing challenges for the society. Physical activity has proven to bring a number ofpositive benefits in older people, making the promotion of physical activity an important partof healthy aging attempts. The degree of physical activity in Sweden?s elderly population isgreater than in previous generations, making this group a positive exception from a widerperspective. A cross sectional study was made in order to investigate which motives tophysical activity that was considered most important among people above 60.

Aim: The aim of this study was to describe the nurse?s work at an emergency department trough a perspective of caring.Method: A literature review has been made of twelve studies published between the years of 2002 ? 2012. The focus of all the studies was on Swedish emergency departments.  Results: The researchers found four themes that they choose to use as a way of describing the nurses work in the emergency room as detailed as possible. These themes were: ?The emergency room?, ?the nurse?s job assignments at an emergency department?, ?the patient?s experiences? and ?lifeworld and communication?.

Hjärtsvikt betraktas inte som en sjukdom. Det är ett kliniskt syndrom som uppstår som resultat av nedsatt hjärtmuskelfunktion där hjärtats pumpkraft avtar vilket leder till otillräcklig blodförsörjning till kroppens organ vid ett normalt fyllnadstryck. Personer som drabbas av hjärtsvikt har ökat i antal eftersom behandling av andra hjärtsjukdomar har förbättrats samt medellivslängden har ökat. Syftet med studien var att beskriva äldre patienters upplevelser av att leva med hjärtsvikt. Metoden som användes var en kvalitativ empirisk studie där datainsamlingsmetod var intervjuer och insamlade material analyserades med hjälp av kvalitativ innehållsanalys.

The population over 65 years of age is increasing and health in elderly has been a subject of research for decades but voice function and vocal health has not been prioritized. The purpose of this study is to obtain reference value for the Swedish version of Voice Handicap Index (RHI) and the Throat Scale among people over 65 years of age and assess voice function and vocal health for this age group. The questions were as followed:1) What is the reference value of RHI for people over 65 years of age? 2) What is the reference value of the Throat Scale for people over 65 years of age? 3) Is there a correlation between a self-rated VA-scale on the perceived degree of voice problems, and the self-rated RHI-/Throat Scale result? 4) Does age, gender or previous profession matter for the self-perceived voice?In total 100 individuals participated in the study, 50 women and 50 men, between 65 and 92 years old. The reference value of RHI for people over 65 years of age was 13,4 points and the reference value for the Throat Scale was 7,7 points.

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.

The purpose of the study was to examine what possibilities and obstacles, according to the personnel and patients in a methadone treatment, exist in the patient's social rehabilitation. How does the methadone treatment encourage the patient's social rehabilitation, what possibilities/obstacles are there according to personnel and patients? What does the patient see as important aspects of his/her social rehabilitation and what importance does the methadone have on the treatment? The results show that there are difficulties for patients to rebuild their life, find employment, start new social networks and get by with everyday tasks. The support from friends and family will simplify the patient's social rehabilitation, otherwise they get isolated and alone. Patients feel that they are fighting for a successful treatment so that they can have a relationship with friends and families again.

This paper is a qualitative study on the influence of the residents in a special communitydwelling within the care system for elderly. The purpose of the study is to describe and analyse with a user perspective how particularly staff members but also a group of retired people living in this dwelling interpret and articulate the concept of resident influence. How the retirees can influence the design and the content of the activities and the organization. How today the residents influence is carried out with the ideas and visions of the future.My methods include qualitative structured, semi-structured and non-structured interviews within a general frame of a resident questionnaire. The staff members present the current situation and reflect on the reasons for obstacles for resident influence.The group of retired people who lives in structures originating in the Swedish long-term care system and homes for the elderly tends to adjust to given routines and express a low-voiced wish for increased influence.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

Syftet med min studie är att genom att studera frånvarostatistik, betygstatistik, nationella prov åk 5 och intervju med elever och skolpersonal försöka hitta ett mönster i orsakerna till skolk samt metoder för att motverka skolk..

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

The care for the elderly in the municipalities has recently seen the need for a formalized system for quality assurance. Under increasing demands for monetary efficiency while bound by law to retain acceptable standards in health care, there is need for efficient and at the same time quality-assured management. The municipalities often solve this puzzle by introducing systems and standards influenced by theory-clusters such as NPM (New Public Management), TQM (Total Quality Management) or other quality management theories.This essay focuses on how the public administration in the municipalities defines quality and designs and implements system for formalized quality assurance. Our basic view of organizations is institutionalist and our theoretical framework includes theories about quality, NPM and TQM..

Väntan på transplantation kan vara en komplex situation för patient och anhörig. Studiens syfte var att belysa vad patienter och deras anhöriga upplever när de står i kö för en organtransplantation. Metoden som användes var en kvalitativ ansats där fyra självbiografier lästes och analyserades.I resultatet framkom att upplevelserna startade med beskedet om att transplantation var nödvändig för den fortsatta överlevnaden, tills beskedet om transplantation kom och patienterna lades in för operation.Analysen av den insamlade datan resulterade i fem kategorier: Insikten om sjukdomens allvar, Mellan hopp och förtvivlan, Tankar kring döden, Samvetskval och Ett efterlängtat besked. Resultatet kan användas till att öka förståelsen hos vårdpersonal för vad patienterna och deras anhöriga genomgår känslomässigt under deras väntan på organtransplantation..