Sökresultat:
490 Uppsatser om Emergency surgery - Sida 4 av 33
Vakna lokalbedövade patienters upplevelser
Patients who undergo surgery receive general anaesthesia or any form of
conduction anaesthesia during the operation. For most people it is strange,
unexpected and for many something completely new to be a patient and undergo
surgery. Awake conduction anaesthetic patients? experiences from the
intraoperative period were little studied. The purpose of this study was to
examine awake conduction anaesthesia patients? experiences.
Perceptuell bedömning av tal före och efter svalglambåplastik hos patienter med velofarynxinsufficiens
Velopharyngeal insufficiency may affect resonance, articulation and thus how speech is perceived by other listeners. Velopharyngeal insufficiency is frequently found in the cleft palate population due to structural abnormalities of the palate. The pharyngeal flap is the most commonly used operation designed to improve velopharyngeal function. The aim of the present study was to compare speech before and after pharyngeal flap surgery by perceptual evaluation regarding nasality, articulation and deviant speech. The study includes preoperative and postoperative speech samples of 28 patients who underwent pharyngeal flap surgery at the University Hospital in Linköping between 2002 and 2007.
Triage på akutmottagning : Sjuksköterskors upplevelser av nuvarande triagemodell
To sort, is the meaning of the word ?triage?. Triage is used at emergency departments to facilitate prioritization of patients according to the urgency of the chief complaint. The aim of this study was to investigate how the nurses experience the triage model at the emergency department at Uppsala university hospital.Twelve nurses were interviewed. The mean age was 40 years and the mean work experience was three years and four months.
Typ av demens relaterad till övriga sjukdomar och tidigare genomgången anestesi/kirurgi : En retrospektiv pilotstudie
This retrospective study reviews and investigates type of dementia, related to co morbidity, symptoms of dementia, previus anaesthesia/surgery, intraoperative events and postoperative cognitive symptoms. The patient co morbidity was compared to occurrence in an age-matched population of 1095 individuals. Fifty-two patients with different types of dementia participated. Data was collected from patient journals.Compared to population, heredity for dementia, heart insufficiency, hypertension, depression and B12- deficiency was more frequent in the patients. B12- deficiency was common in vascular dementias and "burn-out syndrome" in early-onset AD.
Barns upplevelse av dagkirurgi : Från ovisshet till lättnad med nyvunnen erfarenhet
Background: An increasing number of operations on children are performed as day surgery and this experience of health care may affect future hospital stays. The aim of this qualitative study was to describe children´s experiences in connection with day surgery. Method: Ten children aged six to fifteen who had gone through general anesthesia at examinations or surgery were interviewed and the content was analyzed by systematic text condensation. Result: The core category ?From uncertainty to relief with newly acquired experience? could summarize the result of this interview study.
Teamtriage : sjuksköterskors upplevelser av teamtriage på akutmottagningen på Akademiska sjukhuset i Uppsala
The purpose of this study was to investigate registered nurses experiences about the current model for triage at the emergency department at Uppsala University Hospital. The study is descriptive with qualitative approach. The data collection was made in the form of semi structured interviews. The interviews took place at the emergency department. The sample consisted of eight registered nurses with varying work experience of emergency care.
Genuskonstruktionen inom tillfälliga kriscentra : Förstås med hjälp av Bacchis; What?s the problem represented to be?
This essays main focus will be on emergency shelters in disasters, and their understanding in gender awareness, by focusing on the way gender is constructed and seen. This dissertation will examine documents from Australian Red Cross and IASC (Inter Agency Standing Committee) in order to explore how they work with gender and shelter related issues. The objective is to examine and with help from these documents see how gender is constructed. The method and theory is based on Carol Bacchis; What?s the problem represented to be approach? (WPR-approach).
Krishantering i skolan : En studie om hur skolan som helhet arbetar med krishantering.
The purpose of this thesis is to investigate how the school as a whole is working with crisis management. The purpose includes examining the readiness of both school teachers and leisure educators when it comes to dealing with crises that children undergo and also to study how they best can provide support for those children. Accordingly, this thesis aims to provide an insight into what the school's work with crisis management might look like. The basis of this thesis consists of six qualitative interviews with a principal, a school counselor, two class teachers and two leisure educators. The study shows that it is important to have a functioning crisis team and a well-made emergency preparedness plan, which the school in this study is considered to have. The crisis group is responsible throughout the crisis work, attends trainings and updates the emergency plan.
I stundens hetta : En kvalitativ textanalys om gestaltningar av krisarbetare i samband med skogsbranden i Va?stmanland sommaren 2014
This qualitative study examines how emergency people are framed in Swedish evening-, and local newspapers during the forest fire in Va?stmanland, Sweden 2014. The study also includes if there is any difference between the framing due to the location of the newspaper. The study is based on qualitative text analysis. The theoretical basis is representation, framing theory, media image, media logic and a few conceptions from crisis communication theory.
Beskrivning av patienters postoperativa vårdförlopp tre dagar efter kolorektalkirurgi enligt ERAS vårdprogram
AbstractThe purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good.
Faktorer av betydelse vid överrapportering mellan ambulans och akutmottagning
BackgroundHandover occurs as a daily task for health care professionals in all levels of care. Handover between ambulance crew and emergency department staff stands for the first exchange of information about a patient?s condition. Different factors may impact the handover communication and make it vulnerable.AimThe aim is to highlight factors of importance at handover between the ambulance and emergency room.MethodA literature review of thirteen studies with qualitative and quantitative research approach. The purpose of this literature review was to provide an overview of the area.ResultsExperiences for health care professionals is that communication is important for patient handover between ambulance and emergency department.
Vad är en framgångsrik kampanj? : En studie av branschens syn på PR- och reklamkampanjers effekter
This qualitative study examines how emergency people are framed in Swedish evening-, and local newspapers during the forest fire in Va?stmanland, Sweden 2014. The study also includes if there is any difference between the framing due to the location of the newspaper. The study is based on qualitative text analysis. The theoretical basis is representation, framing theory, media image, media logic and a few conceptions from crisis communication theory.
Förekomst av meticillinresistenta Staphylococcus spp. på kirurgiskt behandlade hundar
Surgical site infections are a recurrent problem in veterinary medicine. A 2-5 % infection rate in clean surgery has been reported. During the last years the increase in methicillin resistant staphylococci has also taken its toll on veterinary medicine, demanding a stricter hygiene and antibiotic regime. The 2008 outbreak of methicillin resistant Staphylococcus aureus (MRSA) at the University animal hospital, Swedish University of Agriculture indicated that that the MRSA problem was now a real, possibly zoonotic problem.Since the first dog, in Sweden, was diagnosed as a carrier of methicillin resistant Staphylococcus pseudintermedius (MRSP) in a study in 2006, the infection rate by this bacterium has increased. In 2009 (January 1st - December 2nd) the National Veterinary Institute (SVA) has identified 58 samples as MRSP positive.
Remittera till akutmottagningen eller inte? : Sjuksköterskors uppfattning av beslutsfattandet på vård- och omsorgsboende.
Background: High demands are today placed upon Swedish elderly care nurses as more elderly live with multimorbidity while the hospital bed capacity is becoming lower. Aim: The aim of the study was to explore nurses? perception of decision-making in situations with acutely ill patients in nursing homes and which factors may influence the decision about transferring patients to the emergency department or not. Method: This is a qualitative study with a phenomenographic approach. Semi-structured interviews have been conducted with 11 nurses working in nursing homes. The data analysis was based on Dahlgren and Fallsberg (1991) data analysis. Result: Three different description categories were presented, which describes variations of the nurses? perceptions.Feeling comfortable in making the decision; which involved the nurses feeling confident in the decision-making about transferring patients to the emergency department or not.Hesitant in making the decision; which described how nurses perceived the decision-making as problematic, with regard to transferring patients to the emergency department.Many wishes to consider in taking the decision; which explained how nurses? decision-making was influenced by requests from the patients or from people close to them.Conclusion: The study reflected how supporting and aggravating factors could influence how nurses in nursing homes perceived the decision-making and how nurses have to take in consideration different opinions concerning the decision making process of transferring patients to the emergency department or not.
Kliniskt datainsamlingssystem med beslutsstöd - Användarutredning och gränssnitt för Sahlgrenskas akutintag
Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.