Inom den palliativa vården är vanliga symtom smärta och i synnerhet existentiell smärta. Obehandlad existentiell smärta får konsekvenser för graden av patientens lidande. Begreppet ?total pain? har haft stor betydelse för hospicerörelsen och palliativ medicin. Syftet med studien var att beskriva sjuksköterskors omvårdnad av patienter med existentiell smärta inom palliativ vård för att därmed kunna minska patientens lidande.

Smärta i livets slutskede behöver inte bara innebära det fysiska obehaget, utan kan även ha psykiska, sociala och existentiella dimensioner. Existentiell smärta har en stor plats i den palliativa vården, kropp och själ hör ihop. Tankar kring livets mening, skuld och vad som händer efter döden kan ge existentiell smärta. De existentiella behoven är enligt många studier försummade. Vårdpersonal undviker ofta dessa frågor.Syftet med studien var att beskriva existentiell smärta hos patienter med cancer i palliativt skede.

One third of all Swedish people will suffer in cancer. Pain is a common symptom in cancer patients. The pain is subjective and includes several dimensions. The dimensions of pain are the physical, psychological, social and spiritual. This is a literature review and the aim with this study was to identify the pain experience in patients with cancer receiving palliative care.

Knowledge regarding pain and pain treatment is an essential part within nursing that a nurse is responsible for. Earlier studies have shown that lack of that kind of knowledge often results in inadequate treatment for pain. The purpose with the study was to describe nurses? knowledge regarding pain and pain treatment at a medical unit in a hospital in central Sweden, and to see if there was a distinction in knowledge related to professional experience. Data was collected through a questionnaire with questions referring to pain (6 questions) and pain treatment (6 questions).

Background: Patients postoperative pain is often underestimated. Untreated or undertreated pain decreases the chance of optimal recovery after surgery. Pain assessment is an important factor of efficient pain relief. Aim: The aim of the literature study was to describe factors of importance for nurses´ assessment of postoperative pain in patients. Method: A literature study was done where qualitative and one quantitative article was reviewed.

Aim: The aim of this study was to investigate how VAS (Visual Analogue Scale) is used in the prehospital environment, and describe how patients 40 years and older with acute chest pain describe their pain with help of VAS. Further, to investigate how the literature describes other instruments to evaluate pain. Method: This was a descriptive study and used both literature and empiric material as foundation. The selection consist of the paramedics medical record from one emergency department, 100 men and 100 women with chest pain witch had been transported with ambulance to one hospital in middle of Sweden. A literature review was done in order to see what previous research recommends for pain rating scales.Results: The study showed that 71 (35 %) of 200 individuals pain were rated with VAS according to the guidelines for the ambulance department.

This essay examines the relationships between the different elements in Lisa Jonasson?s collage Existentiell Progg #6 and her very detailed technique. The essay has as its aims to understand and analyze both the details and the wholeness of the artwork and to try to put the collage in an art historical context. The thesis finds that Existentiell Progg #6 has a connection to the imagery of Africa and other collage artist such as Hannah Höch and Nancy Spero, which also gives the paper a perspective of feminism in the arts. The paper continues to create an understanding for the collage work by putting it in to Theodor Adorno?s theories about nature, the human being and the animal kingdom.

Detta arbete undersöker ACT och ställer frågan om terapiformen kan betraktas som en existentiell beteendeterapi. Ett material bestående av 53 vetenskapliga artiklar undersöktes med en tematisk innehållsanalys för att få en bred och aktuell bild av ACT i avseende på teori, praxis och människosyn. Resultatet sattes in i en psykologihistorisk kontext i allmänhet och en beteendepsykologiskt kontext i synnerhet. Det som talar emot ACT som en existentiell beteendeterapi är främst bristen på oppositionella inslag och kritik av den vetenskapliga normen. I andra vågskålen placerar resultatet det holistiska perspektivet samt synen på människan som ickedeterminerad.

People with dementia often have difficulties expressing their needs. Untreated pain within this group can be manifested as depression, agitation or loss in appetite. It can be a challenging task for a nurse to estimate, treat and evaluate pain for people with dementia. With good knowledge and an empathic approach, nurses can often recognize and relieve pain amongst these people. Despite this, litterature often suggest that unrecognized and untreated pain is common within this group..

The aim of this study was to describe nurses? knowledge of pain. The method used was a systematic literature study. Information was gathered from the databases Blackwell Synergy, Academic Search Elite and Medline, and the keywords used in the search were: pain, knowledge, nurses and nurses.The result was divided into three subgroups; Insignificant documentation and evaluation. More education is necessary.

 Pain is common among women undergoing first trimester surgical abortions. At the postoperative unit, department of gynaecology, University Hospital, Uppsala, the goal is that 80 % of the women should rate pain as £ 3 on a numeric rating scale (NRS), when leaving the unit.The aim of the study was to investigate how rating was performed at the unit and to investigate patient?s perceptions of pain after having undergone first trimester surgical abortion.20 patients (74%) participated in the study. Ninety percent of the patients rated their pain as NRS £ 3 when leaving the unit. Seven patients (35 %) rated their pain as NRS > 3 directly after operation, and 2 (10 %) patients NRS > 3 when leaving the unit.

The aim is to describe the factors that influence nurses' assessment and measurement of pain in patients. Literature study based on 13 reviewed articles, searched in the Cinahl. Qualitative and quantitative articles were analyzed. Six themes were identified that can be seen as the factors that influence nurses' assessment and measurement. The themes were   pain education, nurses´ experience in the profession, nurses´ level of knowledge about pain relief, documentation about pain, nurse´s perspective on the patient, and pain measurement.

AbstractBackground: Pain is usually common patients who undergo high-dose treatment in combination with HSCT. Pain is usually associated with side effects as for example mucositis. The purpose of this study was to examine patients? experiences of pain in relation to stemcellstransplantation. The purpose was also to examine how patients experience that they have been treated by the personnel regarding their pain, and also if the pain relief correspond to the patients expectations.Method: The study is a descriptive, longitudinal study.

The aim of this study was to elucidate day surgery patients´ subjective experiences of postoperative pain after orthopedic and abdominal surgery and if there was any difference in the experience according to sex and age.Selection was not random and the study included 87 patients. Data were collected from patient questionnaires. VAS method was applied in the questionnaire to measure patients´ pain.The outcomes of the study show that there was no significant difference between women´s and men´s experiences of pain during days 1-7.It was found that patients undergoing orthopedic surgery had significantly more pain on day 7 compared to those patients who underwent abdominal surgery.There was a significant negative correlation between age and perceived pain on day 7.Patients in day surgery group had significantly less pain on day 7 compared with day 1.The patients who have undergone orthopedic surgery and younger patients had more pain on day 7 while the patients in day surgery group had a pain level decreased gradually and on day 7 was the lowest.It appears that pain relief on day 7 of younger patients and patients who have undergone orthopedic surgery is an area that can be improved..

Assessing and measuring post-operative pain in all animals is a challenge, but doing it in small mammals, for example guinea pigs, presents an even larger difficulty. Validated pain scales developed for use in dogs in clinical practice are currently available, but no such scale has been widely accepted for use in guinea pigs in the veterinary setting. In this experimental study, six guinea pigs that had undergone surgery and anaesthesia were observed for behavioural changes that could be associated with pain. The six guinea pigs were also given pain scores with the use of Colorado State University Feline Acute Pain Scale (CSU-APSF), a scale which uses both behaviour when not handled, body tension and response to palpation to evaluate pain intensity. The six guinea pigs showed a number of different behaviours, for example rigid posture, fixed stare and ?wet dog response? (the body is vigourosly shaken), that could be associated with pain.