Detta är en uppsats där normer och värderingar om vårdbiträdet i hemtjänst undersöks genom kritisk diskursanalys. Datamaterial omfattar SOU-rapporten I den äldres tjänst. Äldreassistenten ? ett framtidsyrke samt två fokusgruppsintervjuer med omsorgspersonal från en hemtjänstenhet. Diskursanalysen utförs i förhållande till och i samspel med sekundärlitteraturen.

In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.

ABSTRACTBackgroundPostpartum depression (PPD) occurs in 10% of women who have recently given birth. Postpartum depression is treatable but unidentified and untreated it could lead to serious consequences. There are multiple instruments for screening available. The Edinburgh Postnatal Depression Scale is the most frequently used and is regarded as the best instrument. AimThe aim of this study was to analyze to what extent and how midwifes and primary care nurses identify mothers with symptoms of depression respectively PPD.

Organisation and market orientation of elderly careThis comparative literature study is intended to describe how elderly care is organised and financed in Germany and Sweden. Furthermore, it analyses the degree of competition and market orientation in both countries' care systems. Important aspects in this context are the kinds of measurements which are used on the two markets and the question if there are quasimarkets.The theoretical backgrounds of the study are Esping-Andersen's "Three Worlds of Welfare Capitalism" and Harold Wilensky's convergence theory. Esping-Andersen's theory describes Sweden as a social democratic and Germany as a conservative welfare regime which means that there are different conditions for the development of welfare. The use of Wilensky's theory shows that both welfare systems are converging since the end of the 20th century.

The aim of this observational study was to see how social interaction works in nursing homesdayroom. The focus was to study the staff and the residents during lunch, afternoon coffee,and during the eventual common activity. The observation persons were passive and they didnot communicate with either staff nor with the residents. The theoretical framework usedwas Georetrendens theory, KASAM and Communication theory. The results showedthat social interaction in the dayroom of the nursing home is rarely spontaneous, but mustinstead be planned by the staff.

Shopping for groceries often means that, as consumers, we travel to the grocery store ourselves, by ear, bike or on foot. At the store we pick out the groceries that we want, go the register and pay for them. During the last couple of years consumers in Sweden have been given the opportunity to let someone else select and transport the groceries to their home instead, so called home shopping. As this report is being written, the possibility to buy groceries this way is somewhat limited, but many forecasters believe that in the near future it will increase immensely. Because of the large volumes of groceries that are being transported, there is great transport work being done in the supply chain.

The occupational group who works in the care of older people in Sweden is an exposed group since the work is often defined as a strenuous profession, both physical and psychically, and this puts comparatively many workers on sick leave. To promote good health, as well as prevent bad health is the main purpose of the work environment development. The attitude of the care manager towards work environment development may have a significant impact on the co-workers health. The purpose of the study was to investigate the attitude of care managers towards work environment development and the co-workers work environment and in the same time get knowledge in what issues they have a salutary approach respectively a pathological approach. Empirics were gathered from semi-structured interviews with six care managers from the care of older people administration in municipality of Kalmar.

In 1936 a governmental breeding project was started with aim on military use. The police later came to use dogs from this project as well. In order to utilize dogs that could fit for other purposes training and education of dogs for search of different substances and of guide dogs for blind persons was performed. A political decision to privatize the whole dog programme was taken in 1992. During most part of the time one had serious economical issues since too few of the dogs that were bred could be considered to fulfil the basic demands for service. To satisfy the need of service dogs private bred dogs were bought as well.

This study aims to examine how professionals in the field of foster care works with recruitments, assessment and education of family homes for unaccompanied children. The intention is to find out in case there are specific needs that justify specific approach to ensure that the child's best interests are indicative and satisfied. The survey was conducted based on a qualitative method and empirical data gathered through semi-structured interviews with employees in the social services. The result shows that there is a need for more and specific education for families receiving unaccompanied children. It is motivated by the needs and conditions that are often common for this group.

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.Aim: The aim of this study was to describe, from an ethical point of view, how the patient?s autonomy could preserved at palliative care.Method: A general literature study where 11 scientific articles have been analysed from a qualitative checklist whereof the result has been discussed based on the principles of ethics.

Bakgrund: Brytpunktssamtal är svåra samtal för alla deltagande. Bemötandet och hur beskedet ges kan bli avgörande för patient och närståendes upplevelse av livets slut. Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av brytpunktssamtal i kommunal hemsjukvård. Metod: Data analyserades med kvalitativ innehållsanalys med induktiv ansats. Sju intervjuer genomfördes med sjuksköterskor.

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.

Background: Palliative care is a type of care, which does not cure but eases the suffering caused by the disease. The goal of palliative care is not to extend or shorten the patient's life, but to relieve pain and distressing symptoms and to promote the patients? quality of life (QOL). QOL can be understood as a subjective sense of happiness of existence, which means that the patient is experiencing life when her total life situation is consistent with her ??wishes.

Den intracellulära protozoon Neospora caninum är en viktig orsak världen över till abort hos nötkreatur. De exakta bakomliggande mekanismerna till abort är omdiskuterade och sambanden verkar vara komplexa. Immunförsvar hos såväl moder som foster har en roll i patogenesen. Denna litteraturstudie syftar till att se vilken roll immunförsvaret har under dräktigheten och vid uppkomst av abort till följd av en neosporainfektion. Många olika hypoteser kring aborterna har lagts fram och merparten av dessa visar att tidpunkten för när infektion sker är avgörande för utfallet av dräktigheten.

The purpose of this study was to investigate women's experiences of pain, bleeding,to discover the fetus, hospitalization associated with medical abortion at home and toexplore differences in experiences between different groups of women, as age orprevious childbirth. The study was conducted at two gynecological clinics in Uppsalaand in Stockholm. A questionnaire was distributed and analyzed using a quantitativeanalysis method. The response rate was 30 %. Most women were satisfied with thepain relief given to them from the hospital.