Background The aim of palliative care is to improve the quality of life for both the patient and her next of kin during the patient?s end of life. Palliative care rests on the four cornerstones managing symptoms, communication and relationship, teamwork and relative support. The nurses? task is to assess the patients? physical, mental and spiritual needs according to these four cornerstones.Aim To assess nurses? experiences of treating patients at the end of life.Method Eleven academic journals that respond to the aim has been analyzed and synthesized in a literature review in order to summarize current research on the subject.

I Sverige lider ca 50 000 människor av svårläkta bensår och av dessa är ca 50 procent or-sakade av venös insufficiens. Patienter med bensår upplever ofta att de påverkas negativt fysiskt, psykiskt och socialt. Syftet med studien var att beskriva distriktssköterskors upple-velser av att kunna främja hälsa hos patienter med venösa bensår. Metoden som valdes var kvalitativ innehållsanalys med induktiv ansats. Data samlades in genom intervjuer med nio distriktssköterskor.

Today?s construction buildings contain more advanced technologies than before. The development of newer and stricter regulations to the construction industry makes the door environment more and more complex.In large construction projects the door environment is held up as a major challenge to get to in a good way. It turned out after a discussion with one project manager and a site manager at NCC, that the door environment is difficult to get right in major construction projects and it often causes many error reports in to the aftermarket after that the final inspection is completed.Interviews have been done with key figures in the building process at NCC and Akademiska hus. A study on a university building for around 3500 students and with 300 workplaces was made.

This thesis focus on the presentation of the filmic room the viewer sees in George A. Romero´s three horror classics Night, Dawn and Day of the Dead. The hypothesis goes as follow; fear and element of tension becomes greater if the audience/viewer has a good knowledge about the filmic room in the film, in other words, a good spatial awareness. The conclusion is that it does. The environment is active in its becoming and in its presentation to the viewer.

Cats and dogs are often unattended by their owners both indoors and outdoors, and therefore there is always a risk that they will get hurt. In the past, poisoning cases was considered unusual, but nowadays they are considered more common. As a veterinary nurse, it is important to know the common symptoms of poisoning, especially when working with emergency veterinary care. A very essential part of the profession as a veterinary nurse is to inform pet owners about the potentially dangerous substances and how poisonings can be prevented. The purpose of this report was to find out what is written scientifically about some common poisonings in dogs and cats and to present available statistics that covers the number of animals poisoned by various substances in Sweden. Hopefully this essay can also be used as a handbook for professionals in animal health care and to assist in educating pet owners. The report mainly covers groceries found in many homes, often easy accessible.

Bakgrund: Enligt World Health Organisations världshälsorapport bidrar alkohol till mer än 9% av sjukdomsorsakerna i Europa och vållar 1,8 miljoner dödsfall årligen i hela världen. Alkohol har alltid varit och är än idag ett av världens största samhälls- och sjukvårdsproblem. I Sverige är det mer än sex tusen personer som dör i alkoholrelaterade sjukdomar per år, vilket motsvarar lika många dödsfall som i tobaksrelaterade sjukdomar. Alkoholproblematiken tas därför upp i litteraturstudien. Syfte: Att beskriva vilka förebyggande åtgärder en sjuksköterska kan erbjuda personer för att de ska undvika att missbruka alkohol.

Bakgrund: Lagen om psykiatrisk tvångsvård och Lagen om rättspsykiatrisk vård ger rätt att vårda patienter mot deras vilja. I psykiatrisk vård förekommer specifika omvårdnadsåtgärder som bältesläggning, tvångsmedicinering och avskiljning. Dessa väcker många känslor och kräver att sjuksköterskan arbetar med hänsyn och respekt. Relationen är en central del inom psykiatrisk omvårdnad och ska baseras på tillit och empati. Syfte: Att belysa sjuksköterskors uppfattning om tvångsåtgärders inverkan på omvårdnadsrelationen.

The telenursing service deals with offering the public guidance as what to do with their health and illness concern. More specifically this service includes triage, support, advice, education, referral, information and coordination. To conduct telephone advice is a complicated task to perform and put specific demands of the nurse?s communication skills.The purpose of this study was to critically review the impact of telephone counseling focused on context of implementation, perspective, design and clinical relevance by a sample of studies within the field.The critical review focused on inconsistencies in the material. Strengths and weaknesses of the studies were explored, with emphasis on detecting areas of skill gaps.Twelve of thirteen studies were made in the context of telenursing.

BackgroundSexual health is affected by disease, dysfunction and disability but can also be experienced in spite of illness. To get a deeper knowledge of what the nurse does for the patients the background is written with the support of the holistic care and Katie Eriksson theoretical perspectives health and suffering.AimThe aim of this study is to describe the factors to why nurses do not prioritize patients' sexual health in the nursing care.MethodA literature review based on nine qualitative and quantitative studies focusing on the barriers perceived by the nurses to address sexual health.ResultThe result of this study showed that the barriers were many. Factors related to nurses unwillingness to talk to patients about sexuality and sexual health were difficulties in nurses' psychosocial work environment and lacking competence concerning sexual health. The fact that sexuality is a sensitive subject, factors related to the patient and that it was someone else's responsibility to raise the topic were other factors that made it difficult.ConclusionWe conclude that a stressed workplace where there is a lack of time and stress along with a poor education and uncertainty leads to no grasp of the subject and the problem slides between health professionals. Patients' sexual health remains untreated.

The purpose of the study has been to recognise good development and the factors behind this development. We have chosen an aid-project co-financed first by the Swedish government and later by the government of Great Britain for our study. One of the conditions for good development, according to our chosen theory Another development, is peoples participation. To study good development and peoples participation we conducted a Minor Field Study (MFS) in Rajasthan in the north-west of India in June-August 2001. We had a hermeneutic approach and consequently accomplished interviews and participant observations in the Lok Jumbish project in Rajasthan.

Veterinary medicine is not merely an area of occupation but also an area of business. In a business the customer service is its identity and brand and more importantly what makes the client choose and recommend the clinic to other potential customers. The licensed veterinary nurse is habitually the one who first meets the clients at the clinic. Therefore it is particularly important for the licensed veterinary nurse at the clinic to offer high-quality customer service. The object of this study was to understand and elucidate how the pet owners experience the encounter with the licensed veterinary nurse at different stages in their contact with the clinic.

Background: ?Transitional care? is a new form of care in the Child and Adolescent Mental Health Services (CAMHS) in Sweden. The level of care, between outpatient and inpatient, has been developed to meet children/adolescents and their families in a different way than in the traditional outpatient and inpatient treatment. The contact offered can be intense with frequent contact and also with more time set aside for every occasion. The nurse, who is one of the categories of personnel involved in the multidisciplinary team works largely in other contexts than in the therapy room at the clinic or on the ward.

Introduction:A good work environment and good resources among district nurses? and general nurses? are important in the provision of good nursing care. For patient security it is also very important that resources and time are used in an appropriate way. A lot of time is spent on non-core activity, for example administration takes more and more time, which can result in feelings of stress.Aim:The aim was to describe how district nurses? and nurses? in primary care perceived their work environment, how their worktime content was distributed and if there was some connection between perceived work environment and the distribution of work time.Methods:A mapping of the content of the work was made in two parts.

Bakgrund: Forskning visar att det i Sverige blir allt fler äldre människor; samtidigt är dagens sjukvård inte organiserad för att möta deras behov. Äldre har ofta ett stort behov av omvårdnad och det är viktigt att sjuksköterskan arbetar personfokuserat relaterat till detta. Det sker idag en åldersdiskriminering av äldre och sjuksköterskans personliga egenskaper, såsom hennes attityd och bemötande, kan påverka vårdens kvalitet och hur den äldre upplever sin hälsa. Där av tydliggörs vikten av en god vårdrelation, med respekt för individens autonomi, integritet och värdighet.Syfte: Syftet är att beskriva vilka faktorer som kan ha betydelse för sjuksköterskans bemötande av äldre.Metod: Litteraturstudie baserad på tio vetenskapliga artiklar. Litteratursökningen genomfördes under mars och april månad, år 2011, i de elektroniska databaserna CINAHL, Medline och Pubmed.

To get a good economy on the dairy farms the fertility control of heifers and cows is a crucial factor. It is also important to know which key parameters that should be tracked. In this work well established routines for heat detection have to be applied. When the dairy farmers use technical aid in estrus control it is important not to forget that technical aids can not replace the human eye. Approximately 50 % of all opportunities to inseminate are missed because clear signs of estrus have not been displayed and/or recorded. The cattle fertility has been declining over recent years. During the same time the cow?s proceeds have increased, consequently applying a higher pressure on the cow and the manager.