Bakgrund: I Sverige dör cirka 95 000 människor varje år och runt 80 % av dessa är i behov av palliativ vård. Palliativ vård är en vårdfilosofi som bygger på att ge stödjande och lindrande vård när botande vård inte längre är genomförbar. Vid den tidpunkt när patienten drabbats av en obotlig sjukdom sker en brytpunkt, vilket innebär att läkaren identifierar patientens aktuella tillstånd. När brytpunkten är identifierad erbjuds ett brytpunktsamtal. I samtalet planeras det för den kommande palliativa vården.

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.

The aim of the study was to describe how managers at the eldercare system especially in nursing homes work to ensure high quality care. For this purpose, a qualitative method was used in this study and four managers at nursing home have been interviewed. Previous studies have shown that managers in some cases are restricted in their actions and that this may slow down the improvement of the care. At the same time the managers describe their work as demanding and diverse. They have a significant staff responsibility, meaning that they have to ensure the quality of care.

Background: Parents that loose a child in connection to labour are in great need of support.Health care provider treatment and support is of great importance to how the parents will experience something that is doomed from the beginning to be one of the most tragic events the parents will ever experience. For care givers to live up to this it is incredibly important that there are worked out guidelines to follow at these situations.Aim: To chart and describe Swedish maternity wards care program with reference to ?IUFD?.Method: All clinics in Sweden have been questioned regarding care program for handling of ?IUFD?. Care programs has been gathered, charted and described.Results: 87% (29 of 33) off the maternity wards has a plan for treatment and guidelines for ?IUFD?.

In the care for the critically ill patient the next of kin is of great importance. Their support, love and care for the patient, increases the wellbeing and makes a connection to the patient?s normal lifeworld. For the next of kin to be able to be that support the next of kin needs to be helped to maintain the basic need of for example their sleep, food, hygiene and psychosocial support. The critical care nurse must see to the patient?s whole lifeworld which includes their next of kin.The aim of the study was to identify the resources available for the next of kin in intensive care units in Sweden.

Forensic psychiatric care is a complex business. Patients who are cared for in forensic psychiatry are usually in need of care for a long time. The forensic care is a major intrusion into a person's life and the nurses and caregivers are the people who spend the most time with patients. They have a difficult mission providing a good and personalized care while patients are deprived of their liberty. Previous research demonstrates that patients experience forensic care as uncertain, insecure and punitive but that there are also glimpses of "good care".

The purpose with this qualitative interview-study was to try, from the carer´s point of view, to describe the meaning and the essence of the good meeting. The participants were selectively chosen and were all women of varying life- and professional experience. They were interviewed with four interrogative forms that dealt with the experiences of the meaning and the essence of the good meeting. The analysis of the contents of the four interviews produced five themes: the meaning and the essence of aware presence in the good meeting, the meaning and the essence of the personal alliance, the carer's need of being seen and getting appreciation, the courage to bring up insulting behaviors while still preserving the relationship, personal qualities of the care. Aware presence was to be a main theme through out the meeting.

In Sweden approximately a half per cent of the population have diabetes mellitus type 1. Self-care responsibility is a part of the treatment. Orem?s self-care theory has been used as theoretical framework. The purpose was to describe what it means to be young and have diabetes mellitus type 1.

The aim of this study was to investigate the leaving care services provided to youth leaving residential care in Sweden. Through the use of qualitative research interviews residential care workers perception of what practical and emotional needs youth leaving care have, and whether current aftercare services meet these needs, were examined. The study further sought to compare the swedish and english leaving care services. The main findings of the study were that the residential care workers interviewed expressed that they had a good working relationship with the local social services and that they through the residential care services were able to provide some degree of aftercare. They further identified loneliness as the most prominent emotional need of youth had after leaving care.

Caring for the suffering, dying patients and giving support to relatives is probably one of the toughest jobs a nurse can encounter. Palliative caring is, with different measures, the prolonging of life whereas hospice caring is giving patients a meaningful and natural journey toward death. The hospice philosophy is grounded on comfort, communication and peace. The expectation is that patients will have a dignified, peaceful death. The purpose of this study was to describe the nurse's role in palliative care.

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

The purpose of this study was to investigate and expand the knowledge of how bereaved spouses in palliative care handled their grief. Attempts were also made to distinguish common patterns among the experiences that the bereaved spouses expressed.  Furthermore the study aimed to understand how the bereaved spouses handled their grief, and to understand what helped them to move on. A qualitative method was used in this essay, related to the purpose of investigating the spouses? emotional experiences. The questions used to reach an understanding of the matter were: How did the bereaved experienced their grief? Were there important contributing factors worsening their grief or making it easier? How did the bereaved persons handle their grief, and what helped them to work things through and carry on with their lives? The result was analyzed by using Antonovsky?s theory; a feeling of coherence, Lazarus? coping theory combined with Folkman?s revised coping theory.

Background: Stroke is one of the leading causes for longlasting sequelae, among themloss in cognitive function, like aphasia. Aphasia effects the patients ability to understandand express themselves in speaking and writing. To be able to reach a good level of care,the careproviders and patients ought to have the same goals and values. This requires agood communication between the careproviders and patients. Which can be problematicfor the caregivers when they don't feel secure in their way of getting close to these patients.Aim: The purpose of this study was to illuminate caregivers experience of caring forpatients with the diagnosis aphasia following stroke.Method: This is a literature study where nine studies, with qualitative design, has beenanalyzed and compiled.

The purpose of this paper is to investigate how social workers, working in a management position in the health care system, perceive the encounter of the medical and social perspective. With seven qualitative interviews, the study tries to conclude whether or not social workers are accepted at managerial positions within the health care sector. The social worker is, as a manager in health care, a leader but at the same time in a professional alienation from the medical caregivers. Organizations in the health care sector are often multi professional and have their own long standing tradition, history and culture. The results show that the conditions for social workers, working in a management position in health care appear to be agreeable.

Distriktssköterskan är ofta den sista länken i vårdkedjan från den somatiska vården och hemsjukvården. En fungerande överrapportering från den slutna somatiska vården till hemsjukvården är av yttersta vikt för patientens trygghet och säkerhet och det är därför viktigt att innehållet i omvårdnadsepikrisernas uppfattas som relevant för den fortsatta vården. En omvårdnadsepikris skall innehålla en slutanteckning över de omvårdnadsåtgärder som genomförts på sjukhuset och en kort beskrivning över patientens aktuella omvårdnadsbehov. Syftet med studien var att beskriva distriktssköterskors uppfattning om omvårdnadsepikrisernas relevans och användbarhet i den fortsatta vården i hemmet av palliativa patienter samt att jämföra dessa med det faktiska innehållet i omvårdnadsepikriser skrivna av sjuksköterskor inom den slutna somatiska vården.Studien har genomförts med en innehållsanalys av 16 omvårdnadsepikriser insamlade från en kirurgiavdelning på ett större sjukhus i Göteborgsregionen samt semistrukturerade intervjuer med fem distriktssköterskor i Göteborgsregionen. Avslutningsvis jämfördes resultatet från de två datakällorna för att bedöma överensstämmelsen mellan dessa.