Background: In Sweden it is a legal right for patients to have the possibility to participate in their own care. Several studies highlight the importance of a good relationship, good communication and good cooperation in order to increase a sense of security and thus the possibility of participation. One way to increase patients' ability to influence and participate can be to adapt person-centered care. This moves the focus from the patient's illness to the patient and his/her resources. Aim: The aim of this study is to describe patients' experiences of the possibility to actively participate in decisions regarding its care and treatment at surgical wards.

En berättarteknisk studie av "Ligeia", "The Tell-Tale Heart" samt "The Fall of the House of Usher". Studien fokuseras till kunskap respektive destruktivitet och dess funktion i de skilda novellerna. Genom att se till de berättartekniska aspekterna skapas en ny ingång till förståelsen för novellerna och en ny grund för en kompletterande motivanalys. De tre novellernas narrativa framställning och strukturella uppbyggnad skiljer sig men delar vissa gemensamma grepp vilket möjliggör för vidgad förståelse av novellerna..

Malnutrition is a common problem for patients with cancer that leads to anxiety and frustration for the whole family. Patients with palliative cancer disease treated at home are entitled to an adequate nutrition treatment suited to individual needs. Aim: The aim of the literature review was to describe how cancer patients experience their nutriment situation before and after the introduction of parental nutrition and the experience of getting home parental nutrition. Methods: A literature study was carried out where qualitative and quantitative articles were examined. Findings: Five qualitative and five quantitative articles were examined.

Lung cancer is a disease which patients experience stigma in society and in care. This is because lung cancer is often seen as a self-inflicted disease. The stigma surrounding lung cancer is due to the strong relationship with smoking and have been shown to have a negative impact on the perceived health. The purpose of this study was to illuminate experiences of stigma for patients with lung cancer. The literature review was based on 11 scientific articles.

This is an examinaton of welfare officers and patients experiences of a course in mindfulnessbased stressreduction in primary care. The authors used a qualitative method and a phenomenological hermeneutics scientific philosophical position. The analys of the data appeared by using three theoretical perspectives; cognitive, coping and Antonovskys Sence of Coherence. The purpose was to get a deeper understanding of what mindfulness is, how a course in mindfulnessbased stressreduction can be arranged and how it is comprehended by the welfare officers and previous participators of the course. To get an opinion of the issue the authors wanted to know the welfare officers intention of the course, to which patients they provide the course, what the participators thought about their situation before and after the attendence and if they had assimilated the knowledge and if so how it was applicable.

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 this project was to quantify the total sleep time in modern dairy cows during24-hour periods and to investigate whether the total amount of sleep as well as timespent in different sleep stages varies between the dry period, early- and peak lactation.The distribution of sleep time between night and day was also examined. Furthermore,correlations between sleep and lying time, fluctuations in body temperature and heartbeat were included in the aim. Eight dairy cows of the Swedish Red breed were used inthis study, which was carried out between June and September 2010. In order toquantify sleep non-invasive electrophysiological recordings were performed.Simultaneously with collecting sleep data, body position and body temperature werealso recorded. No heart rate data was obtained due to difficulties of maintainingelectrodes for heart beat measurements attached to the skin.

Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients? autonomy.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Background: Studies showed differences in attitudes towards patients with mental illness in nurses who worked in somatic care compared to nurses who worked in psychiatric care. The nurses in somatic care stated more negative attitudes to mental illness in relation to the nurses in psychiatric care. Studies also showed that work experience affected attitudes towards mental illness. Nurses who often came in contact with people with mental illness had less negative attitudes and prejudices against mental illness. Aim: The aim was to examine the experiences from nurses in somatic care, caring for patients who also have a psychiatric diagnosis.

Diabetes is a widespread disease, which is increasing in the Western World and even in the developing countries. This entail an increasing strain on the medical service when to nurse and treat patients with diabetes type 2. To support and empower the patients in their choices, which will affect them for life, is a challenge to the nurse. The nurse is an important character in nursing care when patients take a more active part in treatments. The aim of this literature review was to exam the factors, which influence diabetes care.

Introduction: On the surgical wards in most hospitals in Sweden patients with different surgical needs are cared for. Patients with gastrointestinal conditions are, for example, nurtured alongside patients with urological disorders or patients in need of observation for head trauma. When the nurse, in addition to these patients, have to care for patients with palliative care needs can be perceived as problematic for nurse and patient alike.Purpose: The purpose of this study is to explore nurses' perceptions of care for patients with palliative care needs on an acute surgical ward, based on a person-centered perspective.Method: A focus group interview was conducted with the strategic selection of nurses from two acute surgical wards in a county hospital in western Sweden. The data from the interview were analyzed with qualitative directed, deductive content analysis with person-centered care as a theoretical framework. The theoretical background shows that person-centered care includes partnership, participation and structured documentation.Results: The results of this study show that even a fourth category, organization, emerged and needed to be reported.

The failure of Structural Adjustment Programs and its neoliberal policies to effectively reduce poverty have led to the creation of Poverty Reduction Strategy Paper (PRSP) by The World Bank and International Monetary Fund. PRSP, connected to both the Comprehensive Development Strategy and the HIPC initiative, are built on the notion of national ownership and stakeholder participation and thereby expand potential conditionality to include matters of governance. This thesis examines the evolution of PRSP and how the process of participation affects national governance structures. By analyzing the role of rules and norms within the World Bank and IMF from a historical point of view the thesis explains why the participation process has developed the way it has. It concludes that neoliberal norms, still at heart within the World Bank and IMF, have an impact on the process of participation within nation states and thereby its governance structure.

Stroke is one of the most common diseases in Sweden and the third most common cause of death (National guidelines concerning stroke, 2000). Dysphagia is a common problem for stroke patients with almost 50 percent of patients suffering from severe swallowing dysfunction (Axelsson, Asplund, Norberg & Eriksson, 1989). The purpose of this study was to investigate how stroke patients with dysphagia experience their swallowing disorders. The method used was a qualitative literature study. An analysis of content was carried out using ideas and inspiration from Graneheim and Lundman (2003).

Aim: The aim of this study was to compare how patients with diabetes type 2 self-estimate their self-consciousness, problem identification, stress management and the willingness to change before and after a daycare week. The aim was also to compare if the value on HbA1c have changed after the daycare week compared to before.Method: A total of 60 patients who recived offer to participate in a daycare week at a clinic on a university hospital in Sweden. Patients replied a form (SWE-DES-SF-10) before (n=60) and three months after (n=35) the daycare week. They also left a blood sample for HbA1c before (n=60) and three months after (n=42) the daycare week. The forms and HbA1c-values were analyzed using wilcoxon´s signed-rank test and paired t-test. Results: After the daycare week estimated the participating patiens their self-consciousness and problem identification higher than before the daycare week.