Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

Background: Chronic pain is a condition that approximately 18% of the Swedish population suffers from. This condition affects many aspects of a person´s life and causes psychological, physiological and social suffering. Multimodal treatment is considered the most effective treatment for patients with chronic pain. Patient participation and motivation are very important to treatment. Aim: The aim of this study was to explore patients´ experience of a multimodal chronic pain treatment program regarding their experience of patient participation and interaction with the rehabilitation team.

The purpose of this study was to look at the experiences of midwives in maternalhealth care encounters with non-european-born women and men, and to determine ifmidwives deem any special competence necessary to handle these encounters well.We gathered information by means of qualitative interviews and semi structuredquestions with eight midwives all of whom matched the inclusion criterias and gavetheir personal consent. Midwives from four district health care centers in Uppsalawere included. The interviews were transcribed and analyzed by means of qualitativecontent analysis.The results reveal the experiences from encounters with non-european patients to betwofold. On one hand the encounter is a positive, exiting experience with anopportunity to learn more about a foreign culture and exchange experiences. On theother hand complications can occur as patients may have unexpected expectationsregarding the health care, have great difficulties with the language or haveexperienced traumatizing incidents, all on top of coming to Sweden alone withoutrelatives.In the encounter with non-european-born patients the midwives consider it importantto have special competence in form of knowledge of other cultures and religions asthis provides a greater understanding of the reasoning behind the patients? decisions.Cultural competence is also important as it helps avoid inadvertently insulting thepatient during the encounter.The special competence held by the midwives has been attained from their basic andspecialist education as well as from self acquired experiences and interests.

Väpnade aktörer, terrorism och illegal handel (med människor, narkotika och vapen) är alla företeelser som, i varierande omfattning, florerar i fallerade stater. Dessa företeelser återfinns inte minst i Colombia, som trots det inte bedöms vara fallerad.Uppsatsens syfte är att påvisa behovet av kvalitativa och kontextspecifika studier, då vår förförståelse är att analyser av fallerade stater, som bygger på kvantitativ forskning, missar orsaksperspektiven. För att göra detta prövas två teorier (Rotbergs kvantitativa och Buzans/Holstis kvalitativa) på fallet Colombia.På grund av att Rotbergs teori har en lägre validitet och inte förklarar vad som ligger bakom staters interna problem, kan Colombias situation mest framgångsrikt förklaras utifrån Buzans/Holstis teori. Buzan/Holsti missar dock flera för, Colombia centrala aspekter, som går under benämningen ?the Hidden Form of State Failure?.Nyckelord: Fallerade stater, Rotberg, Buzan/Holsti, Colombia, ?the Hidden Form of State Failure?..

Canine dilated cardiomyopathy (DCM) is a disease with high morbidity and mortality and with a high prevalence in certain breeds. Predominatly large breeds are affected, such as Great danes, Newfoundlands, Deerhounds and Dobermanns. One exception is Cocker spaniels, where both American and English Cocker spaniels are affected in a quite high frequency. Cardiomyopathy is characterised as a disease that affects the myocardium and gives an impaired heart function. To diagnose DCM following criteria have to be observed: 1. Dilation of the left ventricle. 2. Reduced systolic heart function. 3. Increased sphericity of the left ventricle. To be certain of the diagnosis, alternative reasons for the symptoms such as lung- and heart diseases with other etiologies have to be excluded Two different types of DCM have been found upon histological examination.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

AbstractIntroduction: The condition of human health and its lifestyle has become a great questioner towards the public healthcare of our country. Despite the recommendations of at least 30 minutes physical exercise per day, many individuals of our society do not get the recommended amount of physical activity.  To improve the situation a method called ?Fysisk Aktivitet på Recept, FAR (Physical Activity on Recipe). This means that licensed health- and medical staff, as district nurses are able to write prescriptions on physical activity to patients.Purpose: Was to highlight the district nurse?s experience in the role of the FAR-prescribers.Method: The study was conducted using qualitative method.

Today adult patients' relatives are seen as a resource in psychiatric care but few researchers have examined the lived experience of relatives' participation in psychiatric care. The aim of this study was to illuminate how mental health staff and relatives of adult patients experienced the relatives' participation in psychiatric care on hospital ward.The study was guided by a phenomenological approach and a lifeworld perspective. Data were collected through in-deep interviews with ten adult patients' relatives and three group-interviews with ten mental health carers from two hospitals in Sweden.The essence of the lived experience of relatives' participation in psychiatric care in hospital ward is described in the constituents: invitation to participate in psychiatric care; meet the staffs' care; to participate in own or others terms; bring the common everyday world with you; feel burden; participation a trip in time and space. The findings of the study show that the relation between the staff and the relatives are important for the relatives' participation in psychiatric care. The relatives' participation can alter from no participation to a meaningsful participation, from suffering to well-being.This study can help medical staff to understand relatives and their participation in a new way..

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

The aim of this review was to examine scientific literature to determine what kind of physiological and psychological benefits derive from human-dog interaction, as well as attempt to uncover a possible mechanism behind these benefits and whether or not they are mutually beneficial. A growing body of research indicates there are physiological and psychological benefits associated with human-dog interaction. Significant cardiovascular benefits have been linked with human-dog interaction, as have lowered blood pressure, cortisol and heart rate. Interaction with dogs is often associated with a feeling of social support and well-being, and dogs also seem to facilitate social interaction between people. Dogs? ability to buffer and reduce stress is also well documented. A strong indication was found regarding a relationship between physical contact and benefits associated with human-dog interaction.

Förstudie av Fysisk aktivitet på Recept- ett projekt mellan vårdcentralen Ankaret och Friskis&Svettis i Örnsköldsvik. - ur ett hälsoperspektiv (Pilot study of exercise on prescription, a project between the health center Ankaret and Friskis&Svettis in Örnsköldsvik - from a healthperspective) Bachelor Essay in Swedish. Umeå: Umeå university, Department of Education.Physical activity is a growing problem in Sweden. To improve the situation a working method called FaR was developed. FaR is physical activity on recipe that primary health care providers can prescribe their patients.The aim of this study was to investigate how a project in which, FaR patients are prescribed by the health center to a wellness facility may succeed.

Background: Many people within the health care system experience uncertainty. Uncertainty can be described as a feeling, a condition or as a phenomenon. Uncertainty is often associated with stress and an emotional burden among patients. It?s important for the nurse to have knowledge about the expressions of uncertainty to get a higher appreciation for the patients? situation.

Stress-related diseases in Sweden have doubled since 1997. Even longterm sickness related tostress has increased over the last decade. In future there is a need of alternative methods todecrease the amount of people being affected to gain a better population health. Natureassisted therapy (NAT) was shown to be a successful method as part of the therapy of stressand burnout likewise was nature an important factor to prevent people from mentaldisorders. The aim of this study was to analyse the latest research concearning nature and itshealth effects with focus on stress and burnout patients in order to plan health promotingactivities outdoors for these patients.

Aim: On the basis of the Swedish 2012 National Patient Survey and its open answers, study how patients experienced the quality of care during hospitalization in a surgical divisionMethod: In this study, 306 patients' responses was compiled and analyzed by qualitative content analysis and reported descriptively in running text.Results: The way patients were treated by staff was experienced by respondents mainly as positive. The staffs? courteous and sympathetic attitudes were appreciated. The food that was served was described as substandard, distasteful and dull. The cleanliness of the hospital departments were reported to be inadequate, particularly in washrooms.