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4173 Uppsatser om Heart surgery and intensive care - Sida 14 av 279
Organisering av demensvården: differentiering kontra kvarboendeprincipen
The objective of this thesis was to examine and analyse how various directors within old-age care, the resident-coordinator, nursing-staff, and the dementia-team apprehend the organisation of dementia nursing homes in the municipality. Our questions were the following:How important is it that the care-receivers are examined and diagnosed?Do the respondents experience difficulties with non-differentiated dementia nursing homes?Which are the advantages and disadvantages for care receivers/patients and nursing-staff if dementia care homes are differentiated according to the care-receivers dementia diagnosis and phase of illness?Are there alternative solutions to the way the municipality organise the residence for carereceivers today that might improve the situation for care-receivers/patients and nursing-staff?How does cooperation or the lack of it mint the conditions for care in dementia nursing homes?Which goals does the municipality have for the organisation of dementia care?Our approach was a qualitative method consisting of interviews to answer the objective of this thesis and our questions. Our findings are supported by a sociological analysis of organisations. Our findings show that there is a conflict of interest between the principle of permanent residence which imply that the care-receiver should not have to move against her or his will and between the use of differentiated dementia nursing homes.
Hälsorelaterad livskvalitet och psykosocial situation hos kvinnor som genomgått mastektomi med eller utan rekonstruktion
Abstract? Background: ?Breast?cancer is the?most?common cancer for?women,?with?over 8000?of?cancer?cases?per?year.?Surgery?is the?most?common form?of?treatment. Basis?of?illness?and?the?loss?of?a?breast?can?be a?big?trauma for the?individual?and?affect?many?aspects.?Aim: The?aim?of?this?study?was?to?investigate?health-related?quality?of?life?and?psychosocial?situation and the?need?for support and?care?for?women?who?undergone?a?mastectomy?with?or?without?reconstruction.?Method: The?study?design?was?a?descriptive?study?with?qualitative?approach.?The?selection?was?strategically?consisting?of?the?eight?women?from?five?cities?which?had?undergone?mastectomy?with?or?without?reconstruction. The?interviews?were?semi-structured?individual?that?analyzed?using? content?analysis.?Results:All?of?the?women?felt?that?the?body?changed?after?the?mastectomy.? Feelings?of?insecurity?and?discomfort?were?common.?Among?those?who?underwent?reconstruction?were?all?dissatisfied?with?the?results.
"Allt ska dokumenteras" : - en kvalitativ studie av den ökande dokumentationen inom svensk sjukvård
The main purpose of this essay is to study the role of documentation in Swedish health care today and the consequences of the augmentations in paper work that have taken place during the last couple of decades. The method used in this study is interviews with health care personnel.The following questions are treated:- What kind of documentation has increased in Swedish health care?- How is the patient/health care professionals affected?- How is the work of the health care professionals affected?The conclusion of the essay is that the increasing amount of time spent on documentation that for much part has never been performed before, (such as risk analyses, statistics and writing much more thorough charts), has consequently left very little time for actual patient care. The research also showed that faith in health care professionals has significantly decreased and that one of the major reasons for increased documenting is the anticipation of and therefore protection against potential complaints. Finally there seems to be a greater focus on being service-minded rather than on providing quality health care..
Radiologiska tecken vid lungödem hos hund och katt :
Williams, E. 2003 Radiologic sign of lung oedema in the dog and cat.
To determine if the descriptions of lung oedema in the literature accurately describe the presence and frequency of radiologic signs, thoracic radiographs of 55 dogs with mitral regurgitation due to endocardiosis (ME), 46 dogs with dilated cardiomyopathy (DCM), 9 dogs with hunting oedema, and 20 cats with hypertrophic cardiomyopathy (HCM) were analysed. The location, type (diffuse or patchy, without or with air bronchograms) and presence of pleural oedema, bronchial wall thickening, widened pulmonary veins, and heart enlargement with subjectively and by the VHS measurement, were determined, and analysed by chi squared test with respect to disease. The dogs nearly always had diffuse oedema, whereas 35% of the cats had a patchy pattern, which agreed with the literature. The common occurrence of cranioventral and caudioventral oedema in heart failure was not described.
The effect of low light intensities and red light on heart rate, blood pressure, respiratory rate and activity in dairy cows
Today dairy farmers in Sweden are obligated to have lights turned on during night time in addition to the mandatory daylight inlet. This presents a cost for the production but many argue that it can be economically beneficial, especially in loose housing of dairy cows. In loose housing and even more so in herds with automatic milking, well functioning cow traffic during all hours of the day is crucial to optimise production. In order to keep the cow traffic flowing, lights may be an important management tool. It is also perceived among farmers with tied up stall that night light decreases the incidents of cows accidental stepping on their own or neighbours udders.
Argument för och emot privat sjukvård
Title: Argument in favour of and against private health care ? A scenario for a future health care with a possibly new Government Authors: Jessica Andersson, Nina Gunnarsson Supervisor: Thomas Danborg Department: School of Management, Blekinge Institute of Technology Course: Bachelor?s thesis in Business Administration, 10 credits Purpose: To describe the problem with privatizing of the health care by analyse the arguments in favour of and against private health care and describe a scenario about a future health care with a possibly new Government. Method: Qualitative Grounded theory method, categorizing secondary facts in order to get the complete picture. Results: The market for private health care will increase by a possibly new Government.
Motpolerna möts i resursfördelningssystemet : En jämförelse mellan tre olika skolor i Karlskoga
The aim of this thesis was to study elderly people?s experiences of and approach to their usage of home care services with tax deduction. The aim was also to describe how elderly people reason about their underlying motives of using home care service with tax deduction. The study is based on six qualitative interviews with people between the ages of 65 and 80, living in Nacka, Sweden. This thesis is a collaboration with Stiftelsen Stockholms la?ns A?ldrecentrum/ Stockholm Gerontology Center and part of their follow up study concerning simplified administration for elderly people applying for home care services in Nacka.
Sjuksköterskors och närståendes uppfattningar om och erfarenheter av de närståendes närvaro under HLR på en intensivvårdsavdelning
SAMMANFATTNINGBakgrund:Närstående till patienter på intensivvårds avdelningar är ofta drabbade av kris och sorg. Patienten befinner sig i ett livshotande tillstånd och miljön är mycket främmande för de närstående. En väl fungerande kommunikation sjuksköterska och närstående emellan är viktig för att hjälpa de närstående bemästra den svåra situation de befinner sig i. Omvårdnadsforskning visar vikten av att de närstående finns nära patienten, men i en livshotande situation kan de närstående bli anmodade att lämna rummet.Metod:För att belysa närståendes och sjuksköterskors uppfattningar och erfarenheter gällande närståendes närvaro vid HLR på en intensivvårdsavdelning utfördes en forskningsöversikt. Sökning gjordes i databaserna Cinahl och Pubmed, med hjälp av sökorden cardiopulmonary resuscitation, resuscitation, witnessed resuscitation, nurse, nurse perspective, experience, attitude, perception, family, family presence, relative perception, och intensive care.
Går det att mäta blodtryck med fotopletysmografi och bioakustisk sensor i kombination?
The aim of the work was to investigate the possibility to combine information from PPG and bio-acoustic technology to extract information that is related to the blood pressure. The measurements have been carried out with several different configurations. First the relation between arterial sounds and the PPG-signal was studied. After those measurements with both PPG and the bio- acoustic technique was concluded on people in different positions and after riding a bike. The goal was to vary the blood pressure.
Att agera "spjutspets" : - en analys av en funktion knuten till en kompetensutveckling inom äldreomsorgen
The purpose of my study was to examine a competence-development in care of older people in which some of the personnel have been ?spjutspetsar?. More specifically my aim was to investigate how the personnel managed to supervise others in the organization. My main research questions were: How do the care-managers and the care-workers persecute their functions as ?spjutspetsar?? What form has the internal meeting between the competence-development and the organization ideology taken? What possibilities and obstacles have the care-managers and care-workers been confronted? In my study my research method is based on eight qualitative interviews.
En beskrivande studie av patienter som sjukvårdsrådgivningen rekommenderat att söka akutmottagning : - Hör de alla hemma där?
Aim. To describe patients who have got a recommendation by a telenurse to visit the emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the emergency department´s documentation.Results.
Sjuksköterskors uppfattningar om att vårda barn med palliativt vårdbehov och att växla mellan att vårda barn med palliativt och kurativt vårdbehov : - En kvalitativ studie
Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.
Mjuk massage för personer med demens : personal och patienters perspektiv
The aim with the literature study was to describe how persons with dementia and health care workers in the geriatric care experiences soft massage and to describe the derived effects for persons with dementia. Scientific articles were sampled from the databases: Medline (Pub Med), Cinahl and Psyc INFO. The main results of the study are presented in three parts: how persons with dementia experiences soft massage, health care workers experiences of giving soft massage and the health care workers descriptions on derived effects on persons with dementia. The results showed that persons with dementia experienced a positive reaction to soft massage and the health care workers did no longer feel helpless in their care service towards persons with dementia. The studies showed that soft massage decreased agitation, wandering, pain and sleeplessness.
Patienters uppfattning av vätskebegränsning när de behandlades för hjärtsvikt vid sjukhusvård
Syftet med denna studie är att utifrån ett föräldraperspektiv undersöka behov av och önskemål om stödsom föräldrar med diagnos inom autismspektrum beskriver i sin föräldraroll. Ett annat syfte är att bidra med ökad kunskaptill en diskussion kring utformandet av stödinsatser för dessa familjer. Studien är kvalitativ med intervjuer som gjorts ihalvstrukturerad form. Åtta föräldrar har intervjuats. Föräldrarna beskriver att deras svårigheter gör det svårt för dem isamspelet med barn och partner.
Föräldrars upplevelser när deras barn vårdas på intensivvårdsavdelning : - en litteraturstudie
Kritiskt sjuka barn som vårdades på intensivvårdsavdelning väckte svåra känslosamma reaktioner hos föräldrarna. Syftet med denna studie var att belysa föräldrars upplevelse av omvårdnaden av sitt barn på intensivvårdsavdelning. Metoden som användes var litteraturstudie och omfattade 16 vetenskapliga artiklar. Litteratursökningen gjordes med hjälp av MESH-termerna: intensive care, critical care, parent, experience och need via databaserna PUBMED och CINAHL. Resultatet visade att ovissheten, barnets förändrade utseende och smärta hade betydelse för hur föräldrarna upplevde barnets sjukdomstillstånd.