Aim: The aim of the current study was to investigate nurses? experiences of caring for palliative patients in palliative home care, and to examine the coping strategies they use.Method: The study was empirical descriptive with qualitative approach. The data was collected by nine semi-structured interviews and analyzed by using manifest content analysis.Result: By analysing data three categories: Positive experiences of palliative home care, Stressful experiences of palliative home care and Problem-focused coping strategies, and 15 subcategories, were distinguished.Conclusion: Experiences of palliative home care were both of positive and challenging characters. Stressful situations were managed by problem-focused coping strategies. Nurses are in need of the work situation at home to become more ergonomic and designed to protect the nurse?s physical wellbeing.

Aspen (Populus tremula) is a tree that is important for biodiversity. It is a pioneer tree that is favored by much light. It is possible that aspens that regenerated on agricultural land have a different importance for biodiversity than aspens that regenerated in forests, since their conditions have been different. By studying how the land use have changed you can see how many of today?s aspens regeneretad on agricultural land.

Middle managers in social care find themselves in a middle position. The middle management position involves demands from several interested parties. The demands affect and generate feelings both within themselves and within others and the middle managers have to deal with them all.The aim of this study was to investigate the social care middle manager?s personal experiences of emotions in work.We have completed interviews with four middle managers who are assigned to carry out social care. When doing the interviews we used an interview guide divided into different interview areas.

Benign Childhood Epilepsy with Centrotemporal Spikes - BCECTS is a common neurological syndrome but the possible cognitive effects are still relatively unknown. In the study 12 children with the diagnose BCECTS, 9 boys and 3 girls between the ages of 5,5 and 13,5 years, were examined. An extensive battery of neuropsychological tests were administered. The results indicates normal cognitive functioning as compared to the normal population, with one exception; an aspect of attention. But the results also indicate several negatively effected performances when compared to the cognitive g-factor of each child.

In the essay, the balance between being an educator and a mother of a child with autism is explored in respect to how the roles might influence the actions of a pre-school teacher. Writing is used as a method of reflection, it gives the teacher a chance to take a step back and view her practical experiences from a novel perspective; conclusions are recounted throughout the teachers narrative. The essay is based on the following questions; which problems might arise in the meeting with parents such as Adams where there is a suspicion of autism for the child? Which advantages/disadvantages might the teacher?s personal experience of autism have for the role as educator? How would the dual roles as educator and mother of an autistic child best be balanced in the future?The essay highlights special educational and parent perspectives on the matter of autism. Professor of pedagogy Claes Nilholm, specializes in special needs education.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

This thesis focuseses on archives and availability. The general public seem to have trouble finding their way tothe actual archives even though most archival institutions are easily accessed and provide interesting material.Maybe it is because archives are generally not as well known as other institutions within the ALM-area, eventhough the need to know ones history and identity is considered mainstream. Whether or not history takes off atthe archives is a complex question to answer. Archives, however, certanly contribute to our ideas of earlier timesand the concept of history.I have examined what archives do to make these contributions known to the general public and to whatextent they make their material avaliable. I have also looked into archival pedagogy since it is often connected toavaliability.

Abstract Children with neuropsychiatric disorders often require special arrangements from the society. These measures could target the child itself, its parents, or other parts of the social network surrounding the child. Parents of children with neuropsychiatric disorders are often deeply engaged both in their child and in these measures.Three parents of children with neuropsychiatric disorders, and four counselors in different habilitation centers, were interviewed. The purpose of this qualitative interview study was to describe the methods with which the counselors worked to support parents of children with neuropsychiatric disorders, and to understand how the parents experienced this support offered by the counselors.The qualitative interviews with counselors and parents followed a thematic interview guide. A structured interview form was used.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Trough the contact with the HR (Human Resources) department of home care management in Halmstad municipality, emerged from the management a wish for a documentation for what should be included in leadership at middle management level in the future. People in middle management positions have a large impact on the operation staff and are also in charge of the individual corporate performance and its success. As we have previously been active in the management of multiple role configurations, including middle-management positions, we have some prior understanding of the complexity of this position. The study was conducted with the aim to investigate different aspects of what leadership for middle managers in home care management in Halmstad municipality may mean to them. With the help of different theories and models various aspects were analyzed due to the impact of leadership.Due to the studies purpose and questions, two focus groups was conducted and interviews with respondents from both the lower and superior positions in home care management in Halmstad municipality was done.

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.

How can we use modern X-ray technology to raise awareness of the information that is hidden in historic upholstery? The materials and techniques add information to the history object in question and  about a profession that is sparsely documented in our country. The knowledge we have today has largely been obtained by studying damaged upholstery, or by removing the show cover and upholstery, a technique which involves high risk of damaging the upholstery. X-ray technology offers  a non- intrusive way to examine historical upholstery.Through case studies, I examined four artefacts. The artefacts went trough an inititial visual exam before being transported to The National Heritage Board in Visby where they underwent a thorough X-ray exam.

Förskola och skola kan upptäcka om ett barn far illa och anmäler till socialtjänsten som utreder fallet. Studiens syfte var att med kvalitativ metod i form av intervjuer undersöka hur samarbetet mellan dessa instanser upplevs, samt vilka möjligheter och hinder som upplevs för att hjälpa barnet. Tio personer från de olika instanserna intervjuades. Studien visade att (1) möjligheter finns att hjälpa familjerna, (2) det är svårt då föräldrar inte samarbetar samt då samarbetet mellan förskola, skola och socialtjänst begränsas genom socialtjänstens tystnadsplikt och (3) samarbetet mellan instanserna är bra men kan förbättras med mer insikt i varandras arbete. Det framkom att ett behov av bättre samarbete behöver utvecklas.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

Background: Every year 56 million people die around the world and it is estimated that 60% of these people are in need of palliative care. It has been shown that patients in the palliative care experienced their situation as uncertain. When life no longer was certain, the patients tried to live their life day by day and make the best of it. Problem: When patients were diagnosed with an incurable disease the future became unsure, because their life would come to an end. Therefore patients with a palliative diagnosis could be in need of experiencing feelings of security.