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1409 Uppsatser om Holistic assessment - Sida 27 av 94
Inhalationssedering på CIVA : en retrospektiv beskrivning
Bakgrund: Patienter som ventilatorvårdas på intensivvårdsavdelning behöver ofta någon form av lätt sömn (sedering) för att tolerera endotrachealtuben och ventilatorbehandling. De traditionella intravenösa läkemedel som ges har lång halveringstid och det är stor risk för kvardröjande effekter. Syfte: Denna pilotstudie syftar till att studera sederingsdjupet enligt MAAS hos de patienter som blivit sederade med inhalationsgas, kontrollera vakenhetsgraden enligt GCS hos dessa patienter efter avslutad sedering, samt beskriva vilka patientgrupperna är som fått inhalationssedering. Metod: Journalgranskning där resultatet har analyserats och kategoriserats, därefter har en sambandsanalys gjorts. Resultat: I resultatet identifierades 3 patientkategorier som fått isofluransedering: patienter med hotad luftväg som förväntats behöva kort sederingstid och snabb väckning, patienter som var svåra att sedera optimalt med intravenös metod samt patienter med organsvikt där risk för ackumulation och/ eller förlängd elimination av läkemedel förelåg.
Livscykelanalys av en ekologisk bomullsskjorta - miljöpåverkan från vagga till grav
This study includes a life cycle assessment, LCA, on an ecological produced cotton shirt for the company Reflective Circle, which designs ethical and ecological clothes.Initially were cotton farming and textile production studied to gather basic knowledge about the processes. Since this shirt is being ecological produced in the whole production chain, we studied what an ecological production means, but also how a conventional production works. When this was done we could start to discuss the differences and similarities between the production of the shirt and general conventional production.When the LCA was first initiated, the main focus was on the green house gas emissions from the manure at the cultivation. Thereafter the process steps such as picking, ginning, carding, spinning, weaving and sewing were being studied. The picking is done by hand, but the rest of the processes are handed by machines which consumes energy.
Sjuksköterskors erfarenheter kring smärtskattning hos patienter med kommunikationssvårigheter : En intervjustudie
BakgrundSjuksköterskor ansvarar för att bedöma om en patient har smärta, vilket kan vara utmanande om patienten har svårt att kommunicera. För att bidra med mer kunskap kring detta uppfattades ett behov av att undersöka vad sjuksköterskor inom olika verksamheter har för erfarenheter kring att bedöma smärta hos dessa patienter och deras tankar kring smärtskattning som omvårdnadsåtgärd.SyfteSyftet med studien var att belysa sjuksköterskors erfarenheter kring smärtskattning av patienter med nedsatt förmåga att kommunicera.MetodSemistrukturerade intervjuer genomfördes med sjuksköterskor inom olika verksamheter i Umeå och analyserades med kvalitativ innehållsanalys.ResultatVi identifierade erfarenheter som sammanställdes inom åtta olika kategorier fördelade på fyra domäner. Centrala iakttagelser är att smärtskattning bör ske med välfungerande metoder och att smidiga rutiner för deras användning är viktiga. Det behövs mer kunskap om smärtskattning för att kunna komplettera de erfarenheter som finns. För att förbättra kvaliteten bör likaså hänsyn tas till nackdelar med alltför stela arbetssätt för att inte den personliga kunskapen och viljan ska gå förlorad.
Välfärd hos växande nötkreatur ? finns den?
During an investigation of animal welfare in animal production, the focus has for a long time been focused on the absence of stress, suffering and injuries, and positive emotions have not been prioritized. However, in recent years that has been drastically changed. The public interest have increased for buying animal products from animals that have had a decent life, which have led to that play, exploratory behavior and other positive behaviours has come to play a significant role in welfare assessment. The welfare of cattle is difficult to assess since there is currently no ancestors to study, it is thus difficult to determine which behaviors can be regarded as natural and thus positively related, acordingly the welfare of cattle have been forgotten and research on positive emotions of cattle have not been prioritized.
The aim of this study was to observe which behavior growing cattle performe, and if there was any differences of which kind of behavior that was observed, if the cattle is keept on slatted floor or on a deep straw bedding. Furthermore, antoher purpose was to investigate if the observed behaviours indicate a positive, negative or natural welfare, and if it is possible to use the observed behaviours in a welfare assessment.
Elever och självreglerat lärande. : En studie om grundskoleelevers uppfattning om inlärningsstrategier.
Scientists and educational psychologists research have seen on self-regulated learning as learningconstruction. Every scientists have developed their own terms and concepts in the events of explaining how self-regulation affects students learning-process. Keyprocesses in previous studies is the importance of the active choice, to be goal-oriented,and awareness is what students need to self-regulate their own learning. The purpose of this study is to examine how students use different educational learning strategies based on the principles for self-regulated learning (SRL). From the process of the previous research, different concepts and terms have been divided into three key concepts titled:Active choices and actions, Goal-orientation and goal setting, as well as consciousness and self-awareness.
Bedöma Risk för våld hos frihetsberövade : Vad säger forskningen?
Att göra bedömningar av risk för våld hos frihetsberövade personer på fängelser och i olika former av tvångsvård är en viktig del av arbetet med att reducera antalet våldsincidenter, vilket är till nytta både för frihetsberövade personer och för personalens arbetsmiljö. Syftet med denna studie är att göra en kunskapsöversikt över vad forskningen säger om att bedöma risk för våld hos frihetsberövade personer, beskriva aktuell forskning om riskbedömningar, hur strukturerade instrument för riskbedömningar definierar våld, vilka teoretiska utgångspunkter till uppkomst av våld som används och i vilken utsträckning riskbedömningsinstrument tar hänsyn till interaktion mellan personal och frihetsberövade personer.Studien genomförs igenom en litteraturstudie med en innehållsanalys av forskning på området utifrån frågeställningarna i syftet. Sökorden är ?inmate?, ?inpatient?, ?violence?, ?risk?, ?assessment?, ?juvenile? och ?youth?.Reslutatet av studien visar att det finns ett flertal instrument som som forskningen visar har god validitet och även inter-bedömarreliabilitet för att bedöma risk för våld, nämligen Brøset Violence Checklist (BVC), Historical-Clinical-Risk management-20(HCR-20), Dynamic Appraisal of Situational Agression (DASA) och Structured Assessment of Violencerisk in Youth(SAVRY). Utöver detta finns även några bedömningsinstrument som använder enbart statiska variabler för att bedöma risk för våld hos frihetsberövade, även kallade aktuariska modeller.
Trovärdighetsbedömningen av muntliga utsagor i brottmålsprocessen
In some criminal cases, the only existing evidence is the verbal statement of a witness or the plaintiff. The typical example is an alleged rape where victim and perpetrator have had some kind of relation, and their records of the incident differ. In these cases, the assessment of the value of the evidence drawn from the plaintiff's story is of crucial importance. On the one hand, a false positive judgment means that a person is wrongly convicted, on the other hand, a failure to correctly identify a truthful claim of rape means that a victim of a severe crime is left without judicial remedy. That the prosecutor must prove that the crime is committed by the defendant without reasonable doubt, means that there is much more chance of a failure to convict guilty felons, than of the opposite.In the essay, the rules of criminal procedure directed at the evaluation of the verbal statement are identified and critically evaluated from the perspective of how they may or may not facilitate the judgment of a verbal statement presented before the court, either in person, or through other media such as video.
Diskretionärt handlingsutrymme : en kvalitativ studie av socialsekreterares bedömningsgrunder vid ansökan om ekonomiskt bistånd
With this study, our purpose has been to achieve profounded knowledge and understanding regarding the use of discretion among social workers specialized in social allowance issues. The Social Services Act, structured as a framework law in the Swedish context, provides the social worker with a certain degree of discretion, in order to enable accommodated decisions depending on client case specifics. This study problematizes these aspects of legal security, and our intention has been to examine which factors impact the assessments social workers carry out in statutory decisions of social allowance applications. To attain this, we narrowed down our intention into a number of distinct and delimitated research questions: (1) Which elements of the client case impact the social worker?s assessment? (2) Which external aspects influence the social worker?s assessments and decisions? (3) How do social workers decide the client?s credibility? In order to establish answers to our research questions, we have utilized a qualitative approach of research by exerting qualitative interviews in addition to a vignette study.
Coymo
This report is part of a Bachelor?s degree corresponding to 15 creditsat the Royal Institute of Technology, Stockholm. The work hasbeen carried out by Max Wikander, author of the report, supervisedby Lanie Gutierrez-Farewik and Erik Dijkstra.Gait analysis includes measurement, characterization and assessmentof human movement and is used to assess kinematic or otherabnormalities during gait. Center of rotation and the axis of rotationof a joint are fundamental parameters in motion analysis. However,the ability to create individualized analysis is limited by the lack ofaccuracy when these parameters are calculated.
Dialogicitet inom sfi : Hur upplevs talövningar av vuxenstuderande inom sfi?
Our governing documents give teachers guidelines as to how to carry out their task in the classroom. To guide a learner requires knowledge, not only about the policy of our governing documents but also skills to see the connection between the teacher's task and its practical implementation. By studying learners' experiences of teaching contexts, I have been able to evaluate how the teaching methods live up to the intentions of the national governing documents in Sweden.My study is based partly on a survey that I completed and partly on the theory of Dialogicity. Here I saw clear connections between my informants' experiences of verbal exercises in the teaching and the theoretical background I have chosen for my study, Dialogicity. I have presented and analyzed the verbal exercises in four differentiated contexts.
Eurytmi och lärande : Pedagoger och eurytmisters syn på relationen mellan eurytmi och lärande bland förskolebarn
This is a study on how eurythmists/educators describe the relationship between the practice of eurythmy and learning in young children. I wanted to find out what concepts these eurythmists/educators use when speaking of learning in relation to eurythmy. In addition I would also like to explore what eurythmists and educators think that children learn when practicing eurythmy. The method of this study is interviews with two educated Waldorf teachers, as well as two educated and practicing eurythmists, in a fenomenological interview setting with open questions. The theories of Merleau-Ponty, on the phenomenological body, has been used when analyzing the interview material - that is; through the understanding of a physical learning in these theories on the phenomenological body I have tried to understand and analyze the interview material.
VAD ÄR VÄL EN DAG PÅ SLOTTET? Ett möte mellan design och museipedagogisk verksamhet
The project objective was to make parts of our cultural heritage available as a resource for learning, by developing the pedagogical activities on a medieval castle, that today functions as a museum. I also wanted to explore the role of a designer in a process that aims to develop the interaction between schools and cultural institutions.By a selection of objects and locations in the castle, illustrations with accompanying texts were made, which through the children?s imaginative ability may bring them to a historical scenario. This resulted in a working material that supports the children?s activities and reflections during their visit to the castle.
Att skapa en motkultur : En religionspsykologisk undersökning av Livets Ord som religiös minoritet i en sekulär kulturell kontext
In this textual analysis I have examined the book Att följa Jesus by Ulf Ekman and information from Word of Life's official website. The aim of this study is to see how a religious leader is shaping the identity of the groups members after a certain pattern that differs from the surrounding, secular society. The research focus of this essay includes several aspects: how a culture is formed in a religious minority in contrast to the prevailing cultural context; how the material can be explained by Paul Pruyser?s theory on the psychological worlds; how what Ulf Ekman writes about distinguishing themselves from the environment differs from how other religious minority groups distinguish their identity; and, how the psychological world, expected behavior, and context of Word of Life can be structured by Valerie DeMarinis? model of assessment. I have placed Word of Life in a realistic illusionistic world developed from Paul Pruyser?s theory of psychological worlds.
Atypisk återkoppling vid samtalsinteraktion mellan personer med Parkinsons sjukdom och anhöriga
The aim of the study was to investigate how Parkinson?sdisease affects the individual?s ability to give feedback in face to faceinteraction with a significant other and how this affects the conversationalinteraction. The study applied a qualitative approach, using ConversationAnalysis and Activity based communication analysis with altogether fourdyads. The results showed that Parkinson?s disease may have an effect onthe ability to give feedback, shown in an atypical pattern of feedbackpreventing the fulfillment of individual goals in the interaction.
Föräldrars upplevelse av Terapeutisk neuropsykiatrisk utredning
Inledning: Syftet med studien var att ta reda på hur en metod för neuropsykiatriska utredningar upplevdes av de föräldrar som deltagit i den. Utredningsmetoden kallas TA-C, eng. Therapeutic Assessment with Child. I den sätts särskilt värde till delaktighet och den terapeutiska potentialen.Frågeställningar: 1: Vad var föräldrarnas anledning att söka utredning? Hur beskrev föräldrar sig delaktiga i den neuropsykiatriska utredningen av deras barn? Hur var utredningen till hjälp att förstå sitt barn?Metod: Kvalitativ metod, semistrukturerad intervju, 10 föräldrar som genomgått en form av neuropsykiatrisk utredning för deras barn.Resultat: Resultatet visar att föräldrarna har upplevt betydande delaktighet och förståelse för sitt barn, och kopplar ofta ihop begreppen, som att de har en ömsesidig påverkan.