Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

A pilot study conducted on four patients, which we received from the Sahlgrenska University Hospital, who were all potential candidates for a cochlear implant. We fitted our test subjects with a pair of frequency compressing hearing aids called Phonak Naida V SP during the study and let them evaluate them for about seven weeks. Measurements made with monosyllabic words throughout the study showed significant differences in speech perception (p?0.05) compared to their regular hearing aids in 3 out of 4 cases. De-activation of the frequency transposed function showed significant decreases in 3 out of 4 cases compared to when it was activated.All test subjects were satisfied with the new hearing aids and chose to keep using them at the end of the study..

Cancer is one of the most common diseases and it affects not only adults but also many adolecents and children every year. Those who are affected of disease face many challenges that will affect their lives. The aim of this literature review was to illuminate adolecents experience of cancer and how it affects them in their daily living. The result showed that the adolecents experience many physical and mental side-effects from disease and treatment. They expressed the need of information, support and understanding from their families, friends, school and care givers.

Cancer is one of the most common diseases and it affects not only adults but also many adolecents and children every year. Those who are affected of disease face many challenges that will affect their lives. The aim of this literature review was to illuminate adolecents experience of cancer and how it affects them in their daily living. The result showed that the adolecents experience many physical and mental side-effects from disease and treatment. They expressed the need of information, support and understanding from their families, friends, school and care givers.

Bakgrund: Ronden är det arbetsforum som för samman alla sjukhusets personal-kategorier vilka tillsammans med patienten arbetar för att denne skall kunna få optimal omvårdnad och kunna tillfriskna. Roller och bemötande under ronden på-verkas bl a av faktorer som organisationskultur, kommunikation och samspels-mönster. Syfte: Att undersöka och beskriva hur ronden fungerar avseende bemötande, hie-rarki och rollfördelning mellan sjuksköterskor, undersköterskor och läkare. Aktu-ella frågeställningar: Hur bemöter olika personalkategorier varandra under ron-den? Intar olika personalkategorier olika roller, och i så fall vilka? Metod: Empirisk strukturerad observationsstudie med kvalitativ och kvantitativ ansats. Resultatet har analyserats med manifest innehållsanalys. Resultat: Överlag var bemötandet mellan personalen avslappnat och artigt.

Det är svårt att bedöma hur lång tid en människa har kvar i livet och brytpunkten för när en patients döende fas inleds kan vara otydlig (Ellershaw & Ward, 2003). Det är viktigt att den sista tiden blir så bra som möjligt och här spelar sjuksköterskan en viktig roll. Syftet med studien var att belysa sjuksköterskors upplevelser av att vårda döende patienter på en akutvårdsavdelning. Metoden som användes var kvalitativa fokusgruppintervjuer och data analyserades med induktiv innehållsanalys. Ett övergripande tema för studien kan benämnas vårdens vågskålar, dilemman och tillfredställelse, vilket speglar den dubbelbottnade natur vården har.

Den berörda organisationen hade implementerat ett nytt arbetssätt, "Medarbetarskap och Ledarskap". Studien är en utvärdering på individnivå av hur arbetssättet påverkat undersökningspersonerna. Nitton personer med olika befattningar deltog i undersökningen som utgjordes av enskilda intervjuer och fokusgrupper. Samtliga intervjuer spelades in med diktafon och transkriberades därefter ordagrant. Resultatet visade att medarbetarna var negativa till arbetssättet, delvis på grund av hur pengarna satsades, men det framfördes även kritik beträffande innehållet.

This Batchelor?s Thesis concerns 20 points at the MDA-program (People, Computers and Work) at Blekinge Institute of Technology in Ronneby, Sweden. 10 points concerns Computer Science and 10 points Human Work Science. The thesis is about the process of starting a new department of Blekingesjukhuset [Blekinge Hospital] in Karlshamn, Blekinge called Sjukvårdsrådgivningen [Health Care Advice Bureau]. The thesis starts with a description of the ethnographical methods used, followed by the process of establishing the department.

Stress is commonly found in society today. This paper aims to examine how work performance, cooperation and team spirit are maintained in demanding work environments. By studying two departments in a public hospital that practises addiction care, our findings suggest the following: If the experienced stress is mainly connected to challenge stressors, it has a positive effect on work performance. By organising work through mechanistic and organic structure, the handling of qualitative and quantitative stress is facilitated. As a consequence, first and foremost cooperation can be maintained, but also work performance and team spirit.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

Platelets are small fragments, but they are of crucial importance for the coagulation. The risk of spontaneous bleeding increases when the level of platelets falls below a thrombocyte particle concentration threshold value of 50 x 109/L. In those cases a platelet transfusion might be compulsory. Ongoing research tries to improve the quality of the platelets and to increase the safety of the method used. However, we still need to better understand which factors that affect how patients react upon platelet transfusion.

Teaching preschool children about the environment. A comparative study of how two preschools work with environmental issues.My investigations are based on qualitative interviews and observations carried out at two preschools, one of which has a nature and environment profile while the other works in traditional ways with these questions. I sought to explore the ways in which pedagogues in each preschool raise environmental awareness and, more generally, awaken an interest in nature in the children. The consequences of methodological similarities and differences will be considered.This term paper concludes that the difference between an environmental profile preschool and a traditional preschool working on environmental awareness is not large. The knowledge gained by children in the latter preschool surpassed that gained in the former.

The purpose of the study was to review the current veterinary literature regarding gastric dilatation and volvulus (GDV) considering pathophysiology and treatment, and to evaluate the operative technique (incisional gastropexy) used during the years 2005 and 2006 at the University Animal Hospital (Universitetsdjursjukhuset), SLU, Uppsala, Sweden. GDV has a complicated pathophysiology which foremost effects the circulatory system. Progress is often acute and it is not unusual that patients are affected with shock. The initial treatment targets to alleviate the shock by fluid therapy and decompression of the stomach. There is a high risk of recurrence in the long term perspective unless the stomach is surgically fixated by gastropexy. The study describes two different techniques for gastropexy; incisional gastropexy, and funduspexy. Long term complications were rare among the patients that were treated surgically, while about half out of the eighteen dogs that undergo surgery do experience complications of various severity in the short term..

Background: People are individuals who react differently when confronted with unexpected events. To miscarry is nature?s own way of sorting out the foetuses which could never become a fully grown child. The loss can without help be difficult to handle and can impact the couple negatively towards future pregnancies. The nursing staff ought to familiarize themselves with the experience, encounter their feelings and identify their needs.

The aim with the study is to find key factors relating to internal marketing and to improve the process between the operating organization and its customers. A qualitative study is carried out within an organization active in the Swedish healthcare. The qualitative approach is carried out by collecting empirical data through observations, personal interviews and group interviews.The Physiotherapy Clinic at the Karolinska University Hospital is in the focus of the empirical study. The study locates existing differences in perceptions and comes up with recommendations for actions to improve the process of organisations within the Swedish healthcare and their customers. The study's results are that internal marketing can bring a lot to service-selling organizations and that the organizations internal conditions are as important as the external ones.Communication appears to be a key factor for an organization that has applied internal marketing.