Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

This essay is about the mobilization that have arisen due to the mining activities being planned in Norra Kärr, just outside of Gränna in the northern part of the county of Jönköping, Sweden. This study is based on the association Aktion Rädda Vättern and members of the associatons? individual thoughts and experiences of their possibility to success. Interviews were carried out with members of the association. The theoretical basis lies within the theory of political opportunity structure and the defintion of the same by Sidney Tarrow.

The workplace is a good arena for healthy activities because of its ability to reach big target groups. A preventive health care program prevents ill-health and since 2001 Centralsjukhuset Kristianstad has a health care program, ?Främja hälsan?. Leadership is important in the health promotion work when to get the collaborators motivated and involved in the health care program. The aim of the cross-sectional study was to investigate the collaborators opinion about the managers? pedagogical role in the health promotion work at Centralsjukhuset Kristianstad.

In the project Barn av vår tid (Children of our time), I have worked with Fryshuset in Malmo and created an interior concept which is designed to express Fryshusets identity, support and encourage its activities and to create a functional environment for young people as well as staff. The purpose of this concept is to help teenagers to feel involved, important and safe. Floor plan, materials and furniture is carefully adapted to support the activities of Fryshuset and to give young people a feeling of coming home. They are also of course chosen with care for the environment. I have studied interior branding, how the rooms can give a sense of security and homely atmosphere and how young people can actively participate in the design of the premises..

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.

The purpose with our essay was to describe and understand the treatment of the homehelp staff towards the elderly addicted caretakers within the care system. Both in a practical aspect as well as in an attitudinal aspect. In order to get the answers to our overall purpose of our essay, we had as a starting point the following questions:* What help is given to the elderly addicted caretakers?* Are the elderly addicted caretakers a stigmatized caretaker group?* What approach does the home help staff conduct towards the elderly addicted caretakers?* Is there a preparedness among the home help staff when it comes to as to whether or not a care taker has an addiction issue or not?When analysing the material we used a qualitative analytical method in order to understand the care givers treatment towards the addicted caretakers. We combined the interviews with the so called vinjett technique; furthermore we used various sociological theories as well as earlier scientific discoveries.The result of the essay was that elderly addicted caretakers are an exposed group.

This essay aims to examine and compare the attitudes of decision makers in the local government and representatives of pensioners in two different geographic areas. The main questions were:- their attitudes towards the "stay home principle" (kvarboendeprincipen, a principle that aims to make it possible for people with a handicap, disease or age to stay in their homes instead of moving to nursing homes).- their attitudes towards nursing homes for old people- their attitudes towards the possibility of staying at home when you are old and handicapped and in need of care.The essay is built on qualitative research methods, based on interviews and on a review of research in the field.The author found a complex picture of attitudes. Everybody thinks that the best is to live in your own home as long as possible, except from those who live with Alzheimer´s disease. They showed different opinions on the issue of the need for moving to nursing homes. This might result in forcing people to stay at home.

In this paper we investigate whether power structures in organizations have an influence in the process that leads to burnout. We analyze if these power structures affect the individual?s health condition toward burnout in a way that leads to disability and subsequent absence from work. In the study, six persons who all have been unable to work due to burnout have been studied through qualitative, semi-structured interviews. The material have been coded with three different themes; leadership and hierarchy, responsibility and delegation of responsibility and performance and loyalty.

The aim of this study is to examine social workers? experiences of how the ADHD-diagnosis affects their work with children and youths living in foster care and how it affects the individuals and families themselves. The study is built upon five qualitative interviews and the results are analyzed through a theoretical framework that constitutes ADHD as not only the symptoms and the medical disorder but also as a social phenomenon where the disorder is socially constructed by the current society, norms, and knowledge. The study shows that the social workers? do not rely on the sole ADHD-diagnosis in the understanding and guidance of the children and their foster parents, but rather see the individual needs of each children.

Every plan and program decided on by an authority or municipality, where the environmental impact can be considerable, must be environmentally assessed according to Environmental Code, the Planning and Building Act (PBA) and the Regulation on Environmental Impact Assessment.The purpose of this study is to examine the Environmental Impact Assessment (EIA) for The Region Development Plan for the Stockholm Region, RUFS 2010. The plan was approved by at that time the Regional Planning Office (Regionplanekontoret), which procured the process by consultants. RUFS 2010 includes two merged plans ie. a regional Development Plan (RUP) and the Regional Spatial Plan for Stockholm. It was necessary to establish an environmental assessment of RUP, but not for the regional plan.

Background: HIV is a worldwide spread disease with many deaths. People with the disease have previously been met with attitudes, stigma and discrimination in various contexts. A caring relationship should be built on empathy, respect and communication, where the patient is not seen as their illness, but as a person. Today, there are laws that are there to protect the patient, however, there is a lack of knowledge about what is current. Health care workers knowledge in the 2000s has improved, but there is still a lack of knowledge.Aim: To illustrate how patients with HIV experience health care.Method: The literature review was conducted with twelve scientific articles of which two articles were quantitative and the other qualitative.Results: The results revealed three main themes; Different expressions of fear, Perceived negative attitudes and stigmatization, as well as The wish to be lovingly treated in health care.

In the project Barn av vår tid (Children of our time), I have worked with Fryshuset in Malmo and created an interior concept which is designed to express Fryshusets identity, support and encourage its activities and to create a functional environment for young people as well as staff. The purpose of this concept is to help teenagers to feel involved, important and safe. Floor plan, materials and furniture is carefully adapted to support the activities of Fryshuset and to give young people a feeling of coming home. They are also of course chosen with care for the environment. I have studied interior branding, how the rooms can give a sense of security and homely atmosphere and how young people can actively participate in the design of the premises..

While conducting our practical training we experienced how the structure and the complexity of the municipal administration could, from a white-collar workers perspective, become a limitation and burden for efficient work. Deriving from this experience we found an interest in how politicians reasoned with regards to their relationship with supervisor in municipal old-age care. Kouzes och Micos (1979) ?Theory of organizational behavior in human service? became our point of departure. Their framework was therefore the foundation for our research and work throughout this paper. Our aim with this research was to examine how politicians viewed their relationship with supervisor in municipal old-age care.

The western societies is characterized by a strong future concern and the members of the society are valued most of all according to their capability to produce. In our time the elder ness is representing a rapidly increasing number of relatively well kept elders. What sight of the future does the aging human have? Are one meditating of what kind of service and care one are going to need? The purpose with this study was to describe how individuals in ages between 60 and 96 sees, both the future and their coming need for care in relation to sex, age, social activities and experienced health. The material was taken from ?SNAC-Blekinge? witch is a part of a bigger national study; SNAC (The Swedish National study on Aging and Care).

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.