Breast cancer is the most common form of cancer affecting women. The treatment of breast cancer may lead to forcing the woman to remove her breast. The breast is a symbol of femininity and sexuality for many women. The purpose of this literature-based study is to describe women's experiences of altered body image and sexuality after mastectomy. This may provide a better understanding of the nurse in responding to these breast cancer patients.

Kranskärlsoperationen är för patienten en stor händelse som leder till många frågor och funderingar. Tidigare forskning har visat att patienter som genomgått en ranskärlsoperation har stort behov av information. Vårt syfte med studien var att beskriva informationen vid en kranskärlsoperation. Studien gjordes som en itteraturstudie. Resultatet av studien utföll i tre kategorier, informationsmetoder, vad informationen innehöll samt olika faktorer som påverkade patientinformationen.

Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out.Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, primary care and community.Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation.

The progress of chronic disorders such as heart failure and chronic obstructive pulmonary disease affects various aspects of life. They have an deep impact on patients´experience of health and wellbeing and their functional qualities and quality of life. Several studies have in an extensive way described heart failure and chronic obstructive pulmonary disease in its own domain but few qualitative studies consider coexistence of the disorders from a caring science perspective. The aim was to describe the meaning of living with heart failure and chronic obstructive pulmonary disease from a lifeworld perspective. With a phenomenological and reflecting lifeworld approach it´s possible to describe eight patients daily experiences of living with severe and chronic disorders from their own narratives.

Inom psykiatrisk verksamhet händer det att patienter tar sitt liv under pågående behandling eller i direkt anslutning till en behandlingsperiod. Enligt patientsäkerhetsförordningen måste dessa händelser rapporteras och utredas. Syftet med patientsäkerhetsförordningen är att den ska främja hög patientsäkerhet inom hälso- och sjukvård genom att minska antalet vårdskador, oavsett om bristerna beror på systemfel eller på att vårdpersonal begått misstag. Fokus är således på ett patientperspektiv, därför känns det angeläget att studera upplevelser som väcks hos olika grupper av vårdgivare när en patient begår suicid.Frågeställningar: Behandlares upplevelser när en patient gör suicid.Metod: En kvalitativ intervju på fenomenologisk grund genomfördes med fem vårdgivare i psykiatrisk verksamhet, två sjuksköterskor med steg 1 utbildning och tre skötare.Resultat: Upplevelser hos vårdgivare som är med om en patients suicid kännetecknas av chock, traumatisk stress och sorg. Det väcks också tankar som rör den egna professionen och i en del fall oro för följder av beslut som i efterhand kan bedömas vara felaktiga.Diskussion: När vårdgivare intervjuas om sina upplevelser efter en patients suicid, berättas om olika reaktioner som inte uppmärksammats nämnvärt.

Syfte: Att undersöka hur nöjda patienter 75 år och äldre är med vården som bedrivs på akutmottagningen på Akademiska sjukhuset i Uppsala avseende väntetid, miljö, kompetens, förtroende, tillgänglighet, bemötande, information, kommunikation och smärtlindring.Metod: Deskriptiv tvärsnittstudie. 38 patienter 75 år och äldre som besökt Akademiska sjukhusets akutmottagning svarade på en enkät avseende hur nöjda de var med sitt besök.Resultat: Patienter 75 år och äldre var i stort mycket nöjda över vården som bedrivs på Akademiska sjukhusets akutmottagning. Patienterna var minst nöjda över väntetiden som ibland ansågs vara för lång i relation till deras besvär. Ingen skillnad gick att utläsa mellan hur nöjda män och kvinnor var med vården avseende väntetid, miljö, kompetens, förtroende, tillgänglighet, bemötande, information, kommunikation och smärtlindring. Någon skillnad gick inte heller att utläsa mellan hur nöjda patienterna var med vården och vilken typ av besvär; medicinskt, kirurgiskt eller ortopediskt som patienten hade sökt för.Slutsats: Studien visar att de patienter 75 år och äldre som besvarade enkäten i stort är mycket nöjda med vården som bedrivs på Akademiska sjukhusets akutmottagning avseende väntetid, miljö, kompetens, förtroende, tillgänglighet, bemötande, information, kommunikation och smärtlindring.

This thesis analyses how a radiology department at the largest hospital in Sweden, Karolinska University Hospital, most profitably could expand its capacity for investigating cancer patients using magnetic resonance imaging (MRI). The queues today for patients waiting to be scanned are long, which delays the start of cancer treatments. Meanwhile the hospital has a budget deficit of half a billion SEK, which make any expansion hard. In this thesis we evaluate the alternatives of investing in new machinery; utilize the current machinery better by using them more days annually or through a shift work system. Finally we evaluate a combination of these.

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.

Carl Gustav Jung started to write his Black books, in which he saw himself analyzing unconscious fantasies, during the same time that he leaved the psychoanalytical movement and broke off his personal relations with Sigmund Freud. This thesis sees the interpretation of these books through a wider contextualization. The purpose is to contribute to the understanding of the breakup between the two. The therapeutic work will be highlighted where the black books will be seen through the lens of three of Jung?s more known patients as well as through the interest in mythology and fantasy that Jung showed during this time.

Bakgrund: I Sverige är det idag 3-4 procent av befolkningen som har diagnosen diabetes mellitus typ 2 och antalet insjuknade ökar kontinuerligt. Diabetes kan leda till allvarliga komplikationer som kärl- och nervförändringar, ögon och njurpåverkan. Sjuksköterskans roll i omvårdnaden är att ge stöd och utföra kontroller för att förhindra komplikationer. Syfte: Beskriva vilket stöd från sjuksköterskan som vuxna med diabetes typ 2 upplever att de är i behov av. Metod: En allmän litteraturstudie med nio vetenskapliga artiklar sammanställdes.

Abstract Back ground: Home based care is a meaningful activity giving patients and their families a chance to live their lives as close to normal as possible. Advanced palliative care is today provided at home, although geography does play a role in shaping that care. A rural setting can mean that conditions for such care differ from those in urban areas.Purpose: To describe the experiences of district nurses in palliative home care settings in a rural community.Method: Semi structured interviews with seven district nurses. The interviews were recorded digitally and transcribed in a precise fashion. A method of qualitative analysis of the contents, inspired by Burnard, was used to analyze the material.Results: Palliative care places high demands on the competency and experience of district nurses.

Background: Sleep-disturbances in persons with Alzheimer´s disease are prevalent. They are characterized as increased frequency and duration of awakenings, decreased slow-wave sleep, REM-sleep and increase of day-time napping. Depression and lower quality of life are associated with sleep-disturbances. Altogether a significant source of stress for caregivers and an important factor in institutionalization. Non-pharmacological treatment alternatives are rare.Method: Single-case A-B-C design, with non-concurrent multiple baselines, a pilotstudy.Aim: To explore if an educational program on sleep, sleep disturbances and behavioural change directed towards caregivers improved sleep, depression and quality of life in persons with Alzheimer´s disease living at home.

The purpose of this Master thesis is to examine theinformation use and information seeking behaviour amongpersons who actively work with information. For this study,interviews have been conducted with a group of six personswho work with information in information intensiveorganizations. The aim is to answer the following questions:What kind of information is connected to the respondents?work tasks? What is the purpose of their search forinformation? Which information sources do they use and whatkind of information sources do they demand? The theoreticalframework consists mainly of Wilsons information needs andinformation seeking model.The results of this study show that none of the respondentshad any strategic model for their work with information. Theinformation that the respondents were searching for is ofdifferent content and depends on the organization in which therespondent operates.

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.

Introduktion: Utvecklingen inom somatisk slutenvård har under de senaste decennierna gått mot kortare vårdtider. En del patienter på sjukhus vårdas under betydligt längre tid än genomsnittet. Detta skulle kunna leda till fysiskt lidande för patienten, en känsla av hopplöshet på grund av ovisshet gällande sjukdomsförlopp och vårdtidens längd, saknad av familj, en längtan tillbaka till arbetslivet och övrigt socialt liv. Få studier inom medicinsk slutenvård har undersökt patienters upplevelser av att vårdas länge på sjukhus. Syfte: Syftet med studien var att beskriva patienters upplevelser av att vårdas mer är 40 dagar på sjukhus.