Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.

Syftet med f?religgande studie var att unders?ka hur vuxna personer utan hj?rnskada skattade sin kommunikationsf?rm?ga med hj?lp av La Trobe Communication Questionnaire (LCQ) och j?mf?ra samst?mmigheten med deras n?rst?endes skattning. Studien unders?kte ocks? eventuellt samband mellan sj?lvskattning p? LCQ och utbildningsl?ngd, ?lder samt k?n. B?de tidigare insamlade och nya data analyserades i denna studie.

Due to deficiency in dementia care, the government has commissioned the National Board of Health and Welfare to develop national guidelines for health care services to people with dementia and support for their relatives. It has been allocated stimulus funds that may be applied for to work on improvements in dementia care. In August 2010 these guidelines formed the basis for a decision made that collaboration would take place between the county and the municipalities regarding dementia care in Halland, named Anna's path. The aim of this study is to investigate, analyse and describe how our respondents in the project Anna?s path are planning and preparing for the implementation of the registry of quality BPSD - Behavioural and Psychological Symptoms of Dementia.

Research has shown fear of childbirth to be as common among men as women, but the phenomenon has not been as studied among men. Some men have trouble talking about their fear and therefore don?t get the support that they need. Where to go to get help is not so obvious for these men. The name mostly used for this clinic is Aurora.

The digitization in the Swedish health care sector is rapidly growing. This study investigates whether the digitalization in health care has led to higher quality and an increased value for patients. Interviews with staff in various health care professional categories were conducted to qualitatively study how the implementation of digitization is perceived in practice by those directly involved. Furthermore, an observation was made, where a doctor was followed duringa workday to study the different digitalization software tools that are being used. Previous studies and other relevant literature accompanied the study of digitalization in health care. Organizational theories were compared with the practical organization management at the studied health care organization, as well as their dependence on other authorities and companies.

Bakgrund: munvård är en grundläggande omvårdnadsåtgärd som bidrar till att förebygga respirator-relaterad lunginflammation, s.k. VAP (?ventilator-associated pneumonia?) och en rad diverse systemiska infektioner. Trots vikten med munvård och förekomsten av PM som beskriver utförande av munhygien på intensivvårdsavdelningar, så tycks det vara en lågprioriterad handling hos intensivvårdspatienter.Syfte: att beskriva sjuksköterskans inställning kring munvård hos patienter som vårdas på intensivvårdsavdelning.Metod: kvantitativ studie med beskrivande design som grundas på statistisk analys av data insamlade utifrån ett enkätformulär.Resultat: denna enkätstudie visar att sjuksköterskor prioriterar munvård högt men samtidigt tycker de att det delvis är en undersköterskeuppgift och delegerar ofta uppgiften. Hinder som t.ex.

ABSTRACTAim: The aim of this study is to chart the experiences of Swedish general psychiatric care on a Swedish University hospital from a relative?s point of view. The study focus on how they are meet, satisfaction with and participation in the care. The study is done as an improvement project.Methods: The study was conducted by performing semi-structured interviews with eight close relatives to patients on a general psychiatric ward. The interviews lasted for 20-40 minutes.Results: The result shows that relatives are satisfied with the way they are meet by the staff on the ward, that they appreciate staff that are open, down to earth and are inviting to form a good relationship.

Bakgrund: Många patienter uttrycker ett behov av att fylla den minneslucka som finns sedan intensivvårdstiden både vad gäller tid och innehåll. Detta var anledningen till att vårdpersonal på intensivvårdsavdelningar började använda dagbok till kritiskt sjuka patienter. Syfte: Att belysa patienters upplevelser av att ta del av sin dagbok från vårdtiden på intensivvårdsavdelning. Metod: Litteraturöversikt. Artikelsökning utfördes i databaserna CINAHL och PubMed.

Families with limited financial resources risk social exclusion in today?s consumption-based society, where status and identity are tied to items like clothing, gifts and activities. Limited financial resources can therefore often lead to social isolation because consumption is central to social participation, something that can rarely be prioritized in poor families. In preschool, unclear policies on extra costs can negatively affect families. The purpose of the study was to investigate how socioeconomically vulnerable families experience and are affected by the preschool and its requirements, as well as how preschool teachers work to reduce the economic gap among families in the preschool context.

En svårt sjuk patient som vårdas på en intensivvårdsavdelning, med svikt i ett eller flera organsystem, löper betydande risk att drabbas av malnutrition med ökad risk för infektioner och längre vårdtider. När en väl utarbetad riktlinje inom nutrition följs ökar patientens möjligheter att nå upp till sitt kalorimål med minskad malnutrition och förkortade vårdtider som följd. Syftet med studien var att undersöka följsamheten till en befintlig riktlinje om nutrition på en intensivvårdsavdelning i västra Sverige med hjälp av journalgranskning. Ett konsekutivt urval gjordes och 31 uppfyllde inklusionskriterierna. Journalerna granskades enligt deskriptiv analys.

Silage is today a common feed for different animals. A general way of storing silage is in bunker silos covered with polyethylene film. The covering and uncovering is labour intensive and it is often difficult to get the silo properly sealed. Because of these reasons many American farmers leave their silos uncovered and accept the losses accompanied. One purpose of this study was therefore to examine if it sometimes can be justified to leave bunker silos uncovered.

Total mixed rations (TMR) and TMR complemented with individual grain feeding to dairy cows are a growing practice in Sweden. This is because the heard sizes of the farms are increasing. Some farmers and farm advisors in Sweden have great knowledge and practical experience of working with TMR. In the same time there are many advisors that do not know how to handle TMR and farms that have a group based feeding of their animals. In this MSc thesis, the knowledge of farmers that use TMR and advisors with lots of experience of TMR are gathered, with the aim to create a guide book for advisors that are about to start or just have started working with TMR.

The aim of this study is to examine the language, used in parts of The day care report of 1968 (?1968 års Barnstugeutredning?). The day care report of 1968 was a public investigation appointed by the cabinet intended to prepare new policies on the part of the Swedish state.  I focus on the change, which can be assumed to have occurred, when replacing the names ?day care? (?dagis/daghem?) and ?kindergarten? (?lekskola?) with the name ?preschool? (?förskola?).

Research shows that supportive conversations with elderly who are living in nursing homes isrequested among care personnel, this to satisfy both older people's mental health and socialhealth. The care personnel try to offer the elderly supportive conversation to the extent theyare able to, but they are experiencing obstacles in terms of shortage of time, ignorance and aperceived ambiguity in their profession. The purpose of present study is to describe andanalyze the phenomenon of supportive conversation with elderly living in nursing homes,based on care personnel?s perspective. The study is based on qualitative interviews with thecare personnel working in special housing.

The purpose of this study is to examine the situation of the school for boys 15-21 years of age lacking compulsory school attendance and is being located at five residential care units from the pedagogues? point of view. The study was conducted by interviewing four pedagogical leaders and two teachers. The results demonstrate that the boys can choose the subjects they study as well as the amount of time they spend on studying each week. The teachers include non-learning activities during their lessons.