Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Aims: To examine how patients with experience of being involuntarily discharged from medication-assisted treatment with methadone or buprenorphine have coped with the consequences following the discharge. The study also aim to examine how the patients cope with the stigma related to their abuse of heroin and how they manage to cope with the rules regarding themedication-assisted treatment. Method: Three patients with experience of involuntary discharge from medication-assisted treatment have been interviewed. All were heroin abusing men living in Stockholm. The interviewees were recruited through the Swedish Drug Users Union and through a shelter for homeless people with drug problems.

Syftet med föreliggande studie var att redogöra för hälso- och sjukvårdspersonalens följsamhet till hygienföreskrifter avseende handhygien och de faktorer som påverkar detta. Metod: Artiklar söktes via CINAHL, Pubmed och Scopus. Sökord som användes i olika kombinationer var: hand hygiene, adherence, hygiene guidelines, health care workers, compliance, hand disinfection, infection control, nursing, nurse och hand cleansing. Tretton vetenskapliga artiklar erhölls. Vidare gjordes en manuell sökning ifrån inkluderade artiklars referenslistor och genererade två artiklar som ingick i resultatet.

Medicinering vid sjukdomstillstånd i det främre segmentet av ögat hos häst är ofta tidskrävande och komplicerat för djurägaren. Syftet med studien var att undersöka om ett nytt tekniskt hjälpmedel, en spiral som kallas OphthaCoil, fungerar för långtidsmedicinering hos häst. Två olika designer på spiraler utvärderades. Efter en ögonundersökning placerades en spiral i nedre konjunktivalsäcken och hästen observerades till dess spiralen trillade ur. Resultaten visar att ingen av de använda designerna låg kvar tillräckligt länge för att kunna användas för en längre tids behandling.

The purpose of this study was to examine people's experiences of self-medication with cannabis in relation to post-traumatic stress disorder and professions? opinions of cannabis for medical use. The study focuses on norms and values as well as its impact on individuals. A qualitative approach was used with thematically open interview questions, in order to gain an insight into the interviewees? reality and their experiences.

Persons suffering from Attention deficit/hyperactivity disorder (ADHD) struggle with complications within the functions that regulate and control the brain activities, due to deficiencies in these functions within the affected nerve-paths. ADHD is a cognitive function impairment characterised by inattention, impulsiveness and over activity. According to Diagnostic and Statistic Manual of Mental Disorders, American Psychiatric Association (DSM-IV), certain diagnostic criteria of ADHD must be fulfilled in order for a person to be diagnosed with ADHD. The everyday problems caused by ADHD are individual and medication can have positive effects relieving the person?s impairing behaviour.

Det är känt att upp till 50% av patienter med kronisk sjukdom inte följer sinbehandlingsplan. Detta kan leda till onödigt lidande, sjukdom och sämre livskvalitet förpatienten samtidigt som det kan vara en ekonomisk förlust för samhället. Syfte: Syftetmed denna studie var att beskriva faktorer som påverkar patienters samsyn tillprevention och behandling vid kronisk sjukdom. Frågeställning: Hur kansjuksköterskan hjälpa patienter att följa sin behandlingsplan? Metod: Sökningar eftervetenskapliga engelska artiklar gjordes på databaserna Cinahl och Pub Med.

Background:Patients with mental disabilities are more prone to somatic illnesses than the general public. Unhealthier lifestyles and side effects of medication might be causes of conditions that lead to diabetes, cardiovascular diseases and premature death. According to the Social Board patients with mental disabilities receive poorer treatment than patients with only somatic diagnosis.Aim:The aim of the study was to describe nurses' experiences to identify, assess and manage somatic symptoms and problems within the psychiatric care.Method:The study is based on interviews with 12 nurses working in psychiatric outpatient and inpatient care. A qualitative content analysis was chosen.Result:The nurses performed nursing through talking, blood sampling and measuring for example blood pressure. They followed up side effects of medication.

Bakgrund: Diabetes är sjukdom som kan leda till sänkt livskvalitet och lidande för personen som drabbats men även till höga kostnader för samhället. Behandlingen kan bestå av en kombination av läkemedel och livsstilsförändringar, där sjuksköterskan stödjer vårdtagarna genom att undervisa och främja deras empowerment. Forskning visar att det är vanligt förekommande att personer med diabetes har låg följsamhet till sin behandling vilket kan leda till sämre blodsockerkontroll samt ökad risk för diabetesrelaterade komplikationer. Syfte: Syftet var att beskriva faktorer som påverkar följsamheten till behandling vid diabetes typ 2. Metod: En litteraturöversikt där tolv kvantitativa artiklar sammanställdes.

Behavioral problems are one of the leading reasons for re-homing and euthanasia in dogs. It is estimated that between 40 ? 87 % of dogs suffer from some sort of behavioural problem, making it an important animal welfare issue. Separation anxiety is one of the most common behavior problems encountered in dogs after problems related to aggression. This thesis is aimed at examining the etiology behind separation anxiety related behavior in dogs based on existing literature as well as comparing and evaluating the efficiency on suggested treatment protocols.

This study aims to examine how families that during a long time have lived with neuropsychiatric disabilities have experienced their contact with different authorities. The study builds on qualitative interviews with two young people and five parents, from four different families. Focus in the paper lies mainly on the families' experiences of the school and different care sectors.The result shows that there is a great number of aspects as lack of information, lack of knowledge, dislodges between different authorities lack of support from school and care sectors, incorrect medication and shortage of long-term plans for treatment, which the families experienced as problematic. These aspects have also brought dramatic consequences that have strengthened the disabilities' negative effects.The result also shows that the parents are very active and bears a great responsibility for the child's health. The parents are in large extent alone in search for care, arranging meetings, searching for information, taking care of the children's medication etc.

SammanfattningDet här arbetet är en litteraturstudie. Arbetet tar upp litteratur om kommunikation i vården främst från humansidan, men även en del veterinärlitteratur. Arbetet tar upp grunden för kommunikation och olika kommunikationsmodeller. Vidare tas sjuksköterskans roll upp och hur den kan påverka relationen till patienten genom professionalism, empati, människosyn och medmänsklighet. Det handlar även om vad litteraturen säger om effekten av behandling som ett resultat av kommunikation samt hur man kan mäta effekten av behandling.

BACKGROUND: The isolation facility is an important ward in veterinary hospitals. This is where infectious patients are treated in order to reduce the risk for cross-contamination between the infectious patients and other patients and humans in the hospital. But it can only function in a safe manner as long as adequate precautions for infection control are adhered to. This has shown to be a problem in many isolation facilities in veterinary hospitals in Sweden. AIM: The aim of this paper was to examine which factors that can affect the quality of the infection control in the isolation facility. The aim is also to stress the importance of adequate infection control practices. METHOD: Two interviews were conducted with staff from two veterinary hospitals.

The aim of thie literature review was to study the advantages and disadventages of the intranasal medication, treating children with acute pain in  prehsopital settings and in emergency care. Searches were performed in databases PubMed and Cinahl. The intranasal method of administrating drugs could be a acceptable compliment to todays's traditional metods. Unnecessary pain is avoided as there is no need for skin penetration. Further studies are necessary in order to integrate this metod both in prehospital settings and in emeregncy care..

It appears from today's debate about the quality of social work and addiction treatment that largely focuses on the impact of recent various interventions in the hope of being able to alter social work's role in society and also the organizational structure. The debate points to a part of the 1970s social welfare debate. Today's aspirations to establish an evidence-based practice can hardly be expected to solve the social services basic dilemmas is that it always have to do something, despite the many times you cannot get clear instructions on which funds should be used by law or science. Even if you follow the rules and practices based on scientific studies should the importance of various key initiatives to remedy deficiencies in social service work with addicts in large part depend on how, in these initiatives define the term "evidence-based practice" and what steps will be indicated for to develop practice. My starting point was to explore how evidence-based social work in connection with medication-assisted treatment for opiate addiction look, which evidence-based interventions Social Services currently uses in connection with medication-assisted treatment for opiate addiction, as well as how to work with it in the ordinary course of business. The study showed that social services have become better at using these methods in recent years and that today there are more tools available than before.